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Health

Telemedicine has become the first stop for care. How?

On a humid afternoon in eastern Uttar Pradesh, a woman in her thirties sits on a plastic chair inside a temporary health camp, her phone balanced on her lap. She is not speaking to a doctor in the room. Instead, a physician appears on the screen, asking questions about her blood pressure readings and the dizziness she has been experiencing for weeks. The interaction lasts under ten minutes. She leaves with advice, a prescription and instructions on when she should seek in-person care.

For millions of Indians, this is increasingly what healthcare looks like.

Not because telemedicine has been carefully designed as the country’s front line of care, but because, in many places, there is little else. As India continues to grapple with doctor shortages, uneven primary care coverage, and rising chronic disease, telemedicine has begun to function as the health system’s most reliable first point of contact — often by default rather than intention.

A system shaped by scarcity

India’s healthcare access problem is well-documented. The country has fewer doctors per 1,000 people. Specialist care remains concentrated in urban centres, while roughly two-thirds of the population lives in rural or semi-urban areas. Primary Health Centres and Community Health Centres continue to face staffing and infrastructure gaps, particularly in remote districts.

For patients, this translates into delay. Seeking care often means travelling long distances, losing daily wages, arranging childcare or negotiating household permission — barriers that disproportionately affect women, older adults, and people with disabilities.

In this context, telemedicine has emerged not as a futuristic solution, but as a workaround. A way to answer basic questions, triage symptoms and decide whether the effort of reaching a hospital is necessary.

The pandemic accelerated what was already coming

Telemedicine existed in India well before COVID-19, but adoption was limited. That changed abruptly in 2020, when lockdowns made in-person consultations difficult or impossible. In response, the government released formal Telemedicine Practice Guidelines, legitimising remote consultations and clarifying legal responsibilities for providers.

Around the same time, the national eSanjeevani platform expanded rapidly. Initially conceived as a hub-and-spoke model connecting primary centres to specialists, it evolved into a direct doctor-to-patient service. As of 2024, the platform has delivered more than 200 million teleconsultations, according to government figures, making it one of the largest public-sector telemedicine programmes in the world.

What is notable is not just the scale, but the geography. Most eSanjeevani consultations originate outside major cities. Many are first-time interactions with the formal health system.

Telemedicine, in other words, has become less about convenience and more about access.

First contact, not full care

Clinicians involved in telemedicine are careful to describe its role narrowly. Remote consultations work best, they say, when they are used for triage, follow-up and basic management — not complex diagnosis.

For common conditions such as fever, respiratory infections, skin complaints or medication refills for chronic diseases, telemedicine can be effective. It allows doctors to assess urgency, provide guidance and direct patients appropriately. In overstretched systems, that filtering function matters.

A growing body of research supports this cautious use. Studies from India and other low- and middle-income countries suggest that telemedicine can improve continuity of care for non-communicable diseases when combined with physical monitoring and referral pathways. But outcomes depend heavily on how services are integrated.

Used in isolation, telemedicine risks becoming a dead end. Used as part of a broader primary care strategy, it can reduce pressure on hospitals and shorten delays.

Uneven gains, persistent gaps

Telemedicine’s rise has not been uniform. Connectivity remains inconsistent, especially in tribal and mountainous regions. Digital literacy varies sharply by age, gender, and education. Language barriers persist, particularly for patients who do not speak Hindi or English comfortably.

There are also questions about quality. Not all platforms maintain the same clinical standards. Prescribing practices, follow-up mechanisms, and data privacy safeguards differ widely across providers.

A 2022 World Health Organization report on digital health warned that without deliberate equity measures, telemedicine could widen existing gaps by primarily benefiting those who are already connected.

India’s experience reflects that tension. While urban users increasingly treat teleconsultations as routine, many rural patients rely on intermediaries — frontline workers, pharmacists or mobile health staff — to navigate digital care. Where such facilitation exists, telemedicine works better. Where it does not, uptake remains low.

Gender, privacy and the appeal of distance

One area where telemedicine’s impact is more consistently visible is women’s health. For women constrained by mobility, caregiving responsibilities or social norms, remote consultations lower the threshold for seeking care.

Maternal health advice, menstrual health concerns, nutrition counselling and mental health screening are among the most common reasons women use telemedicine platforms, according to both public and private providers.

Privacy plays a role. Speaking to a doctor without travelling, waiting in crowded clinics or negotiating multiple permissions can make care feel more accessible. That said, access still depends on phone ownership and control, which remain unequal.

Chronic disease and continuity

India is facing a steady rise in non-communicable diseases, including diabetes, hypertension and cardiovascular conditions. Managing these illnesses requires regular follow-up, medication adherence and lifestyle counselling — tasks that overburden physical facilities.

Telemedicine has increasingly been used to fill these gaps. Remote check-ins allow clinicians to adjust treatment plans, review reports and monitor symptoms without requiring repeated hospital visits. For patients, this reduces both cost and disruption.

However, clinicians caution that telemedicine works best when paired with periodic physical examinations and diagnostics. Remote care can maintain continuity, but it cannot replace the need for on-ground services.

Civil society’s role in bridging the last mile

Some of the most effective uses of telemedicine in India have emerged not from standalone apps, but from hybrid models that combine digital consultations with physical outreach.

Non-governmental organisations and community health programmes have integrated telemedicine into mobile clinics, school health initiatives, and rural outreach efforts. These models address two persistent barriers: trust and follow-through.

Smile Foundation’s Smile on Wheels programme is one such example. Operating mobile medical units across multiple states, the programme uses telemedicine to connect patients in underserved communities with doctors when specialists are not physically present. Basic diagnostics and physical assessments are conducted on-site, while teleconsultations provide clinical guidance and referrals.

The approach reflects a broader lesson from India’s telemedicine experience: technology alone is insufficient. What matters is how it is embedded within existing care relationships.

Smile Foundation has also used telemedicine for health education, adolescent counselling and follow-up care, particularly in regions where public services are thin. These interventions do not replace government systems, but operate alongside them, often reaching populations that remain outside routine care.

Policy momentum, unresolved questions

Government support has been central to telemedicine’s expansion. Platforms like eSanjeevani are now part of India’s broader digital public infrastructure, alongside initiatives such as the Ayushman Bharat Digital Mission, which aims to integrate health records and identifiers.

Yet challenges remain. Provider training for digital care is uneven. Data protection frameworks are still evolving. Quality assurance mechanisms are limited, particularly in the private sector.

There is also the question of sustainability. Telemedicine grew rapidly under emergency conditions. Whether it continues to receive investment and regulatory attention as a core component of primary care remains to be seen.

A quiet shift, still in progress

Telemedicine has not transformed India’s healthcare system. It has not eliminated shortages or erased inequities. What it has done is narrow the gap between concern and contact.

For millions of patients, the first interaction with a doctor now happens through a screen. Sometimes that interaction leads to reassurance. Sometimes to referral. And, sometimes to nothing more than advice to wait and watch. But it happens — and that, in a system long defined by delay, is not insignificant.

Whether telemedicine remains a stopgap or evolves into a durable layer of care will depend on how deliberately it is integrated into India’s health system. For now, it is filling a role that few others have managed to occupy: the first mile.

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Education Insights

Why Every Indian Child Needs Climate Literacy Before Class 10

Climate change in India is no longer a distant warning issued from international summits or scientific journals. It is visible in everyday disruptions to life and learning. Schools shut down during prolonged heatwaves in north India. Classrooms in flood-prone districts of Assam, Bihar and Kerala are converted into relief shelters. Children in drought-affected regions walk longer distances for water, missing school altogether. In coastal areas, repeated cyclones and salinisation of groundwater steadily erode livelihoods, pushing families into distress migration.

For millions of children, climate change is not an abstract concept. It is shaping attendance, nutrition, safety and learning outcomes. Yet, for most Indian students, climate education remains fragmented, late and often limited to textbook definitions rather than lived experience. This gap has serious implications, not only for environmental outcomes, but for equity, resilience and the future of education itself.

A country at high risk, children at the centre

India ranks among the countries most vulnerable to climate shocks. According to UNICEF’s Children’s Climate Risk Index, India is ranked 26th out of 163 countries in terms of children’s exposure and vulnerability to climate-related hazards. The reasons are structural: high population density, widespread poverty, dependence on climate-sensitive livelihoods, and uneven access to infrastructure.

In 2024 alone, an estimated 54.8 million children in India were affected by heatwaves, with temperatures crossing physiological safety thresholds in several states. Schools across Delhi, Rajasthan, Uttar Pradesh and Bihar were forced to close or shorten hours repeatedly. These disruptions are not evenly distributed. Schools in low-income neighbourhoods, rural areas and informal settlements are the least equipped to cope. Many lack adequate ventilation, drinking water, shaded spaces or cooling systems.

