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India’s SDG Progress: Health Gaps Remain Despite Improved Ranking

1 min read Source: TH
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Context:

In June 2025, India ranked 99th out of 167 countries in the Sustainable Development Goals (SDG) Index, its best-ever performance, improving from 109 in 2024. While progress is evident in basic services and infrastructure, SDG 3 (Good Health and Well-being) remains a major challenge, with India off-track on several health targets.

Key Highlights:

  • Maternal Mortality Ratio (MMR): 97 per 100,000 live births (Target: 70).
  • Under-5 Mortality Rate: 32 per 1,000 live births (Target: 25).
  • Life Expectancy: 70 years (Target: 73.63 years).
  • Out-of-Pocket Expenditure: 13% of total consumption (Target: 7.83%).
  • Immunisation Coverage: 93.23% (Target: 100%).
Challenges Identified
  1. Access barriers: Poor infrastructure, affordability gaps.
  2. Non-economic factors: Malnutrition, poor hygiene, sanitation.
  3. Cultural barriers: Stigma around physical & mental health, low awareness.

Recommendations for Accelerated Progress

  • Universal Health Insurance: Reduce catastrophic health costs, improve equity.
  • Strengthening Primary Health Care: Better coordination between primary, secondary, and tertiary levels; leverage digital health tools (telemedicine, e-records).
  • Health Education in Schools:
    • Early lessons on nutrition, hygiene, reproductive health, road safety, mental health.
    • Global models: Finland’s school reforms (1970s), Japan’s compulsory health education.
  • Reorientation of PDS-type interventions for nutrition: Targeting protein-rich diets and maternal health.
Policy Significance
  • India’s SDG progress highlights infrastructure gains, but health gaps remain critical bottlenecks.
  • Embedding health education in schools can create long-term behavioural change.
  • Aligning reforms with Viksit Bharat 2047 vision requires universal healthcare + preventive education.
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