The International Day of Yoga, celebrated annually on June 21, reflects the world’s recognition of yoga’s profound contributions to human health and well-being. Officially proclaimed by the United Nations in 2014 with the support of 177 countries, this global event was first observed in 2015. For 2025, Prime Minister Narendra Modi has announced the theme "Yoga for One Earth, One Health," highlighting the vital link between personal wellness and planetary health, also been endorsed by the United Nations. This theme emphasizes how caring for one’s own health fosters mindfulness towards the environment, contributing to a healthier and more sustainable world.

Originating in India thousands of years ago, yoga is far more than a physical exercise regimen; it is a comprehensive way of life that harmonizes the mind, body, and spirit. The term "Yoga" derives from the ancient Sanskrit word “yuj,” meaning “to unite,” symbolizing the union of the self with nature, society, and the broader universe. The practice incorporates asanas (physical postures), pranayama (breathing techniques), and meditation, all of which work synergistically to cultivate physical vitality, emotional balance, and mental clarity.

Unlike many contemporary fitness programs that focus mainly on physical appearance or strength, yoga prioritizes holistic well-being. Mindful movement and breath control improve flexibility, strengthen muscles, support joint health, and enhance organ function. Meditation and breathing practices reduce stress, lower cortisol levels, stabilize emotions, and promote better sleep and concentration. This comprehensive approach has led to yoga's widespread global adoption, transcending cultural and geographical boundaries.

A growing body of scientific research has validated yoga’s benefits in the prevention and management of several chronic health conditions. Studies have demonstrated that yoga can alleviate symptoms of anxiety, depression, chronic pain, insomnia, asthma, and arthritis. In oncology, yoga has been shown to support patients undergoing cancer treatment by improving energy levels, emotional resilience, and overall well-being.

The World Health Organization (WHO) has acknowledged yoga’s global relevance and actively supports its safe, evidence-based practice. The establishment of the WHO Global Centre for Traditional Medicine (GCTM) in Jamnagar, India, serves as a global hub for research, standards, and policy development in traditional medicine, including yoga. WHO’s Yoga Training Benchmarks, partnerships with India’s Ministry of AYUSH, and the development of the mYoga App ensure standardized, accessible, and high-quality yoga resources worldwide.

Furthermore, integrating yoga with its ancient sister science Ayurveda offers a holistic and comprehensive approach to health. While Ayurveda provides guidance on diet, daily routines, and herbal remedies, yoga complements these practices by fostering self-awareness, emotional stability, and inner harmony. Together, they address not only the symptoms but also the underlying causes of disease, promoting sustained wellness.

As we celebrate International Day of Yoga 2025, the message of “Yoga for One Earth, One Health” carries profound significance. In an era marked by rising chronic diseases, mental health challenges, and environmental crises, yoga offers a timeless path to balance and resilience. By embracing yoga's enduring wisdom, individuals can foster personal transformation while contributing to a healthier planet for current and future generations.

A day dedicated to raising awareness about the importance of voluntary blood donation and expressing gratitude to those who give the gift of life. In many low- and middle-income countries, over 75% of patients with transfusion-dependent conditions like thalassaemia do not receive the regular, safe blood they need.

Blood Shortage & Unequal Access

1.  Huge Global Disparities

• In 2025, high-income countries collect about 40% of the world’s 118 million annual donations.
• Blood donation rates differ widely: 31.5/1,000 people in high-income countries, but just 5/1,000 in low-income countries
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2.  Situation in India

·  The estimated national clinical requirement is:

14.6 million whole blood units annually

Equivalent to 36.3 blood donations per 1,000 eligible population

However, actual collection falls short. With an average donation rate of 33.8 per 1,000, the annual shortfall is around 1 million units.

• Many regions remain blood deserts, with availability as low as 0.6 units per 1,000 population, leading to poor emergency response .
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Hence , donating blood might seem like a small act—but it sets off a life-saving chain of events.

Once donated, your blood is:

• Tested for infections,
• Separated into components like red cells, platelets, and plasma,
• Stored under strict conditions,
• And finally, delivered to a patient who urgently needs it—such as someone undergoing surgery, treatment for cancer, severe anaemia, trauma, or childbirth complications.
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The Journey from Donor to Patient

When you roll up your sleeve to donate blood, you trigger a well-coordinated and life-saving process that delivers your generosity directly to patients in need.