Across South Asia, UNICEF estimates that over 128 million students experience climate-related disruptions to schooling every year, with India accounting for a significant share. Floods, cyclones and droughts routinely interrupt academic calendars, damage infrastructure and displace families. For children already at risk of dropping out, climate shocks often become the final push out of the education system.

Girls are disproportionately affected. During climate-induced crises, they are more likely to be pulled out of school to manage household work, care for siblings or contribute to income generation. What begins as a temporary disruption often turns into permanent dropout.

Climate change is reshaping classrooms

The effects of climate change are no longer external to education. They are reshaping classrooms themselves. Heat stress reduces concentration and learning capacity. Poor air quality, worsened by climate-driven wildfires and dust storms, increases respiratory illness and absenteeism. Flood-damaged schools operate without proper sanitation or electricity for months.

Yet, climate change is rarely treated as a core educational issue. It is still framed as an environmental concern, not as a determinant of learning outcomes. This disconnect has consequences. When climate risks are not understood or anticipated, education systems remain reactive rather than prepared.

What climate literacy actually means

Climate literacy goes beyond knowing that global temperatures are rising. At its core, it enables students to understand how climate systems work, how human activity accelerates change, and how impacts differ across regions and communities.

A climate-literate student should be able to:

  • Understand basic climate science and local environmental processes
  • Interpret climate-related information and distinguish evidence from misinformation
  • Recognise climate risks specific to their geography, such as heat, floods or water stress
  • Understand adaptation strategies and everyday actions that reduce vulnerability
  • Connect climate change to livelihoods, health, migration and inequality

This kind of literacy is not about creating climate activists. It is about equipping young people with the knowledge to navigate a climate-altered world safely and responsibly.

Why climate literacy must begin before Class 10

Introducing climate literacy only in senior secondary classes is too late. By Class 10, learning pathways are already narrowing. Many students, especially from disadvantaged backgrounds, drop out before reaching higher grades. If climate education begins late, it misses precisely those children who are most exposed to climate risks.

Early adolescence is a formative period. Habits, values and worldviews begin to solidify. Introducing climate literacy before Class 10 allows environmental understanding to grow alongside foundational learning in science, geography and social studies.

Early exposure also shapes everyday behaviour. Practices such as water conservation, waste reduction, energy efficiency and food choices are far more likely to become lifelong habits when introduced early. Climate education at this stage is less about policy and more about lived action.

Equally important is safety. Climate change is making extreme weather more frequent and unpredictable. Students need practical knowledge on heat safety, flood response, water scarcity and disaster preparedness. In many parts of India, children are first responders within households during climate events. Without basic climate literacy, they remain unprepared and at risk.

A worrying gap in public understanding

Despite widespread exposure to climate impacts, understanding remains limited. A 2025 survey revealed that while large sections of the Indian population report being affected by climate change, only about 38 per cent clearly attribute it to human activity. This gap between experience and understanding is alarming.

Climate misinformation spreads easily, particularly in digitally connected but low-information environments. Without structured education, students are left to piece together knowledge from fragmented sources. This undermines informed decision-making and weakens public support for climate action.

India’s demographic profile makes this gap especially significant. The country is home to one of the world’s largest youth populations. Over the next two decades, this generation will shape energy use, urbanisation patterns, consumption and labour markets. Without climate literacy, India’s transition to renewable energy and sustainable development will face social and political resistance.

Policy intent versus classroom reality

The National Education Policy (NEP) 2020 recognises environmental education as a cross-cutting theme. It calls for integrating climate awareness across subjects and stages of schooling. However, implementation remains uneven.

In many schools, climate change appears as a single chapter in geography or environmental studies, disconnected from local realities. Teachers often lack training to translate abstract concepts into practical learning. Assessment systems prioritise rote memorisation over application or problem-solving.

There is also a sharp digital divide. While some urban schools experiment with STEM labs, climate simulations and project-based learning, many government schools struggle with basic infrastructure. Climate education risks becoming yet another axis of inequality unless it is designed with inclusion at its core.

Why climate literacy is a development issue

Climate literacy is not just about environmental protection. It is about development, equity and resilience. Children who understand climate risks are better equipped to protect their health, adapt livelihoods and participate in local decision-making.

In rural India, climate-literate students can support families in adopting water-saving practices, climate-resilient agriculture and disaster preparedness. In urban areas, they can influence energy use, waste management and mobility choices. Over time, this knowledge shapes community behaviour.

From an economic perspective, India’s future workforce will need to operate in sectors increasingly shaped by climate constraints, from agriculture and construction to energy and manufacturing. Climate literacy is therefore a workforce skill, not a niche subject.

The role of civil society: Smile Foundation’s approach

In this context, civil society organisations play a crucial role in bridging gaps between policy intent and ground reality. Smile Foundation’s work in education reflects an understanding that climate change is already shaping children’s lives and learning trajectories.

Through its flagship Mission Education programme, Smile Foundation integrates climate awareness and sustainability into everyday learning. Across hundreds of schools in multiple states, students engage with climate concepts through age-appropriate, context-specific modules. Topics such as renewable energy, water conservation, biodiversity loss and waste management are linked to local experiences rather than taught in abstraction.

Smart classrooms and STEM labs enable hands-on learning, allowing students to explore climate-resilient technologies and environmental science through experimentation. This approach helps demystify climate change and makes it tangible.

Importantly, Smile Foundation extends learning beyond classrooms. Community-based climate awareness campaigns encourage households to adopt energy-efficient practices and sustainable behaviours. Eco-clubs, exhibitions and student-led projects give children agency, allowing them to design solutions such as rainwater harvesting models or waste segregation systems.

In regions affected by climate-related disruptions, Smile Foundation’s mobile education units and technology-enabled learning models help ensure continuity. These interventions recognise that climate resilience in education is not only about content, but also about access and adaptability.

Educating for a climate-altered future

As climate impacts intensify, early climate literacy is no longer optional. It is a developmental necessity. Introducing climate education before Class 10 ensures that all students, including those who may not progress to higher education, are equipped with essential knowledge and skills.

India’s response to climate change will ultimately depend not only on policy and technology, but on public understanding and collective behaviour. Schools are one of the few institutions that reach nearly every child. Failing to use this space to build climate literacy would be a missed opportunity with long-term consequences.

By embedding climate education early, India can raise a generation that is not only aware of environmental risks but capable of adapting, innovating and leading. Programmes like those implemented by Smile Foundation demonstrate that climate literacy can be inclusive, practical and empowering.

In a country where climate change is already reshaping childhood itself, preparing children to understand and respond to this reality is not just an educational priority. It is a responsibility.

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Education

How Vital Are Higher Education Enrolments to India’s NEP Goals?

India stands at a pivotal moment in its economic and social journey. It is often described as a country on the brink of a demographic dividend, with one of the world’s youngest populations and a growing appetite for education and skills. But this promise comes with a deadline. Demographic advantage is not permanent, and whether India can convert this youthful population into a productive, skilled workforce depends largely on what happens in its higher education system over the next decade.

At the heart of this challenge lies a simple but consequential question: can India expand access to higher education while simultaneously improving its quality, relevance and outcomes?

Universities today are grappling with multiple pressures. Enrolment numbers in several central and state universities have stagnated or declined. Curricula in many disciplines remain outdated, infrastructure struggles to keep pace with modern learning needs and faculty shortages persist. At the same time, students entering higher education bring new expectations. They seek flexibility, employability, global exposure and relevance to a rapidly changing world of work. Navigating these competing demands will determine whether India’s higher education reforms succeed or falter.

The NEP’s Ambition and Why Higher Education Enrolments Matter

The National Education Policy (NEP) 2020 sets an ambitious target: achieving a Gross Enrolment Ratio (GER) of 50 per cent in higher education by 2035. This represents a significant leap from current levels and signals a shift in how education is positioned within India’s development strategy.

Higher enrolment is not an end in itself. It is a means to ensure that a larger share of India’s youth acquires the knowledge, adaptability and skills required for a knowledge-driven economy. As automation, artificial intelligence and technological disruption reshape industries, economies increasingly rely on workers who can learn continuously, think critically and operate in complex environments.

Without expanding higher education access, India risks leaving a large segment of its young population underprepared for emerging opportunities. This would weaken productivity, limit innovation and deepen existing inequalities.

Understanding the Higher Education Commission of India (HECI) Bill

The proposed Higher Education Commission of India (HECI) Bill, expected to become law in 2025, is a key structural reform aimed at enabling the NEP’s vision. When the NEP was announced, it called for a fundamental rethinking of governance in higher education. The HECI Bill seeks to operationalise that shift.

At its core, the Bill aims to replace fragmented regulation with a unified framework. It proposes reducing bureaucratic complexity, granting institutions greater autonomy and ensuring accountability through mandatory accreditation. By standardising quality benchmarks and tracking institutional performance, the system is designed to direct funding and support toward institutions that need it most, particularly those serving disadvantaged regions and populations.

