Categories
Nutrition

India’s Fight for Anaemia Mukt Bharat

India has long faced a severe anaemia crisis. Recent surveys show over half of Indian women of childbearing age are anaemic – NFHS-5 (2019–21) found 57.0% of women (15–49 yrs) and 52.2% of pregnant women with anaemia. Among children under five, a staggering 67.1% were anaemic. Alarmingly, anaemia in pregnancy is linked to haemorrhage, low birth weight, premature births and even maternal death. In short, anaemia acts like a hidden drain on the nation’s health, sapping energy and increasing illness for mothers and children alike.

In response, the Government of India launched Anaemia Mukt Bharat (AMB) in 2018, aiming to reduce anaemia prevalence by roughly 3% each year. AMB is a “6×6×6” strategy that targets women and children at six life-stages (girls 10–19, adolescent boys/girls, pregnant women, lactating women, children 6–59 months) through six interventions (like iron supplementation, deworming, testing, dietary diversification, treating severe anaemia and behaviour change). For example, routine programmes under AMB include IFA supplementation (daily iron-folic acid for pregnant women; weekly IFA tablets for schoolchildren under WIFS), twice-yearly deworming, nutrition education and fortification (e.g. adding iron to midday meals and take-home rations) and community outreach through campaigns like Poshan Abhiyaan. Despite these efforts, progress has been mixed with nationwide anaemia rates remaining high. Experts note that tablets alone are not enough – without counselling, many beneficiaries skip doses or suffer side effects and diets stay poor in iron. This gap is why India needs innovative, community-driven programmes that complement the government’s efforts.

The Pink Smile Initiative: Community Health on the Move

One such innovation is Pink Smile, a mobile-health partnership between Smile Foundation and PepsiCo India in Mathura, Uttar Pradesh. Launched in early 2025, Pink Smile embeds a women’s health clinic on wheels into the rural villages of Chhata tehsil, directly aligning with AMB goals. The project set out to provide curative, preventive and promotive care for women, adolescents and children right at their doorstep. Key activities include:

  • Mobile Camps & Teleconsultations: A specially outfitted van visits villages fortnightly to conduct anaemia screening camps and general health check-ups. Women and girls get their haemoglobin tested on-site and those needing care receive either on-the-spot treatment or referrals. Meanwhile, telemedicine links patients in remote areas with specialist doctors in real time. Smile’s own plan called for “specialised teleconsultation for women, adolescents and children” coupled with MMU-based screening.
  • Nutrition Education & Recipe Demos: Community education is a big focus. Health workers hold interactive sessions on iron-rich diets, debunk food myths and even run healthy cooking demonstrations using local, affordable ingredients. Participants learn easy recipes (for example, adding leafy greens or lentils into everyday dishes) and receive illustrated recipe booklets. In fact, Pink Smile’s plan distributed low-cost nutrition recipe kits and organised five cooking demos reaching nearly 400 people.
  • Kitchen Gardens: To make iron-rich foods sustainable, Pink Smile helped households start kitchen gardens. The team gave seed packets and guidance so families could grow vegetables like spinach, drumstick leaves and carrots at home or in community plots. This builds on proven approaches: in another Smile programme (Punjab), dozens of school kitchen gardens supplied veggies and helped boost nutrition. Under Pink Smile, a total of 50 kitchen gardens were established across the villages.
  • Strengthening Anganwadis/PHCs: Pink Smile works hand-in-hand with existing health infrastructure. For example, they equipped local Anganwadi (childcare) centres and primary health centres with outreach support. Health educators held group meetings, street plays and even “baby-shower” (Godh Bharai) events at the Anganwadi to offer counselling on maternal nutrition and child care. Celebrating Godh Bharai ceremonies has cultural resonance; Pink Smile ran five such events, reaching about 350 expecting mothers. These events provided iron-rich snacks, supplements and one-on-one advice in a festive setting. In sum, the project explicitly ties into national programmes – for instance, Pink Smile coordinates with “Anaemia Mukt Bharat Divas”, Poshan Maah and traditional ceremonies like Godh Bharai.