1. Pre-Donation Screening & Collection

As outlined by the Red Cross and other blood services, the process begins with a quick health check and confidential medical history review to ensure you’re eligible to donate.
Once cleared, blood is:

• Collected in a sterile bag,
• Barcoded for tracking,
• Temporarily stored on ice, and
• Sent for processing and testing.

 Each donation typically yields one unit of whole blood, which is later separated into components like red cells, platelets, and plasma—maximizing the impact of your gift.

2. Ensuring Safety: Rigorous Testing

Every unit of blood is tested for safety. This includes:

• Blood type confirmation,
• Screening for infectious diseases such as HIV, hepatitis B and C and syphilis
• Antibody screening for compatibility.
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If any infectious disease test is positive, the blood is safely discarded and the donor is confidentially notified. All results are electronically processed—often within 24 hours—and linked to the barcode on the donation bag.

3. Storage and Distribution

Once cleared, the blood is stored under component-specific conditions:

• Red blood cells: refrigerated at 1–6°C for up to 42 days,
• Platelets: stored at room temperature (20–24°C) with agitation for up to 5–7 days,
• Plasma: frozen at –18°C or colder and can last up to 1 year.
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These are dispatched to hospitals based on real-time need—whether for emergency surgeries, trauma, or planned transfusions.

4. Reaching the Patient and Who benefits

Your blood finally reaches someone in need—often during a critical moment.

Red Blood Cells

Used to treat:

• Anaemia (including from chronic diseases or nutritional deficiencies)
• Heavy blood loss from trauma, surgery, or childbirth
• Blood disorders like thalassaemia or sickle cell anaemia
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Platelets
Crucial for patients who:

• Are undergoing chemotherapy or radiation, which reduce platelet counts
• Have bleeding disorders like ITP or aplastic anaemia
• Need organ transplants, to help prevent bleeding during surgery
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Plasma
Used in patients with:

• Liver disease or clotting disorders, where clotting factors are deficient
• Severe burns, where plasma helps restore blood volume
• Massive transfusion needs during disasters, accidents, or surgeries
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Doctors match the blood type and component to the patient's condition to ensure safe transfusion.

One donation can help save up to 3 lives.

How You Can Make a Difference

1. Donate Regularly

You can donate blood every 3 months (12 weeks) if you're a man, or every 4 months (16 weeks) if you're a woman — as recommended by the WHO. Setting a reminder ensures you stay healthy and help maintain a steady blood supply.

 2. Talk About It

Start conversations. Share facts with friends, family, or on social media about why blood donation matters. Your voice can inspire others to take action.

3. Organize or Join a Blood Drive

Bring donation opportunities closer to home, work, or college. Ask your organization to host a mobile blood drive. It makes donating easier and increases turnout.

4. Use Apps or Reminders

Sign up for donation alerts through SMS, email, or health apps. Regular prompts can help you stay on schedule — and studies show this can increase donations by up to 30%.

5. Be a Lifelong Donor

Make donating blood a habit. Just one unit can save up to 3 lives. Imagine the impact over a lifetime!

Thyroid disorders are one of the most common endocrine issues affecting women, yet they remain significantly underdiagnosed and under-discussed — particularly in the context of reproductive health. Conditions like hypothyroidism and hyperthyroidism are up to 8 to 10 times more common in women than in men, with key life stages such as puberty, pregnancy, postpartum, and menopause acting as hormonal triggers.

Many symptoms — such as fatigue, weight fluctuations, mood changes, irregular periods, or difficulty conceiving — are misattributed to stress, PCOS, or general lifestyle factors or even early menopause — especially in younger women navigating work-life pressures or postpartum recovery.

What many don’t realize is that thyroid hormones are closely tied to the reproductive system. They influence everything from menstrual regularity and ovulation to fertility and pregnancy outcomes. Hypothyroidism (an underactive thyroid) can lead to heavy or irregular periods, difficulty conceiving, and even increase the risk of miscarriages or premature births. Hyperthyroidism (an overactive thyroid), on the other hand, may cause lighter or missed periods and exacerbate anxiety or insomnia.

There’s a growing body of evidence suggesting that undiagnosed thyroid issues can significantly impact mental health — contributing to chronic fatigue, brain fog, irritability, and even depression. In India, where conversations around mental wellness are just beginning to gain ground, the thyroid’s role in mood and emotional regulation is still largely misunderstood.

Add to this the influence of lifestyle misinformation — from fad diets to supplement culture — and many women unknowingly worsen their thyroid function in pursuit of “wellness.” I frequently see patients who have self-medicated with iodine drops, selenium supplements, or extreme diet plans after encountering poorly researched advice online.