Beyond governance, the Bill emphasises people and systems. Faculty development, digital infrastructure and outcome-based learning are positioned as central priorities. The focus is not only on expanding enrolments but on strengthening the ecosystem that supports teaching, research and student success.

Another significant aspect is the push toward multidisciplinary education and industry relevance. The Bill encourages institutions to move away from rigid degree silos, enabling students to combine disciplines and acquire practical skills alongside academic knowledge. It also opens pathways for greater international collaboration, aligning Indian higher education with global academic and labour markets.

Why the Push for Higher Education Enrolments Is Urgent

The urgency to expand higher education enrolments stems from structural realities that extend far beyond universities.

First, secondary school completion rates remain uneven across regions and social groups. Many students drop out before becoming eligible for higher education, narrowing the pipeline of potential learners.

Second, limited growth in labour-intensive manufacturing has reduced employment options for school graduates. For many young people, higher education becomes the primary pathway to economic mobility.

Third, female labour force participation remains low, even in states with relatively high education levels. While more women are enrolling in higher education, many do not transition into the workforce. For families, education is still often viewed as a marker of social status or marital prospects rather than a route to sustained employment. Addressing enrolments without tackling these gendered barriers risks limiting the impact of educational expansion.

Fourth, the quality of school education directly shapes higher education outcomes. Underqualified teachers, learning gaps and exam-oriented teaching leave many students ill-prepared for university-level work. This contributes to high dropout rates and weak learning outcomes in higher education.

Despite these challenges, expanding enrolments carries transformative potential. Higher education has historically played a critical role in enabling social mobility for communities that were excluded from opportunity. For many first-generation learners, university access represents not just economic advancement but dignity, aspiration and a sense of belonging in a rapidly modernising society.

Evolving Expectations from Higher Education

Today’s students are not simply seeking degrees. They expect education to equip them for uncertain futures. This shift is visible globally and increasingly evident in India.

Artificial intelligence and automation are altering the nature of work. Lifelong employment within a single profession is becoming rare. As a result, learners value flexibility, modularity and continuous upskilling. Shorter courses, stackable credentials and opportunities to re-enter education after periods of work are becoming more attractive than traditional, linear degree pathways.

Universities worldwide are responding by offering blended and hybrid models that combine online and in-person learning. India must participate actively in this transition. A higher education system that allows students to pause, pivot and re-engage will be better suited to contemporary realities.

Digital Pathways and the Expansion of Access

Digital infrastructure offers one of the most promising avenues for expanding higher education access. For example, digital universities and online programmes can reach learners in regions where physical campuses are scarce. They also reduce costs and allow institutions to scale without proportionate increases in infrastructure.

India has begun to explore this potential. Online degrees, hybrid courses and industry-aligned programmes are gaining ground. When designed well, these models can ease pressure on traditional universities while offering learners skills aligned with evolving job markets.

However, digital expansion must be accompanied by quality assurance, robust assessments and learner support. Without these, digital education risks becoming a second-tier alternative rather than a genuine pathway to opportunity.

What Stakeholders Expect and What Must Improve

For reforms to succeed, the expectations of key stakeholders must be addressed.

State governments seek clarity on their roles within a unified regulatory framework. Higher education is a shared responsibility, and coordination between central and state authorities will be essential.

Educational institutions want reduced administrative burdens, faster decision-making and autonomy that is linked to performance rather than compliance. Many institutions struggle under layers of approval processes that slow innovation and responsiveness.

Industry partners are looking for deeper collaboration in designing curricula, assessments and training pathways. Employers increasingly value skills and adaptability over credentials alone.

At the same time, systemic challenges persist. Accreditation coverage remains uneven. Data systems across institutions lack consistency. Financial support mechanisms are not uniformly aligned with performance or need. If reforms do not address these gaps, institutions risk falling behind as demand for higher education continues to grow.

Higher Education Enrolments as a Measure of Equity and Opportunity

The narrative of India’s growth is inseparable from the question of who gains access to higher education. Enrolment figures are not just indicators of capacity. They reflect the inclusiveness of the system.

When higher education expands equitably, it enables participation from communities historically excluded by geography, caste, gender or income. It strengthens social mobility and builds a workforce capable of sustaining long-term growth.

However, expansion without attention to quality, relevance and outcomes risks creating credentials without capability. The challenge lies in balancing access with excellence.

Smile Foundation’s Work

Smile Foundation’s education interventions focus on strengthening the pipeline that feeds into higher education. Through its Mission Education programme, we work with children from underserved urban and rural communities to reduce learning gaps, improve retention and prevent early dropouts. By supporting students through foundational learning, remedial education and secondary schooling, the programme helps ensure that more young people reach the stage where higher education becomes a real possibility rather than a distant idea.

For many first-generation learners, financial barriers remain one of the strongest deterrents to pursuing higher studies. Smile Foundation’s Swabhiman scholarship initiatives address this constraint directly by providing merit-cum-need based support to students, particularly girls and young women, enabling them to complete schooling and transition into higher and technical education. By easing financial pressure on families, these scholarships help shift perceptions of higher education from a risky expense to a viable investment.

The Foundation also recognises that enrolment alone does not guarantee meaningful outcomes. Its focus on life skills, digital literacy and career-oriented exposure helps students develop the adaptability and confidence increasingly demanded by higher education institutions and the labour market. In doing so, Smile Foundation complements the NEP’s emphasis on holistic, multidisciplinary learning and employability.

As India works towards its goal of a 50 per cent Gross Enrolment Ratio by 2035, partnerships between government systems, educational institutions and civil society will be crucial. Organisations like Smile Foundation help bridge the gap between policy intent and lived reality, ensuring that higher education reforms translate into genuine access, sustained participation and upward mobility for students who have historically been left at the margins.

Looking Ahead

The NEP’s higher education enrolment targets and the HECI Bill together signal a recognition that incremental reform is no longer sufficient. India’s higher education system must evolve rapidly to meet the aspirations of its youth and the demands of a changing economy.

The coming decade will test whether governance reforms, digital expansion and curriculum innovation can translate into meaningful outcomes for students. Success will depend on sustained political commitment, institutional capacity and collaboration across sectors.

Higher education enrolments are a reflection of India’s ability to invest in its people, reduce inequality and harness its demographic potential. How the country responds now will shape not only its economic trajectory, but the futures of millions of young Indians seeking opportunity, dignity and purpose through education.

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Insights

The Early Onset of Mental Illness in Children

In July this year, a 15-year-old girl, a Class 10 student, allegedly died by suicide at her home. Police later revealed that she had been undergoing treatment for anxiety. The details were sparse, as they often are, and the news cycle moved on quickly. Yet incidents like this have become painfully familiar, in India and across the world. They point to a deeper, quieter crisis unfolding in childhood, one that is neither sudden nor isolated.

Across hospital outpatient departments, school counselling rooms and paediatric clinics, mental health professionals are reporting a troubling trend: children barely into their pre-teens are presenting with anxiety disorders, depression, behavioural challenges, attention deficit hyperactivity disorder (ADHD), learning disabilities and emotional dysregulation. What once appeared primarily in adolescence or adulthood is now surfacing much earlier, often before children have the language to articulate what they are experiencing.

This shift reflects broader changes in how children grow up today, shaped by social transformation, academic pressure, shrinking community spaces and an unprecedented level of digital immersion.

What the Numbers Tell Us

Multiple studies over the past decade have highlighted the scale of the issue. A 2014 community-based study suggested that between 7 and 10 per cent of Indian children may be living with some form of psychiatric disorder, while school-based samples often report significantly higher prevalence. According to estimates cited by mental health researchers, India may have close to 50 million children and adolescents experiencing mental health concerns.

The National Mental Health Survey (2015–16) found that approximately 7.3 per cent of adolescents aged 13 to 17 had a diagnosable mental disorder. More recent student surveys indicate a rise in emotional distress, with 11 per cent reporting symptoms of anxiety and 14 per cent experiencing severe mood fluctuations.

But statistics only offer a partial picture. Behind every percentage is a child struggling to concentrate in class, withdrawing from friendships or feeling overwhelmed by expectations they cannot meet. It is in these everyday struggles that mental illness takes root.

A Childhood Under Pressure

Indian childhood today looks markedly different from that of previous generations. Urbanisation has fractured extended family systems that once provided emotional buffering and supervision. Neighbourhood play has been replaced by structured schedules, tuition classes and screen-based entertainment. The space to be idle, curious or simply present has shrunk.

Academic competition has intensified sharply. Schools, particularly in urban and semi-urban areas, increasingly function as sites of performance and comparison rather than safe spaces for learning and growth. High-stakes examinations, constant assessments and parental expectations combine to create an environment where failure feels catastrophic, even at a young age.

