Public health in India remains widely misunderstood, even among the educated. In my experience, many outside the healthcare field have little knowledge of how the system functions. If awareness is lacking among the educated, how can we expect the uneducated to be well-informed? This gap leads to delays in seeking care and inefficiencies in public health programs. While urban areas have improved, rural communities still struggle with cultural beliefs, mistrust in modern medicine, and a lack of structured health education, widening healthcare disparities.
India has historically hesitated in embracing modern healthcare, but awareness programs have gradually changed this. The National Malaria Eradication Program, Expanded Program on Immunization, and Pulse Polio Program all faced scepticism but succeeded through trust-building and outreach. These efforts highlight a crucial lesson—acceptability is just as important as accessibility in healthcare interventions.
While infrastructure gaps and workforce shortages hinder healthcare, I believe an overlooked challenge is acceptability. Dr. Raj Shankar, in his podcast Badlav for Better, described public health as a “SAD” system—Supply, Access, and Demand. Yet, even when all three are addressed, reluctance driven by fear and misconceptions still blocks progress. There is much evidence of how distrust hinders public health efforts, making community engagement essential.
Programs like Dastak Abhiyan and Mission Indradhanush have shown that shifting perceptions is key to success. As India battles rising non-communicable diseases, ensuring the acceptability of preventive healthcare will be as vital as improving access. Public health isn’t just about hospitals or healthcare workers—it’s about changing mindsets, breaking misconceptions, and building trust. If acceptability isn’t addressed, we risk a system where care exists but isn’t effectively used. By bridging the awareness gap, we can create a healthcare system that is not only accessible but truly embraced.