At Holy Family Hospital, we are increasingly advocating for routine thyroid screening as part of women’s preventive healthcare, especially during key hormonal milestones — puberty, conception planning, pregnancy, and postnatal recovery. A simple blood test (TSH, T3, T4) can identify thyroid imbalances early and help prevent a cascade of complications.

Despite this, awareness remains low. Many women visit an endocrinologist only after years of unexplained symptoms or failed fertility treatments. We need to shift this narrative. 

The future of women’s health must include a more integrated approach, where gynecologists, endocrinologists, and mental health professionals collaborate to diagnose and manage thyroid dysfunctions holistically. Early intervention not only improves quality of life but also safeguards long-term heart, bone, and brain health. 

As healthcare providers, we must ensure that thyroid health isn't treated as an isolated issue, but as an integral part of a woman’s overall well-being. And as individuals, we need to listen to our bodies, push for answers, and ask for thyroid testing when symptoms don’t add up.

A recent Instagram survey conducted among working Mumbaikars aged 30 to 55 years has shed light on alarming sleep trends and perceptions in the city that never sleeps. The poll, supported by insights from Dr. Prashant Makhija, Consultant Neurologist at Wockhardt Hospitals, Mumbai Central, highlights not just the sleep deprivation crisis but also the growing awareness around sleep health.

Key Findings:

1. Majority Are Sleep Deprived

● 63.57% of respondents reported getting less than 6 hours of sleep on weekdays.

● This aligns with global data pointing to urban dwellers compromising sleep due to     work and commute.

Dr. Prashant Makhija explains:
“Sleep deprivation has become rampant in metros like Mumbai. What's alarming is that people recognize six hours as insufficient, yet daily demands prevent them from achieving more.”

2. Noise Pollution Is a Major Disturbance

● 64.23% admitted they struggle to sleep due to Mumbai's noise pollution, such as honking, construction, and loud neighbors.

Dr. Makhija comments:
“Environmental factors like urban noise disrupt circadian rhythms and REM sleep, leading to long-term consequences such as anxiety, hypertension, and weakened immunity.”

3. The Weekend Catch-Up Myth

●   59.62% believe that sleeping extra on weekends compensates for weekday loss.

Dr. Makhija warns:
“This is a common misconception. While you may feel better temporarily, it doesn't reverse the cumulative effects of chronic sleep loss.”

4. The Surprising Reality: Sleep Still Valued

● When asked about pre-bedtime habits, 75.40% preferred a relaxed routine, while only 24.60% scrolled social media.

●  Additionally, 55.74% said they don’t sacrifice sleep for late-night food or social plans.

“This is an encouraging insight,” says Dr. Makhija.
“Despite distractions like social media and nightlife, Mumbaikars do attempt to maintain a sleep-friendly routine. It's just that external pressures interfere.”

5. Snoring Is Still Misunderstood

●  53.23% considered snoring to be normal, reflecting a serious lack of awareness.

● In reality, snoring can be a sign of obstructive sleep apnea (OSA), a condition with grave health risks.

“People often overlook snoring,” warns Dr. Makhija.
“But it can indicate upper airway obstruction. Left untreated, OSA can increase the risk of heart disease and stroke.”

6. Sleep and Health Link: Still Blurry

●Only 52.66% acknowledged the link between inadequate sleep and physical or mental health.

●  Alarmingly, nearly 47% either denied or were unsure of the connection.

Dr. Makhija emphasizes:
“This gap in awareness is concerning. Sleep is not a luxury—it is foundational to brain health, hormonal balance, and emotional regulation.”

7. Stimulants and Coping Mechanisms

●  44.89% reported relying on chai or coffee to stay awake during the day, while the rest managed without caffeine—a surprisingly balanced outcome.

Conclusion: A City That Knows, But Can’t Sleep

The results reveal a city aware of its sleep needs but struggling to meet them due to environmental, social, and occupational stressors. With nearly 2 in 3 respondents being sleep-deprived, it’s evident that public health interventions, noise regulation, and educational efforts are urgently needed.

“It’s time we treat sleep as a pillar of health, not an afterthought,” concludes Dr. Makhija.