Bullying adds another layer of vulnerability. It is no longer confined to classrooms or playgrounds. Online spaces extend humiliation, comparison and exclusion well beyond school hours. Social media platforms amplify unrealistic standards of success, appearance and popularity, often leaving children feeling inadequate or isolated.

Technology, while offering undeniable educational opportunities, plays a paradoxical role. Excessive screen time has been linked to disrupted sleep cycles, reduced physical activity and heightened anxiety. Algorithm-driven content can trap children in cycles of comparison and negative self-evaluation.

Doctors report that the COVID-19 pandemic further accelerated these trends. Prolonged isolation, loss of routine, family stress and exposure to illness and grief left many children emotionally dysregulated. For some, these difficulties never fully resolved once schools reopened.

The Weight of Silence and Stigma

Despite rising awareness, pathways to care remain deeply constrained. Stigma continues to shape how mental health is understood within families. Emotional distress is often dismissed as misbehaviour, indiscipline or a passing phase. Parents may fear judgement, social labelling or being blamed for their child’s struggles.

As a result, symptoms are frequently minimised until they escalate into crises. Children exhibiting anxiety-driven behaviours may be punished rather than supported. Neurodiversity is misunderstood. Emotional withdrawal is overlooked.

Compounding this is India’s severe shortage of child and adolescent mental health professionals. According to estimates, India has fewer than 0.3 psychiatrists per 100,000 people, and even fewer specialists trained to work with children. Large parts of the country lack access to child psychiatrists altogether, forcing families to rely on adult mental health services that are ill-equipped for paediatric needs.

This gap means that early warning signs are often missed, even though early intervention is one of the strongest predictors of recovery.

Why Early Onset Is Especially Concerning

Mental illness during formative years affects far more than emotional well-being. It disrupts learning, peer relationships, self-esteem and identity formation. Children struggling with untreated mental health conditions are more likely to experience academic difficulties, school dropout and social isolation.

Without support, these challenges compound over time, increasing the risk of chronic mental illness, substance use, self-harm and reduced economic participation in adulthood. Conversely, evidence consistently shows that early identification and timely intervention can dramatically improve outcomes.

This makes the current gaps in detection, referral and care especially troubling. The cost of inaction is borne not only by individuals, but by society at large.

Listening Earlier, Acting Sooner

Mental health professionals increasingly emphasise the importance of paying attention to subtle behavioural shifts. In an article for The Times of India, Dr Rajesh Sagar, Professor of Psychiatry at AIIMS, urged parents and teachers to watch for warning signs such as sudden withdrawal, irritability, mood swings, unexplained physical complaints and declining academic performance. Any expression of self-harm, he stressed, must be treated with urgency.

He also highlighted the role of everyday practices in supporting emotional stability. Regular physical activity, sports, hobbies, adequate sleep and balanced nutrition play a crucial role in mental well-being. Over-reliance on junk food and sugary drinks, particularly during exam periods, has been linked to increased irritability and behavioural problems.

The message is clear: mental health support does not begin in clinics alone. It begins in homes, classrooms and communities.

Policy Promises and Ground Realities

India has made policy commitments to child and adolescent mental health. The School Health and Wellness Programme under Ayushman Bharat includes mental health components. The National Education Policy acknowledges socio-emotional learning as integral to education.

However, implementation remains uneven. Many schools lack trained counsellors. Teachers often receive limited training in identifying mental health concerns. Screening tools are inconsistently applied, and referral pathways are unclear.

But there are signs of change. Cities such as Pune, Bengaluru and Kolkata have seen schools introduce regular mental health screenings and counsellor networks. Some states are integrating mental health modules into school health programmes. Paediatricians are beginning to include mental health questions during routine check-ups.

Parent-led conversations around neurodiversity, anxiety and therapy are also becoming more visible, particularly on social media. Topics that were once taboo are slowly entering mainstream discourse.

Reframing the Conversation around Mental Illness

These gradual shifts suggest a broader cultural re-learning. There is growing recognition that children’s minds are shaped continuously by their environments, relationships and daily experiences. Mental health is not a personal failing or a disciplinary issue. It is a reflection of how children navigate a rapidly changing world.

The early onset of mental illness among Indian children is therefore not merely a medical concern. It is a social mirror, reflecting inequality, pressure, isolation and gaps in support systems. Addressing it requires empathy as much as evidence, and coordination across families, schools, health systems and policy frameworks.

Where Civil Society Steps In: Smile Foundation’s Role

In a context where formal mental health systems remain overstretched, civil society organisations play a critical role in identifying risks early and building protective environments around children. Smile Foundation’s work recognises that mental health cannot be addressed in isolation. It is closely linked to education, nutrition, safety, family stability and a child’s sense of belonging.

Through its Mission Education programme, Smile Foundation works with children from vulnerable communities where stressors such as poverty, migration, food insecurity and disrupted schooling are common. By creating child-friendly learning spaces, the programme focuses not only on academic support but also on emotional well-being. Teachers and facilitators are trained to observe behavioural changes, encourage expression and create classrooms where children feel safe to speak and participate.

Smile Foundation also integrates health and nutrition support into its education programmes, acknowledging the strong link between physical well-being and mental health. Regular health check-ups, nutrition awareness and counselling help address some of the underlying factors that often exacerbate emotional distress in children.

Equally important is our engagement with families and communities. By working closely with parents and caregivers, Smile Foundation helps reduce stigma around mental health and encourages early help-seeking behaviour. Conversations around stress, anxiety and emotional development are gradually normalised, especially in communities where such discussions were previously absent.

In doing so, Smile Foundation contributes to a larger ecosystem of care, one that does not wait for crises to emerge but works quietly to prevent them. While these interventions cannot replace specialised mental health services, they play a vital role in early identification, emotional support and referral, particularly for children who would otherwise remain invisible within the system.

As India grapples with the early onset of mental illness among children, such community-rooted, integrated approaches will be essential. Addressing this challenge requires not only policy intent and clinical expertise, but also sustained, compassionate work on the ground, where children live, learn and grow.

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Education

How NGOs Are Filling the Education Gap

When you meet a young girl like Debasmita, it becomes clear how fragile the path to education can be for millions of Indian children. She grew up in a family where every rupee mattered. Her father, a tailor, lost his job during the pandemic. Her mother began working longer hours as a domestic worker. In the middle of economic upheaval and personal uncertainty, school suddenly seemed like a privilege her family could no longer afford.

For children like her, dropping out is not a dramatic decision. It is a gradual dimming of possibilities. A missed week turns into a missed month. Household responsibilities grow. Textbooks gather dust. Before long, the idea of returning to school becomes a distant memory.

But Debasmita’s story diverged from this familiar arc. A merit-based scholarship from Smile Foundation allowed her to continue her education, reclaiming a dream she had almost lost. Today she speaks of studying science, pursuing biotechnology and ensuring that girls in her community do not disappear from the classroom the way she nearly did.

Her determination is inspiring, but her vulnerability is not unique. It reflects a deeper truth about India’s development story: that marginalised children continue to face multiple, overlapping disadvantages that push them out of the system. And that NGOs, often operating quietly in the background, serve as the connective tissue in an education ecosystem where government systems are stretched and resource-starved.

Where We Are Falling Short

India has made undeniable progress. Primary enrollment levels are high, awareness about schooling is widespread and the Right to Education Act has set clear obligations for state accountability. Yet the lived reality of children reveals persistent structural cracks.

Many children enter school without the foundational skills required for learning. Millions struggle with basic reading and arithmetic well into their primary years. The ASER report has long shown this trend: enrollment is not the same as learning. The early years are especially critical, yet early childhood education remains fragmented, uneven and often inaccessible to low-income families.

Classrooms that should be nurturing become transactional. Administrative compliance takes precedence over joyful learning. Teachers are burdened with documentation, school inspections and electoral duties, leaving little time for actual pedagogy. The system often rewards attendance and infrastructure, not comprehension and critical thinking.

Girls face challenges embedded in social norms and household hierarchies. Domestic chores, sibling care, early marriage, inadequate sanitation, safety concerns and various restrictions on mobility routinely derail their schooling. Boys face a different set of pressures. Many are pushed into work early to supplement family income.

Malnutrition remains one of the biggest and most understated barriers to learning. A child who is hungry or anaemic cannot concentrate, retain information or engage emotionally in a classroom. Even when meals are available, erratic attendance caused by migration, seasonal labour and health issues breaks continuity.

These challenges do not exist in silos. They feed into one another, compounding disadvantage over time.

Where NGOs Step In: Closing Education Gaps the System Cannot Address Alone

It is within this complex terrain that NGOs have become essential actors in India’s education landscape. Their advantage lies in three things: proximity to communities, agility in responding to evolving needs and deep contextual understanding of children’s lives.

Across the country, NGOs are not just teaching children. They are building systems, scaffolding families and nudging communities toward long-term change. They operate in areas where government systems are thin and private actors see no market.