All these pieces create a comprehensive package: Iron testing and supplements plus dietary guidance, prevention plus treatment and clinical services plus community education. In practice, this means the Pink Smile mobile clinic distributes pills and brings healthcare, knowledge and fresh food to villages, reinforcing the AMB strategy from the grassroots up.

Pink Smile’s Growing Impact (Data Highlights)

Pink Smile’s impact has scaled impressively in its first year. According to the programme’s March 2025 report, 7126 villagers (4941 women, 1416 children, 769 adolescents) were covered by the project. The team performed 1754 haemoglobin screenings for women and adolescents, diagnosing 887 moderate and 70 severe anaemia cases (and saw 62 of the severely anaemic begin to improve). Meanwhile, they treated a total of 2767 patients over six months including 1371 telemedicine consultations.

To reach people’s minds as well as bodies, Pink Smile also delivered robust education and prevention activities. They ran 4 community health awareness sessions (nearly 400 participants) and 5 recipe demonstrations (392 participants) to teach villagers how to cook nutrient-packed meals. Critically, 50 household kitchen gardens were set up so families could grow their own iron-rich vegetables. The project also provided direct nutritional support: 125 severely malnourished (SAM) children received therapeutic foods. All these efforts were tracked through systematic monitoring – for example, 1291 children had their growth checked (1091 normal growth, 141 moderately malnourished, 59 severely malnourished).

These numbers tell a story of wide reach and deep engagement. For instance, the five Godh Bharai ceremonies engaged entire villages: over 350 pregnant women received iron supplements and counselling. Each kitchen garden and cooking demo multiplied the impact by empowering families to feed themselves better – a real example of “nutrition education and kitchen gardens” working together.

In short, Pink Smile’s data shows a multi-layered effect: thousands of tests and treatments plus hundreds of education events and community supports. The programme report summarises significant improvement in anaemia rates, increased nutrition awareness and better household diets via kitchen gardens. These outcomes complement AMB by tackling anaemia not only with pills but also with food, knowledge and local capacity – exactly what experts say is needed to “actually translate policies into food on plates”.

From Data to Lives: The Dream of Anaemia Mukt Bharat

Numbers gain meaning when we see how they change people’s lives. Madhu Devi (name altered for privacy) was one of the many women identified with severe anaemia. She had been chronically fatigued and unable to work. After a Pink Smile screening revealed her low haemoglobin, she received iron supplements and diet counselling. Within months, Madhu regained energy – enough that she told staff she finally had the strength to start a small tailoring business from home. This turnaround echoes the programme’s own “success story” note that Madhu Devi journeyed from severe anaemia to improved health.

Similarly, Kanchan (also a pseudonym), an adolescent girl beneficiary, made a striking recovery. When Pink Smile first tested her at school, Kanchan’s haemoglobin was only 7.5 g/dL (very low). She was started on weekly IFA tablets and nutritious meals from the programme’s kitchen garden. After three months, her level climbed to 13.3 g/dL – more than a normal reading. Kanchan’s story was literally featured in the report (“Hb improved from 7.5 to 13.3 in 3 months”), highlighting how rapid interventions can break the anaemia cycle.

Tackling anaemia does more than improve lab values – it changes daily life. A mother or girl who is no longer anaemic can walk without dizziness, carry a baby safely, study or work without exhaustion and contribute to her family. As one village health worker put it, many women “just thought it’s normal to feel dizzy and look pale” – until Pink Smile taught them otherwise. With a bit of iron and education, these women turned weakness into wellness..

How Pink Smile Fits with National Programmes

It’s useful to compare Pink Smile to the standard anaemia interventions under AMB. In some ways they overlap: both emphasise IFA tablets and deworming. Government programmes send IFA pills to schools and health centres and conduct twice-yearly Deworming Day campaigns. For example, an NHM official described states’ strategies as providing universal prophylactic IFA and deworming to schoolchildren, along with year-round behaviour change campaigns. However, national schemes often struggle with compliance and continuity. Surveys have shown that even when tablets are provided, many beneficiaries stop taking them or do not receive counselling on diet.