Heartiest congratulations to Hon’ble Prime Minister Narendra Modi ji on the historic India-UK Free Trade Agreement (FTA) and the Double Contribution Convention, a landmark achievement amid global trade uncertainties. At AIMED, we applaud this much-awaited ambitious trade deal that is set to significantly strengthen economic ties between India and the UK, unlocking new opportunities for the medical devices sector through enhanced collaboration, innovation, and streamlined trade processes.

The FTA addresses key challenges in the MedTech sector by reducing customs tariffs on critical medical devices, such as consumables, implants, and diagnostic equipment. It also harmonizes non-tariff barriers, including prolonged regulatory approval processes in the UK, which have historically limited India’s medical device exports.

The agreement fosters innovation by promoting joint R&D initiatives and facilitates technology transfer and the establishment of Centres of Excellence in India, enabling the development of affordable, high-quality medical devices tailored to both markets.

By easing bilateral trade barriers, the deal empowers businesses to export, import, and invest in a more diverse and affordable range of healthcare products.

Indian MedTech exports, valued at $3.8 billion in 2023-24, particularly to the UK, are poised for growth, while UK firms gain improved access to India’s $12 billion medical devices market, projected to reach $50 billion by 2030. 

This FTA not only strengthens the MedTech ecosystem but also sets a template for India’s trade negotiations with other developed nations, driving economic growth and healthcare accessibility.

Dr Rajiv Chhibber, Joint Cordinator AIMED
 

A healthy heart is essential for a healthy life, acting as the engine of our circulatory system. This vital organ pumps blood throughout our body, delivering the oxygen and nutrients we need while removing waste. It also helps maintain healthy blood pressure and keeps our body functioning smoothly. Unfortunately, many people face heart and blood vessel issues, known as cardiovascular diseases (CVDs), which can be treated through various surgeries depending on the specific condition.

Cardiac surgery, also known as heart surgery, involves procedures on the heart or its associated blood vessels. These surgeries become necessary for individuals dealing with heart disease, heart attacks, strokes, blood clots, or those at high risk of developing these conditions. The type of surgery can range from minor procedures like implanting a pacemaker to major open-heart surgeries like bypass grafts. The types of operations vary greatly. Millions of people undergo cardiac surgery each year. However, many patients have misconceptions surrounding these critical procedures which often leads to unnecessary worry and hesitation in patients. It's important to understand the facts and clear up these misconceptions to make informed decisions about our heart health and treatment options.

Myth 1: Cardiac surgery can cause a stroke or affect brain function.

Fact: While there is a potential risk of neurological complications following cardiac surgery, advancements in surgical techniques, intraoperative monitoring, and postoperative care have significantly reduced this risk. Surgeons take meticulous precautions to minimize the possibility of stroke or cognitive impairment. The benefits of addressing severe cardiac conditions often outweigh this potential risk.

Myth 2: Cardiac surgery is only for elderly people.

Fact: Cardiac surgery is performed on individuals of all ages, including infants, children, and young adults. While the incidence of certain cardiac conditions may increase with age, surgical intervention is determined by the specific diagnosis and the patient's overall health status, not solely by age.

Myth 3: You can’t lead a normal life after heart surgery.

Fact: For most patients, cardiac surgery aims to improve their quality of life and enable them to return to their normal activities. Following a period of rehabilitation and adherence to medical advice, most individuals experience significant symptom relief and can resume their usual routines, often with increased energy levels and improved functional capacity.

Myth 4: Cardiac surgery is the last resort.

Fact: While cardiac surgery is often considered for significant heart conditions, it is not always the absolute last option. The decision to proceed with surgery depends on various factors, including the specific diagnosis, the severity of the condition, the patient's overall health, and the potential benefits versus risks compared to other treatment modalities, such as medical management or interventional procedures.

Myth 5: Cardiac surgery is mostly fatal.

Fact: Modern cardiac surgery has become increasingly safe, with survival rates improving significantly over the years due to advancements in surgical techniques, anesthesia, and postoperative care. The risk of mortality varies depending on the complexity of the procedure, the patient's pre-existing conditions, and other individual factors. However, for many serious cardiac conditions, surgery offers a substantial chance of survival and improved long-term outcomes.

Myth 6: Angioplasty is safer than bypass surgery.

Fact: The perceived safety of angioplasty versus bypass surgery depends on the specific cardiac condition, the extent and location of coronary artery disease, and other patient-related factors. While angioplasty is less invasive, bypass surgery may be the more appropriate and effective treatment for certain complex cases of coronary artery disease. The optimal approach is determined by a comprehensive evaluation and discussion with a cardiologist and cardiac surgeon.