Here are some of the key players in this space, each addressing different but interconnected aspects of the education gaps.

Strengthening Foundational Learning

Pratham’s Teaching at the Right Level model has transformed remedial education in India. By grouping children by ability instead of age, they enable faster progress in literacy and numeracy. This model has been adopted by multiple state governments and studied by international researchers for its low-cost, high-impact structure.

Central Square Foundation’s #FoundationHaiSahi campaign has raised national attention around the crucial role foundational literacy and numeracy play in shaping future learning. Their policy advocacy has helped shift conversations from enrolment figures to learning outcomes.

Empowering Girls

The challenges girls face exist both inside and outside classrooms. Organisations like CRY intervene through community mobilisation, sustained engagement with parents and direct work with girls. They address key social barriers, whether it is early marriage, gendered labour expectations or safety concerns.

Nanhi Kali and Smile Foundation expand the support ecosystem for girls by providing academic assistance, mentorship, digital learning opportunities and school supplies. Smile Foundation’s programmes also focus on changing family attitudes, ensuring that girls are not forced to choose between household work and education.

Improving Teaching Quality

Teach For India addresses the core challenge of teaching quality by placing trained fellows in under-resourced schools. Their fellows bring new pedagogical practices, energy and aspirational environments into classrooms. Equally important is their alumni network, which influences policy, leads innovations and often works directly with government systems to shift how learning is delivered.

Creating Holistic Support Systems for Vulnerable Children

Smile Foundation’s approach stands out for its holistic lens. Education is only one piece of a larger puzzle that includes nutrition, health care, emotional well-being, digital literacy and livelihood skills. Their Mission Education centres are designed not just as classrooms but as safe, supportive environments where children receive academic support, nutrition, counselling, life skills and confidence-building.

They also involve local communities, ensuring that progress is not temporary but reinforced by families and neighbourhoods that see the value of keeping children in school. This long-term investment creates a chain of protection around each child, making dropout less likely and aspiration more sustainable.

Improving School Environments

Goonj has expanded the idea of what a school needs to be. Their work emphasises functional infrastructure, dignity and safe spaces. By fixing classrooms, creating learning aids and improving sanitation, they strengthen conditions that enable learning for children who are often ignored in policy debates.

Addressing Nutrition and Health

For many children, health is a silent barrier to education. Smile Foundation’s nutrition and health programmes provide health check-ups, deworming, nutrition counselling for caregivers and support for children with recurrent illnesses. By improving physical well-being, they improve learning readiness.

Akshaya Patra has transformed school nutrition through its large-scale mid-day meal programme. For many children, this is the most reliable nutritious meal of their day. Their work has increased attendance and contributed to better learning outcomes.

Why NGOs Matter: The Deeper Argument

NGOs have become essential because they can weave together the many threads affecting children’s educational journeys. Government systems, even when well-intentioned, operate on scale and speed that cannot always adapt to local complexities. Many families who live on the margins face problems that require personalised support, persistent follow-up and cultural familiarity. This is where NGOs excel.

Their value lies not only in service delivery but in their ability to understand the messiness of children’s lived realities. They are present in rural hamlets, urban settlements, tribal belts, border regions and migrant households. They listen, respond and adapt. They bridge the last-mile gap through relationships built over years.

And perhaps most importantly, they bring dignity into the conversation. They view each child not as a number on a school register but as someone with potential, aspirations and the right to opportunities that many of us take for granted.

Their work does not replace the role of the state. Instead, it complements it, strengthens it and, at times, gently pushes it toward greater inclusion.

Building a Future Where No Child Is Left Behind

For India to move forward, education must be understood not only as a policy priority but as a moral one. We often talk about the demographic dividend, but that dividend is not automatic. It must be built, nurtured and supported at every stage of childhood.

NGOs like Smile Foundation, Pratham, CRY, Nanhi Kali, Teach For India, Goonj and Akshaya Patra show us what is possible when compassion meets strategy and when communities become partners in the process. Their work demonstrates that education is not limited to classrooms. It is strengthened by nutrition, mental health, parental support, safe spaces and exposure to ideas that ignite imagination.

Debasmita’s story is not only a testament to her resilience but a reminder of the invisible architecture that supports children like her. NGOs form a part of this architecture, filling the voids between policy intent and lived reality. They remind us that progress is not measured by enrolment graphs alone, but by how many children stay, learn, thrive and dream.

If we want to build an India where every child has an equal chance to succeed, then strengthening these partnerships between government, communities, NGOs and the private sector is not optional. It is essential.

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Education

Why India Must Restore Play to the Centre of Education

Across India, our public conversations on school education tend to orbit around infrastructure, examinations and learning outcomes. These concerns are understandable, but they often narrow our imagination about what education ought to be. A meaningful education must enable children to inquire, collaborate and participate fully in civic and social life. Play, long dismissed as peripheral to learning, is in fact central to achieving these objectives.

There is now compelling global evidence that play is a foundational element of learning. Neuroscience, developmental psychology and comparative education research converge on one conclusion. Children learn best when they engage actively with their environment, when they test ideas freely and when they feel secure in spaces that welcome their curiosity. Play is the medium that allows these processes to unfold.

But access to play continues to be uneven and, in many cases, restricted precisely for the children who need it most. This raises a larger question about the purpose of schooling in a constitutional democracy. If education must nurture capabilities equitably, then play cannot be reserved for the privileged. It must belong to every child.

What Science Tells Us About Play

Research at the Center on the Developing Child, Harvard University shows how play develops executive function skills such as memory, self-regulation and cognitive flexibility. These skills form the mental architecture required to navigate both academic learning and future employment.

Play also strengthens social and emotional development. When children negotiate rules of a game or engage in pretend play, they practice empathy, cooperation and compromise. UNESCO’s review of play-based learning emphasises that play improves motivation, attention and emotional well-being.

Crucially, play enhances academic performance. A 2022 paper in Frontiers in Education shows that play-based classrooms improve conceptual understanding and retention in primary school. This directly challenges the misconception that play distracts from academic goals.

Physical play contributes to cognitive growth as well. A 2025 Times of India report noted how physical education strengthens focus and executive functioning, making games periods one of the most effective learning hours in school.

The science is clear. A child who plays learns better, participates better and adapts better.

Why Play Is a Question of Equity

A significant challenge in India is that the benefits of play-rich learning environments accrue disproportionately to children in well-resourced schools. High-fee private institutions often showcase spacious playgrounds, flexible timetables and activity-based curricula. In contrast, schools that serve working class families or marginalised communities tend to adopt more restrictive pedagogies that rely heavily on repetition and discipline. These approaches are often justified as a fast track to academic improvement, but they typically achieve the opposite.

The absence of play has severe implications for children who begin school with fewer social and linguistic advantages. First-generation learners benefit immensely from exploratory learning, tactile materials and peer collaboration, yet they are most frequently denied these experiences.

Similarly, children with disabilities face exclusion due to inaccessible play spaces and a lack of inclusive training for teachers. Girls are restricted by social norms that limit mobility and exposure to outdoor spaces. Tribal and rural children often study in environments where there are neither resources nor trained educators who can facilitate playful learning.

This unequal distribution of play contradicts the constitutional promise of equal educational opportunity. Play is not ornamental. It is a mechanism through which children build the capabilities to learn, communicate and participate fully in society. By restricting play, we inadvertently impose a hierarchy of educational experience, reinforcing existing social inequalities.

Play in Older Grades

A common assumption is that play belongs solely in pre-primary classrooms. In reality, the cognitive and social benefits of play extend well beyond early childhood. The Lego Foundation highlights that playful pedagogies improve problem solving, creativity and collaboration even for adolescents.

Finland, New Zealand and Scotland provide strong examples of primary schools that integrate play into learning across subjects. Students engage in projects, outdoor exploration and hands-on tasks that connect academic content to lived experience. These systems demonstrate that play can coexist with rigor and often strengthens it.

India has taken small steps in this direction. The National Education Policy (NEP 2020) calls for experiential learning and recommends periodic “bagless” days. States such as Uttar Pradesh have introduced ten activity-based days annually.

These policies are promising but insufficient unless accompanied by teacher training, decentralised curriculum design and clear accountability frameworks.

Teacher Capacity and Systemic Barriers

Teachers are central to whether play becomes meaningful in the classroom. However, teacher education programmes in India devote limited time to child development sciences or hands-on pedagogy. Many teachers believe that play creates disorder or undermines discipline. Without adequate support, they feel constrained by syllabus pressures and parental expectations.

Successful integration of play requires systemic attention to teacher training. Countries that embraced play-based education invested in continuous professional development, classroom observation and peer mentoring. India must follow a similar path.

Infrastructure gaps also hinder playful learning. Many government schools lack safe outdoor areas, accessible classrooms or basic materials. Budget allocations for ECCE and primary education remain inadequate and often do not prioritise play materials or teacher training.