Pink Smile complements these efforts by adding the human touch and diet diversity component. It literally goes door-to-door, following up on pills with fresh food and recipes. For instance, under AMB the government’s midday meal programme provides iron-fortified food to schoolchildren, but without local buy-in, lunch programme compliance can waver. Pink Smile’s approach mirrors successful pilots: in Punjab, Smile Foundation mixed iron tablets into the mid-day meal and encouraged kitchen gardens, which led to 100% compliance in schools. Likewise, in Gujarat Smile used an “iron laddoo” (sweet) supplement for adolescent girls, resulting in over 70% of the girls improving their haemoglobin.

Other national schemes like the Poshan Abhiyaan (National Nutrition Mission) emphasise convergence of health and nutrition (e.g. Poshan Maah events, fortified take-home rations). Pink Smile ties directly into these. The project’s design even lists “God Bharai, Anaemia Mukt Bharat Diwas, Poshan Maah” as complementary activities. In practice, aligning with Poshan Abhiyaan means Pink Smile took part in village nutrition drives during September (Nutrition Month) and tagged its camps to national health days.

In summary, while AMB’s blanket strategies (IFA, WIFS, deworming) provide the necessary framework, programmes like Pink Smile are the boots on the ground that boost those measures. By reinforcing IFA with counselling, by making iron-rich food accessible and by engaging communities directly, Pink Smile and similar CSR initiatives help close the implementation gap. They show that solving anaemia requires combining high-level policy with grassroots action.

Scaling and Sustaining Success: Anaemia Mukt Bharat

Continued focus on early detection, preventive care and community-based nutrition efforts will underpin future impact. Governments should encourage more mobile clinics and health camps in anaemia hotspots, possibly by co-funding NGO partnerships. Training and deploying more female health workers (ASHAs, ANMs) to use digital hemoglobinometers could replicate Pink Smile’s forthright screening approach.

Second, connect the dots across programmes. Stakeholders should formally link Pink Smile–style efforts to schemes like AMB and Poshan Abhiyan. For example, tying village health days, NHM funding and corporate CSR can multiply reach. Cross-sector collaboration can develop sustainable solutions to eradicate malnutrition and anaemia. Donors and corporates should invest in such public–private partnerships, knowing that integrated interventions (screenings + nutrition support + education) yield multiplier effects.

Third, promote nutrition at home. Every household could adopt a mini version of this approach. Kitchen gardens and local recipe clubs need support where governments can distribute seeds at Anganwadis and encourage nutrition gardens in schoolyards. Even simple baby-shower camps should be scaled up – health experts say these ceremonies are ideal for reaching pregnant women with iron supplements and advice.

Finally, monitor and celebrate progress. The Anaemia Mukt Bharat Index (a state ranking) has helped spur states to improve, but rural change also requires constant feedback. Healthcare leaders should publicise success metrics like how many villages are anaemia-free, how many children grow up strong. Public awareness must rise that anaemia is preventable. A little creativity – songs, cartoons, community contests – can make people care enough to change their diets.

The Pink Smile initiative shows that Anaemia Mukt Bharat can be advanced with a blend of top-down schemes and bottom-up engagement. By bringing doctors, dentists and dietitians to the village squares (literally on wheels), Pink Smile is turning the anaemia battle into a community mission. Its model – one that grows a smile as pink as the mobile clinic itself – points a hopeful way forward. To finally make anaemia history, India should support and replicate these hybrid approaches: after all, ending a national health crisis requires more than iron tablets, it requires iron-clad partnerships and iron-rich meals in every home.

Sources: Official government data and health bulletins, PepsiCo–Smile Foundation “Pink Smile” project plans and completion report, and expert analyses of anaemia programmes.