Conclusion

Cardiac surgeries are known to be a complex procedure and are associated with their own set of risks and challenges. However, it is critical to manage cardiovascular conditions through surgeries.  Misconceptions surrounding these procedures can pose a significant threat to cardiac health by deterring individuals from seeking timely and necessary treatment. Understanding the realities of cardiac surgery is crucial for enabling individuals to make confident and informed choices about their heart care. By dispelling these myths, patients can approach treatment options with greater clarity and confidence, ultimately leading to improved outcomes and an enhanced quality of life.

Authored by Dr. Harish Vaja, Cardiothoracic & Vascular Surgeon, HCG Hospitals, Rajkot

On World Malaria Day, April 25, 2025, India renews its fight against mosquito-borne diseases like malaria, dengue, chikungunya, and Zika. The diseases are still a cause of concern for public health, with more than 1.7 million cases of malaria reported in 2022, WHO figures reveal. Being these in rural and slum urban areas, they are a serious public health risk. In this backdrop, here is an in-practice guide specific to India's varied situations to keep the people safe and updated.

Understanding the Threat

Mosquitoes are the main vectors responsible for the majority of life-threatening diseases. Anopheles transmits malaria, dengue, and Zika is transmitted by Aedes, and Culex transmits other viral diseases. These mosquitoes thrive in India's climate, particularly in the monsoon. Stagnant water, poor sanitation, and sudden urbanization create perfect breeding sites. Symptoms include fever and joint pains to major complications like organ failure. High-risk populations are children, pregnant women, people living in tribal regions, and slum residents in cities.

Personal Protection

Prevention begins at the personal level. Use of mosquito repellents with DEET, picaridin, or natural oils such as citronella at dawn and dusk is effective, though babies under two months should not use chemical-based repellents. Use of long-sleeved, light-colored clothes and making sure children's uniforms are full-sleeved during monsoons is also useful. Sleeping under bed nets treated with insecticides, particularly those donated by the government, is one of the safest means of prevention. Moreover, putting mesh screens on windows of both rural and urban houses will help minimize mosquitoes entering the household.

Environmental Management

Eliminating breeding grounds is essential. Citizens are urged to drain containers such as flowerpots and tires that hold water regularly. Building sites, especially in urban areas such as Ahmedabad, Baroda, Rajkot, and Surat, need to be checked regularly. Clean-up drives conducted by the community, like the ones observed in Odisha, have been successful in eliminating mosquitoes. Wherever standing water cannot be avoided, NVBDCP-approved larvicides should be used.

Leveraging Technology

Current solutions are assuming a growing significance. Maharashtra has tested drone-based surveillance to identify breeding places in inaccessible regions. The NVBDCP's "India Against Mosquitoes" mobile application offers users real-time advice and notifications. Wearable repellents such as bands and patches are gaining traction in urban areas. In addition, Tamil Nadu is investigating genetic solutions by releasing genetically modified Aedes mosquitoes to suppress disease spread.

Community and Policy Actions

Public outreach and policy support are essential. Anganwadis and schools must organize awareness workshops in local and tribal languages, followed by radio announcements and street plays. Free malaria testing and artemisinin-based combination therapy (ACT) at primary health centers are crucial for timely treatment. Funding programs like indoor residual spraying and distribution of ITNs under the NVBDCP's "Malaria Elimination by 2030" program is important. Strengthening health at the grassroots level through better-trained ASHA workers also needs long-term investment.

Protecting the Vulnerable

Some groups must be given extra care. Pregnant women need to use ITNs and are given IPTp to prevent complications. Tribal areas such as Dang in Gujarat require mobile vans and telemedicine, as those areas contribute almost 80% of the cases in the state. Slum areas in the cities require heightened fogging and larvicide operations because they are densely populated.

Call to Action

This World Malaria Day, each one of us has a role to play. Whether one applies repellent, sleeps with a mosquito net, or joins a community clean-up drive, every little bit helps. Together, through individual action, community effort, and policy action, we can make our way towards an India free from malaria by 2030.

Authored By -  Dr.  Yogesh Gupta, MD Internal medicine, Head of Geriatrics, Sterling Hospital, Ahmedabad.

Kerala’s public health system stands as a shining example of excellence in India, setting a national benchmark through its innovative practices, inclusive policies, and commitment to healthcare equity.