A Global Perspective on Play

Experiences from across the world demonstrate that play is compatible with scale and resource constraints.

Zambia’s IT’S PLAY programme, implemented by the government with UNESCO’s support, trained educators in playful methods and reached more than 18,000 children. This approach is low-cost and community grounded.

Meanwhile, the United Kingdom continues to reckon with shrinking playtime due to academic pressures. A 2025 Guardian report found that a third of children no longer play outdoors after school.

These global debates reflect a common concern. Modern education systems risk becoming overly instrumental, focusing almost exclusively on measurable outcomes while ignoring childhood itself. Play becomes a corrective to this narrow vision.

Why Play Matters for India’s Learning Crisis

ASER reports repeatedly show that a large share of children in Class 5 cannot read Class 2 text or solve basic arithmetic. Traditional pedagogies that prioritise textbook recitation seldom close these gaps. Play, by contrast, elevates engagement and enables conceptual mastery. Manipulatives, stories, experiments and games help children internalise ideas rather than memorise them.

Play also supports mental health. For children living with economic stress, unsafe environments or interrupted schooling, play creates emotional safety and restores confidence. This is vital in classrooms where children carry the burdens of poverty and uncertainty.

Smile Foundation’s Work: Restoring Joy to Learning

Smile Foundation has consistently recognised that quality education cannot be reduced to textbooks and examinations. Through Mission Education, the organisation integrates activity-based and play-led methods into classrooms that serve children from disadvantaged backgrounds. Interactive learning materials, group activities, storytelling and sports become tools for foundational learning.

For many first-generation learners, these classroom experiences are transformative. They build confidence, communication skills and a genuine interest in learning. Smile Foundation’s work shows that play can be implemented in low-resource settings through thoughtful teacher support, community involvement and simple, child-friendly materials.

Our approach affirms a broader truth. Play is not an educational luxury. It is an essential part of a child’s right to learn with dignity, agency and joy.

India’s education system stands at a crossroads. We have the research, the policy frameworks and the evidence from both domestic and international contexts. What remains is a commitment to reorient how we understand learning. Play is not peripheral to academic achievement. It is fundamental to the development of capable, confident and compassionate citizens.

A school system that denies play denies equality. A school system that embraces it moves closer to fulfilling the constitutional promise of a just and inclusive future for all children.

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Health

Elderly Healthcare: A Journey of Dignity, Well-being and Purpose

Ageing is a natural, universal and human experience, and every individual is bound to undergo it gradually. However, the way we age is shaped by various external factors, such as the support systems available, the quality of life led and also the social structure that is present around people. All these factors contribute to whether individuals undergo a healthy ageing process or not. At Smile Foundation, we strongly believe that healthy ageing is not merely the extension of human life, but also the enhancement of its quality. In a country like ours, where the older population is constantly increasing, living your last years healthily is of paramount importance. Therefore, elderly healthcare is not just important, but also a social and moral responsibility and necessity. 

What Healthy Ageing Truly Means

Healthy ageing, as defined by the World Health Organisation (WHO), is “the process of developing and maintaining functional abilities that enable well-being in older age.” It is, therefore, not merely the absence of any major disease or illness, but rather a holistic quality of life and the maintenance of all basic mobility functions while ageing. 

Healthy ageing therefore, includes:

  • Maintaining mobility and physical well-being
  • Staying mentally and emotionally resilient
  • Participating actively in community and family life
  • Retaining independence in daily activities
  • Living in environments that are supportive, safe, and age-friendly

Therefore, in essence, healthy ageing is where older adults are able to live a fuller life, with increased mobility, and maintain and carry out basic functions and abilities, rather than merely increasing their lifespan. 

The Challenges of Ageing in India

For adults in India, their lives towards the end are governed by various ancillary factors, such as their quality of life, finances, the support system around them and the strength of community bonds. Certain common diseases, such as chronic diabetes, heart diseases, arthritis, etc., have become extremely commonplace, especially due to the lifestyle which we lead. Mental health issues are also constantly rising, with about 20% of older citizens dealing with mental or neurological health issues. Financial insecurity, especially in rural areas, where savings are low, also poses a significant challenge for older people, along with limited access to healthcare facilities, especially for those elders with mobility issues. Experts argue that loneliness and shrinking family and support structures all add up to the layers of difficulty for ageing individuals. All such issues highlight a pressing need for a compassionate and humane approach to healthy ageing.

India’s Changing Demographics: A New Reality

India is undergoing a profound demographic shift, with an estimated 10.5% of the population aged 60 and above in 2022. This number is expected to increase exponentially to approximately 20.8% by 2050. That would make India one of the countries with the highest population of older citizens, with approximately 319 million people over the age of 60 by 2050. That number is also expected to rise over the years, as life expectancy continues to increase gradually, with women living slightly longer lives than men. These figures clearly show that managing India’s ageing population will be a challenge for policymakers and that it requires a far greater urgency, which needs to be addressed immediately. 

A Global Movement: The Decade of Healthy Ageing

The issue of healthy ageing has also been brought to the global forefront, with the United Nations (UN) declaring the present decade, from 2021 to 2030, as the Decade of Healthy Ageing. It has brought the focus back on the older population and senior well-being, and calls for various measures such as:

  • Ending age-based discrimination
  • Creating inclusive, age-friendly cities and communities
  • Transforming elder healthcare with integrated services
  • Ensuring access to long-term care

Smile Foundation’s Commitment to Healthy Ageing

Smile Foundation’s older care initiatives are specifically built on compassion, accessibility and community-centric support. We ensure that ageing adults and individuals are not left behind, especially those in remote or underserved regions, such as rural and non-urban areas. We have special mobile healthcare units which bring essential medical facilities directly to older people who struggle to travel to medical clinics. These units primarily provide:

  • Primary care consultations
  • Point-of-care diagnostics
  • Free medicines
  • Regular follow-ups for chronic conditions

For many ageing individuals, these facilities are not merely medical facilities but are life-saving reassurances of human connection and care. 

Telemedicine: Bridging the Distance

Smile Foundation has also actively worked to make telemedicine accessible, even in remote areas. Through new-age digital platforms, we are ensuring that even older individuals in rural areas of the country can receive expert guidance without having to travel longer distances. We conduct several health camps and static clinics which offer:

  • Screenings for diabetes, blood pressure, cataracts and arthritis
  • Nutritional counselling
  • Physiotherapy support
  • Counselling for mental and emotional well-being

Health Camps and Rural Clinics

Our community health camps and static clinics, especially in the rural areas and non-urban sectors, also offer:

  • Screenings for diabetes, blood pressure, cataracts and arthritis
  • Nutritional counselling
  • Physiotherapy support
  • Counselling for mental and emotional well-being

These services form a holistic support system that ensures early diagnosis, ongoing care and improved quality of life.

A Research-Backed Approach to Healthy Ageing

Evidence consistently shows that healthy ageing is best supported when medical care is combined with lifestyle, social and environmental factors. Some of the most effective practices include:

  • Regular preventive health check-ups
  • Moderate physical activity, such as walking, yoga or strength exercises
  • Balanced nutrition, particularly adequate protein and micronutrients
  • Mental health care, including counselling and social engagement
  • Cognitive stimulation, like memory exercises or group activities
  • Age-friendly infrastructure that supports mobility and safety

These pillars of healthy ageing align closely with the interventions and goals of the SMILE Foundation.

The Bright Side: Ageing as an Opportunity

Although there can rarely be any brighter sides to growing old, as it presents numerous challenges, it does bring about certain changes and transformations, and the opportunities that come with it can be extremely meaningful. The older generation brings with them a wealth of memories and a reservoir of wisdom, experience and cultural continuity. The concept of the “silver economy” is also gaining momentum, with an increasing number of products, services and innovations being designed specifically for older people.

Older adults can guide and enrich families more effectively with their lived experiences, helping to preserve traditions and values and providing emotional stability to the community. Supporting them is not charity—it is an investment in humanity.

A Vision for the Future

Smile Foundation envisions a future where every older adult in India has access to healthcare, feels connected to their community, and lives with dignity. A future where ageing is not feared but embraced, a phase marked by joy, wisdom and purpose.

The journey toward healthy ageing is not only for the older people; it is for all of us. The world we build today is the world we will grow old in tomorrow. Let us ensure that the world is filled with care, respect and support.

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Education

Who Thought of Remedial Classes and Why Are They Important?

As of the last decade, India has achieved a major milestone: net primary enrolment rose from 89% in 2010 to around 98% as of 2024/2025 and yet, many enrolled children still struggle to master basic reading and arithmetic. Government schemes, community mobilisation and NGO-led efforts have collectively ensured that access to education is no longer the primary barrier it once was and more children go to school today than ever before. But beneath this success lies another crisis: children may be in school, but many are not learning at the level they should be.