Categories
Education

Why Engineers Matter: Ft. Engineer’s Day

Every Engineer’s Day, we pause. We brush off our blueprints, applaud the tech innovators, the coders, the inventors, the problem-solvers. We celebrate Sir Mokshagundam Visvesvaraya, whose birthday falls on September 15, remembering a man who engineered bridges and dams—and perhaps, more importantly, engineered possibility.

But today, in 2025, India’s future doesn’t just need to honour engineers. It needs more of them — especially young people from underprivileged backgrounds, especially girls — who will not only build infrastructure but build innovation, equity, dreams.

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This Engineer’s Day, the question is: how do we make engineering more than a dream for the few? How do we nurture engineers who will drive India forward? And how is Smile Foundation helping that happen?

The Power of Engineers in Nation-Building

Think of every road you drive, every app you tap, every hospital that stands where often there was only empty land. Engineers made those things happen. Civil engineers span bridges and railways; software engineers invent solutions for remote learning; electrical engineers light up villages; chemical engineers create medicines; mechanical engineers build machines that do the heavy lifting and robotics.

India aspires to be a global innovation hub. The National Education Policy (NEP) 2020 emphasises STEM education. Initiatives like Make in India, Digital India, Startup India lean heavily on enabling engineering talent. But policies on paper must translate into opportunities in labs, scholarships, mentorship and inclusive access.

Smile Foundation’s Scholarships: Facts You Can Stand On

Smile Foundation invests in future engineers.

  • Under Smile Foundation’s Education Impact, there are “scholarships for deserving students … technical courses like engineering.” (Smile Foundation)
  • In collaboration with Deutsche Bank, Smile offers engineering scholarships to meritorious girls from low-income families, covering tuition for four years at colleges in cities such as Bengaluru, Jaipur, Mumbai, Pune. (Smile Foundation)
  • The scholarship includes not only financial aid but learning tools like laptops, industry exposure, domain/technical skills training, communication and employability skills, and placement assistance in the senior years of study.
  • As of now, Smile’s scholarship programmes for engineering have benefited over 2,000 students through various donor-partner initiatives.

These are not minor interventions. They are acts of possibility—transforming a student’s “I hope I can afford college” into “I will become an engineer.”

Why Engineering from Margins Matters

When engineering is restricted by cost, geography or gender, the diversity of ideas shrinks. Women are underrepresented in technical roles; rural students may not even have labs or reliable electricity; first-generation learners may lack counsel or mentorship. Innovation suffers when voices, perspectives, experiences are missing.

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Smile Foundation’s Mission Education centres work in 27 states, supporting over 120,000 children with educational access, including STEM and vocational exposure. Additionally, Smile has introduced STEM labs at 12 locations, DIY STEM kits, science/engineering exposure, coding, robotics in collaboration with institutions.

When a girl from a small town gets an engineering scholarship, receives domain training, a laptop, mentorship — that doesn’t just change her life. It changes the map of who India’s engineers look like. It changes what innovation feels like.

Beyond the Parade, Towards Praxis

What does Engineer’s Day mean, if not just speeches and good Instagram posts? It should also be about action:

  • Recognising engineers from non-traditional backgrounds.
  • Supporting scholarship programmes that cover all costs — not just tuition, but tools, travel, exposure.
  • Ensuring labs not just exist, but function. Proper infrastructure, teaching staff trained in modern pedagogy.
  • Encouraging women in engineering by setting up role models, mentorship, safe spaces.

Smile Foundation is doing many of these. The engineering scholarships with Deutsche Bank are one example. Another is Smile’s focus in education on STEM & experiential learning introducing inquiry, problem-solving and breaking away from rote.

Smiling in the Making

  • Shreya, a student from a small town beneficiary of the Deutsche Bank-Smile scholarship, is now in her second year of engineering in Pune. She says studying circuits feels like poetry, now that she has both the materials and the confidence.
  • Ayesha, another scholarship-holder, used to worry she’d drop out because her family couldn’t afford a laptop. Smile’s scholarship provided the laptop, mentorship support and she now tutors others in her engineering hostel.