Crisis Management Excellence

Kerala has consistently demonstrated its strength in managing public health emergencies. The state’s swift containment of outbreaks such as Nipah and Zika has been made possible by its highly trained medical teams and robust disease surveillance systems. A notable example is its remarkable performance during the national 100-day Tuberculosis (TB) Elimination Campaign held from December 7, 2024, to March 7, 2025. Kerala was recognized as the top-performing state, receiving a national award and a certificate of appreciation from the Union Ministry of Health and Family Welfare. The state screened 87,330 individuals, with 82% undergoing advanced molecular diagnostics like CB-NAAT and TrueNat, enabling the early detection and treatment of 5,588 TB cases. This intensified effort reflects Kerala’s ability to scale up responses quickly and efficiently when the situation demands.

Preventive Health and Community Outreach

Kerala’s approach goes beyond reactive measures—it actively focuses on prevention. During the TB campaign, the state mapped over 8.16 million high-risk individuals and conducted detailed testing for nearly 2 lakh symptomatic cases. It also increased the preventive TB examination rate from 1,500 to 2,201 per 100,000 population, underscoring the impact of strong public awareness campaigns. These efforts align with broader strategies under the Aardram Mission, which aims to transform primary health centres into family health centres, strengthening preventive and community-based care across the state.

Strategic Healthcare Investment

Reinforcing its long-term commitment to public health, Kerala’s 2025–26 budget allocates ₹10,431.73 crore to the health sector, including ₹2,915.49 crore for medical and public health—a ₹97.96 crore increase from the previous year. Over the past two and a half years, more than ₹6,788 crore in free medical care has benefited over 25 lakh people through initiatives like the Karunya Aarogya Suraksha Padhathi (KASP). Looking ahead, the state is investing ₹50 crore to promote wellness and health tourism, along with major allocations for strengthening infrastructure: ₹80 crore for ambulance operations, ₹45 crore for cath labs, ₹13.98 crore for complete dialysis coverage, and ₹152.5 crore for cancer treatment. The state has also prioritized manpower development by expanding nursing education and supporting national health programs such as the NHM and PM-ABHIM.

A Model for Public Health Success

Kerala’s healthcare success is deeply rooted in real-time data monitoring, community engagement, and forward-thinking governance. With high life expectancy, low maternal and infant mortality rates, and a strong public health network, the state has created a sustainable and inclusive healthcare ecosystem. Its holistic model continues to inspire other regions in India, proving that with the right mix of vision, policy, and execution, quality healthcare for all is not just aspirational—it’s achievable.

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.

Mental health is no longer a secondary issue—it is a growing public health emergency. Conditions like anxiety, depression, and substance abuse are rising, yet India’s fragile mental health infrastructure struggles to keep pace. Financial instability, isolation, and societal pressures have fuelled unprecedented stress levels, making this crisis an imminent risk.

With a population of over 1.4 billion, India is deeply affected. The National Mental Health Survey reports that 14% of the population suffers from mental health issues, yet less than a third receive care. Vulnerable groups, including migrant workers and marginalized communities, face additional barriers of stigma and exclusion. As per many studies, nearly 40% of Indian youth show signs of anxiety and depression, exacerbated by uncertainty and social pressures.

A major challenge is that many individuals don’t recognize that they need help or fear social stigma. Families often misunderstand the severity of mental health conditions, and even when they do, the high cost of therapy and medication remains a significant barrier. Despite the Mental Healthcare Act (2017) recognizing mental health as a fundamental right, the gap between policy and implementation leaves millions without essential care. The misconception that mental healthcare is a privilege for the wealthy further isolates those in need.

While anxiety and depression receive increasing attention, severe conditions like schizophrenia and bipolar disorder remain poorly understood. Bipolar disorder, with its extreme mood swings, carries a high suicide risk, yet awareness remains low. Families face emotional and financial burdens, often avoiding discussions due to stigma. I believe early intervention is the key, as evidence suggests a genetic component in these disorders.

India’s mental healthcare system needs urgent strengthening. More professionals, affordable services, and integration into primary healthcare are critical—especially in rural areas. Expanding telehealth services like MANAS, incorporating mental health screenings in routine check-ups, and training community health workers can improve accessibility. Public campaigns must normalize mental healthcare, and schools, workplaces, and community centres should foster mental health literacy.

The time to act is now. Without immediate intervention, the consequences will be harmful. Governments, healthcare providers, and communities must work together to make mental healthcare accessible, affordable, and a priority. Addressing this crisis is an investment in societal well-being and future generations.