Reports over the years, from national surveys to independent learning assessments, consistently highlight the same gap. A substantial proportion of children in upper primary grades struggle to comprehend simple texts or perform basic arithmetic. These gaps do not arise suddenly. They accumulate slowly, often beginning in early childhood and widening each year as lessons become more complex.

Remedial Classes play a significant role in trying to bridge this gap. A structured, intentional and child-centred approach to help students strengthen the foundational skills they might have missed in their early school years. Besides most primary and elementary schools, organisations like Smile Foundation have adapted and expanded it within the Indian context.

Where the Idea of Remedial Classes Began

Remedial education is not a new idea, it has existed in various forms around the world for more than a century. Early versions emerged in the 19th and early 20th centuries when schools in Europe and North America began to recognise that children do not learn at the same pace. Some required more time, some needed repetition and some needed individual guidance that was impossible to provide in overcrowded classrooms.

Psychologists and educators like Maria Montessori, Jean Piaget and John Dewey transformed global thinking by showing that learning is not linear and children must be met where they are. Their insights laid the groundwork for modern remedial programmes that recognise gaps not as failures, but as differentiated requirements in learning journeys.

By the late 20th century, remedial education had become a formal component of schooling systems in many countries, especially in areas with higher poverty, linguistic diversity and socio-political conflicts. However, all across the core idea stayed the same: meet children at their current learning level and guide them forward with patient, individualised support.

Why Remedial Classes Became Essential in India 

Over the past three decades, India has made remarkable strides in expanding access to education. Net enrolment rates in primary education rose from around 78% in 1990-91 to nearly 97% by 2020-21, driven by initiatives such as the Sarva Shiksha Abhiyan and the Right to Education Act (2009). Yet, large-scale assessments, including the Annual Status of Education Report (ASER), revealed a persistent learning crisis, that many children were attending school, but lagging behind in basic reading and arithmetic. In 2022, ASER reported that only 50% of Grade 5 students in rural India could read a Grade 2-level text and fewer than 40% could perform simple division.

Several systemic factors contributed to this widening gap:

  • Large class sizes: Student-teacher ratios in many government schools exceed 40:1, limiting individual attention.
  • First-generation learners: Millions of children attend school without academic guidance at home.
  • Socio-economic tensions: Migration, seasonal work, limited parental support and poverty-related disruptions reduce school attendance and continuity.
  • Curriculum challenges: A rigid, content-heavy curriculum often advances faster than students’ comprehension.
  • Language barriers: Children from multilingual households may struggle when the medium of instruction differs from their home language.

These challenges created a structural gap where enrolment alone could not ensure learning. Smile Foundation’s Remedial Education Programme directly addresses these deficits by offering small-group sessions, personalised guidance and academic reinforcement. 

Why Remedial Classes Are More Important Today Than Ever

Even as India makes strides in digital education, infrastructure and policy reforms, remedial classes continue to play a critical role. Here’s why they remain indispensable:

Rebuilding foundations

Foundational skills in reading, writing and numeracy are the building blocks of all future learning. Remedial classes focus on strengthening these without the pressure of exams or rigid timetables. By allowing children to revisit earlier concepts in a stress-free setting, these sessions help them rebuild core competencies that may have weakened over time. As these foundations solidify, children gradually regain the ability to engage confidently with grade-level content.

Restoring confidence in children 

Many children internalise academic struggles as personal failure. When concepts are explained with individualised attention and patience, children regain the lost confidence and rediscover the joy of understanding. Small successes like solving a problem, reading aloud, completing homework independently act as powerful motivators. Over time, these repeated affirmations rebuild self-esteem, helping children participate more actively in their regular classrooms and trust their own abilities again.

Reducing dropout rates

One of the strongest predictors of dropping out is poor academic performance, especially at the upper primary level. The remedial sessions help close learning gaps that, if ignored, often push students toward frustration or disengagement. With remedial support, children feel capable, stay motivated and remain in school for longer. 

Supporting learners under stress

For children living under financial stress or with limited parental support, remedial spaces provide consistency, emotional safety and academic stability. Alongside academics, Smile Foundation’s Mission Education project also focuses on emotional well-being through attentive teachers and a nurturing environment. In doing so, the programme becomes a stabilising force in the lives of children who might otherwise slip through the cracks of the formal school system.

Helping first-generation learners break the cycle of educational disadvantage

When parents cannot guide children academically, remedial classes fill the gap and help build upward mobility across generations. These sessions give first-generation learners the academic reinforcement they usually cannot access at home. Over time, this consistent guidance strengthens not just individual performance but also reduces the likelihood of future dropouts.

Building inclusive and neuro-diverse classrooms 

By supplementing formal teaching, remedial programmes ensure that slow learners and linguistically diverse children are not left behind. They create flexible learning spaces where children with diverse  cognitive styles or learning needs can engage with material at a pace that suits them. 

The Broader Impact: Remedial Education as a Tool for Equity

Remedial classes create a ripple effect that extends far beyond academics, influencing entire communities in meaningful ways. They promote gender equity by supporting girls who often shoulder household responsibilities, offering them structured study time and emotional encouragement to stay on track. These programmes also strengthen community trust in education, as parents who witness steady improvement in their children begin to prioritise schooling even when facing financial pressures. Remedial support also enhances teacher effectiveness by reducing the need to repeatedly reteach foundational concepts, allowing teachers to focus on delivering the curriculum with greater depth. Most importantly, early intervention through remedial classes keeps learning gaps from escalating, paving the way for children to participate fully in future academic opportunities.

A Community-Rooted Solution With a Child at Its Center

Smile Foundation’s journey with remedial education underscores a simple truth – children do not fail learning systems; learning systems fail children when they don’t account for diversity learning styles and pace. Remedial classes offer a humane response to this gap. They ensure that children who start with disadvantages are not permanently defined by them. They give slow learners time, give shy children confidence, give first-generation learners a level playing field and give parents the reassurance that their child’s future is not slipping away quietly.

Why Remedial Classes Will Continue to Matter

As India aims for higher literacy and a skilled workforce, learning outcomes and not just enrolments, will determine the nation’s progress. Remedial classes stand at this intersection of academic need, social equity and giving each learner a fair chance at school. They are not a temporary patch but a long-term investment in human potential.

And at their heart lies a simple, enduring belief – Every child deserves not just a seat in a classroom, but a real chance to learn, grow and thrive.

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Smile CSR Partners In Change Partnerships

Why Purpose Marketing Is New Year’s Trend for Brands

As the seasons of carols and the ringing of New Year echoes in the air, reflection and renewal rises with a sharpened desire to move ahead with purpose. This season brings an opportunity for brands to move beyond the noise of festive promotions and step into the world of purpose marketing, a strategic declaration of  their brand’s intentions running deeper than a one-off donation or an obligatory CSR drive. 

Today’s consumers, especially the younger lot are more discerning as they read and observe brands like books. They look for values, consistency and a mission they can attach their loyalty to. When a brand’s purpose aligns with their own, advocacy follows almost instinctively. Festivities like Christmas and New Year engagements in this sense become a seasonal checkpoint. It is a stage when people reset goals and reconsider their beliefs and support towards social causes. Those brands that choose to step onto this stage, do a lot more than discounts, they align purpose marketing initiatives through donations, employee giving, community engagement and cause-related campaigns that invite consumers to co-creates, making participation a form of persuasion. 

Why Purpose Marketing Wins?

 Across the world, corporations are rewriting their playbooks with strategies that reflect their new understanding that purpose is power. For example, Mastercard’s pledge to bring 1 billion people into the digital economy by 2050 or Intel’s commitment to ensure 40% women in technical roles by 2030 are not acts of goodwill alone, but a long sighted strategic move to strengthen the brand’s purpose while accelerating social justice, inclusion and sustainability. 

Furthermore the governments, investors and consumers now expect brands to uphold more than profits, resulting in corporate social responsibility intersecting with purpose not as a parallel consent but as mutually reinforcing forces.

Benefits of Purpose Marketing :

  • Stronger brand equity and long-term differentiation

Purpose marketing comes with a 360 degree approach where it builds an integral relationship with brands and consumers. Purpose-driven brands make a strong impression on consumers, making them remember the brands, trust them and stay for the long term while on the other hand, the “purpose premium” framework, as per to Deloitte, shows that brands with clear purpose enjoy advantages in brand and reputation, sales, innovation, operational efficiency, talent retention and risk mitigation. 

  • Higher employee morale and retention through meaningful engagement

Employees feel a deeper allegiance to their organisations when they see them championing causes they personally value. When corporate social responsibility is woven into a company’s purpose, it becomes a quiet but powerful force strengthening loyalty and reducing attrition. In an article, Joan Steinberg, Morgan Stanley’s Global Head of Philanthropy quotes,

“it’s just not consumers who expect the company to be a good neighbor. It’s also employees”.

*Huffpost

  • Greater consumer advocacy driven by authentic purpose

In the era of doing beyond profit, customers want brands to make tangible social impact. A purpose marketing driven approach through CSR approach or cause related marketing enables the consumers to build trust and emotional loyalty. Through credible storytelling showcasing impact, transparency and brand’s ongoing commitment, socially conscious consumers stick for long term, rather than transactional interactions, which further turns them into loyal advocates for the brand, who shall co-steer cause marketing initiatives through interventions like donations at checkout. 

  • A measurable contribution to SDGs and national development priorities

As India works toward achieving the Sustainable Development Goals (SDGs) by 2030, it is crucial to recognise the power of collective engagement. Purpose marketing- whether through CSR commitments or cause-related initiatives, can become a true gamechanger by activating society’s collective consciousness. When brands align with social causes, they help enable quality education for children from underserved communities, deliver last-mile healthcare to remote regions and empower women, young girls and youth with livelihoods, that allow them to sustain themselves and shape a stronger future.

Giving Back in Action 

Purpose marketing becomes truly powerful when it shifts from intention to meaningful action. Across India, brands partnering with Smile Foundation have shown how CSR initiatives and cause-related marketing can create real, measurable impact. These collaborations have enabled children from underserved communities to access quality education, delivered last-mile healthcare to remote regions and opened livelihood opportunities for women and youth. In doing so, purpose-driven CSR and CRM interventions have not only strengthened communities but also enhanced brand trust, loyalty and long-term value- proving that when brands invest in purpose, both society and the business grow together.

Smile Foundation’s Purpose Marketing Activities- Case study

Blueleaf’s Integrated Rural Development Impact

Blueleaf Energy, through its Blueleaf Cares programme, has partnered with Smile Foundation to drive integrated rural development across 27 villages in Madhya Pradesh. Focusing on healthcare, education, livelihoods and the environment, the initiative supports over 10,000 people, while strengthening local systems through community partnerships and alignment with national schemes.

Submarine Pens Turns every Pen into Purpose 

Submarine Pens has partnered with Smile Foundation to advance education and healthcare for children across more than 2,000 villages and urban settlements in India. Through this collaboration, the brand integrates social impact into its core identity, turning every pen sold into a meaningful contribution towards stronger, more equitable community outcomes.

Lakshita’s Creative to Empowerment 

Children’s Day became a powerful expression of purpose marketing as Lakshita, in collaboration with Smile Foundation, invited young girls to explore sustainable fashion through hands-on creativity. The event transformed simple crafting into an experience of confidence, imagination and empowerment, while aligning brand values with meaningful social engagement; this celebration demonstrated how purposeful initiatives can spark joy while stitching aspirations for a brighter, more inclusive future.

Indus insights Purpose on Wheels for School going children 

Indus Insights’ Manager’s Forum partnered with Smile Foundation to deliver bicycles to children who walk long distances to school- an employee giving programme that was  rooted in the spirit of purposeful brand engagement. As volunteers assembled the bikes, children observed, learned and participated, creating a shared moment of joy. This impactful collaboration demonstrated how purpose-led initiatives can strengthen organisational culture, while creating meaningful community value.

Dear Diary’s Purpose-Driven Partnership

Smile Foundation’s collaboration with Dear Diary by Rashmika Mandanna brings the “Kindness Economy” to life through purpose marketing- with part of every sale going towards supporting education of children from the marginalised sections of the country. This initiative shows how brands can embed purpose into products, creating value that goes beyond fragrance to nurture dreams and spark ripples of positive change across communities.

Make New Year of Meaningful Impact with Smile 

Businesses today are moving beyond profit to embrace purpose and support causes that strengthen the social fabric of our communities. What was once an optional charitable gesture has now become a core asset, resonating with consumers, employees and communities while advancing business objectives.

Festive moments like Christmas and New Year offer ideal opportunities for brands to transform seasonal campaigns into sustained, purpose-driven initiatives. Whether through CSR interventions, employee engagement programmes or cause-marketing campaigns, companies that embrace purpose position themselves as social pioneers. They foster emotional equity, create meaningful social impact and shape their brands, businesses and markets into catalysts for social good. 

Partner with us to integrate purpose into your brand strategy today. Participate with communities, engage your employees and design initiatives that deliver measurable market growth and meaningful social change.

Sources:

  1. Why Giving Back Increases Brand Loyalty
  2. 81% of millennials want companies to be good corporate citizens
  3. Why Smart Companies Give Back


Ways to Promote Your Business With Charitable Marketing

Why a purpose-driven strategy is good for business

 

Categories
Education

Scholarships for Low-Income and High-Achieving Students 

For young Debasmita, continuing her education after the 8th grade was a challenge. Her father, who worked as a tailor, was out of work for about two years during the pandemic. She was on the brink of dropping out when Smile Foundation’s merit-based scholarship allowed her to continue her education. Today, she dreams of helping girls in her community pursue their studies. Like Debasmita, many deserving students lose out on quality education because of limited means. For academically-gifted students who come from low-income homes, the promise of higher education feels like a mirage, until scholarships intervene. Even though there’s a roster of national and local scholarships available for deserving candidates, the impact continues to be limited. 

A Look at the Numbers 

The National Means-cum-Merit Scholarship Scheme (NMMSS) launched by the Ministry of Education, in order to offer one lakh fresh scholarships every year for students entering Class IX, continuing through to Class XII. As of 2023–24, around 2.50 lakh scholarships were sanctioned, with a budget of approximately Rs. 300 crore. However, while, on paper, the scheme is straightforward (reward talent, retain students and reduce drop-out rates) the reality is more complex. 

Data suggests that despite the noble intent, NMMSS has struggled to maintain its scale. Between 2017–18 and 2021–22, the number of scholarships granted under the scheme plunged by 51.9 per cent, according to parliamentary replies. In the same period, among the most marginalised groups — Scheduled Castes (SC) and Scheduled Tribes (ST) — the drop is, in fact, stark. While SC recipients of the scholarship fell from 58,307 in 2020–21 to 48,116 in 2021–22, pointing at a 17 per cent decline, ST recipients dropped from 22,562 to 16,460 which is a 27 per cent fall in that year. 

This dramatic decline is tied to broader systemic issues in the country. While the budget for scholarships has positively grown over the last few years, the number of beneficiaries has fallen in several key schemes. For instance, central funding for the Post-Matric Scholarship for SC students nearly doubled, from around Rs. 2,710 crore in 2019–20 to Rs. 5,475 crore in 2023–24, yet the number of SC students receiving the scholarship fell from 54.27 lakh to 47.39 lakh, a drop of 12.7 per cent. 

In response to these rather staggering numbers, experts and policy analysts point to several administrative bottlenecks. A major problem has been disbursement delays. The National Scholarship Portal that administers many of these scholarships demands multi-level verifications. Additionally, strict Aadhaar linkage, documentation issues and technical glitches often derail timely payments, causing eligible students to fall off or forfeit the award altogether.

In fact, another problem is the sheer lack of access to information about the scholarships available. Many deserving students from disadvantaged areas never even get to apply. For those who do, maintaining eligibility year after year, especially at times of renewal, poses to be difficult as academic performance must be sustained and the procedural burden (income proofs, verification) can be demanding. Without adequate advisory and material support, families may end up giving up. 

The Way Forward 

Civil society and NGOs have tried to plug this gap. Smile Foundation, for instance, offers scholarships to students from low income settings through their Mission Education Programme. Under this programme, deserving students, often girls and young people from economically disadvantaged backgrounds, receive merit-cum-need based support to complete their schooling or even pursue higher and technical education. The Foundation also offers engineering scholarships primarily for underserved girls to pursue four-year engineering degrees in cities like Bengaluru, Jaipur, Mumbai and Pune. 

From a broader social perspective, these scholarships matter not just for individual students but for social mobility. When high-performing students stay in the system, they become role models and their success can cause a ripple effect across communities. 

Looking forward, we need better data infrastructure that not just tracks disbursement of funds but last-mile receipt, student retention as well as outcomes. A real-time dashboard for scholarship delivery, renewal and impact could also potentially flag problem states or districts quickly. Streamlining the process is also vital in order to reduce red tapeism, and to overtly simplify verifications. Most importantly, a strong network between the government and NGOs, along with strong partnerships between NGOs, state education departments and alumni associations can raise awareness and help students with mentorship support. 

In the end, scholarships for low-income, high-achieving students are more than just fiscal instruments. Scholarships can be engines of hope. For too many students, they mean the difference between dreams deferred and dreams realised. But without efficient delivery, systemic responsiveness and a commitment to equity, they risk becoming underutilised promises. If India truly wants to harness true potential, we need to ensure that brilliance is not lost simply because someone lacked the means. Only then can education serve as the bridge it is meant to be: for social justice and national progress.

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