These are proof that investment in engineers from underserved backgrounds works.

The Innovation Gap & What Engineers Must Fill

India’s challenges — urban congestion, climate change, renewable energy, AI governance, water scarcity need engineering solutions. But to solve them sustainably, engineers must come from everywhere: rural hearts, small towns, border areas, from girls, from minorities. Because those are the lived contexts in which some of the toughest problems lie.

SME engineers, industrial engineers, software engineers, civil, mechanical, electrical — they all converge. And as we see globally, countries that have inclusive engineering pipelines tend to innovate faster, build more resilient infrastructure, adapt more rapidly.

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This Engineer’s Day, here are ways you can contribute to building engineering futures:

  • Sponsor an engineering scholarship – even one scholarship can support tuition + tool costs for a student. Smile’s programme works with donors like Deutsche Bank and others. (Smile Foundation)
  • Mentor – help students understand what engineering means, guide projects, support internships.
  • Provide tools or labs – if you’re an organisation with capacity.
  • Spread awareness – share stories of engineers from underserved backgrounds via social media, local schools, communities.

Give not just your applause, but your support. Give not just congratulations, but opportunity.

Categories
Livelihood

From Low-Cost Labour to High-Value Skills: India’s Next Phase

For decades, India has been cast in a global role shaped by its comparative advantage in low labour costs: call-centres, back-office support, basic manufacturing. This “cheap labour” label boosted jobs and foreign investment, but it also locked in constraints — low wages, limited mobility, under-production of high-value skills and a global perception hard to shake off. As automation, artificial intelligence, global supply-chain reconfiguration and shifting trade dynamics reshape opportunity, India faces a pressing question: can it pivot from being the world’s low-cost labour pool to being recognised for high-value skills and innovation?

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The Promise: What India Has On Its Side

India has several strengths that suggest this pivot is feasible, even urgent.

  1. Demographics and Young Talent Pool. India is set to have the world’s largest working-age population by 2030. This offers not just numbers, but potential — if young people are trained and matched with the right opportunities.
  2. Rise of Innovation & Start-ups. The start-up ecosystem has grown dramatically. India now hosts unicorns in fintech, edtech, health tech, deep tech; investors are increasingly interested in India not just as a low-cost base but as a source of innovation. Enhanced infrastructure like better internet connectivity, improved logistics, growing digital literacy supports this.
  3. Policy Support & Skill Programmes. Several government schemes aim to upskill India’s workforce:
    • Pradhan Mantri Kaushal Vikas Yojana (PMKVY): Designed to provide industry-recognised skills to millions.
    • National Apprenticeship Promotion Scheme (NAPS): Encouraging firms to take on apprentices, bridging formal vocational training and workplace practice.
    • Skill India Digital Hub, Skill India International Centres: Efforts to bring global standards, digital tools and cross-border collaboration into India’s skilling framework.
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These programmes show intent. But intent must translate into structural change. Otherwise, India risks being left behind in the global economy, where high-value skills, automation and quality matter more than just labour cost.

The Evidence: Where India Stands Now

To assess whether the move from low-cost labour to high-value skills is happening, or even possible, it helps to look at recent data:

  • Female Labour Force Participation (FLFPR): In the Periodic Labour Force Survey (PLFS) 2023-24, the female LFPR rose to 41.7%, up from about 23.3% in 2017–18. (Press Information Bureau) Still, formal wage or salaried employment among women remains low; many are in self-employment or unpaid work. (Reuters)
  • Prevalence of Low-Competency Occupations: The Institute for Competitiveness (IFC) report, Skills for the Future: Transforming India’s Workforce Landscape, found nearly 88% of India’s workforce in 2023-24 is in low-competency occupations. Only small shares are in high-skill (Skill Levels 3 & 4) jobs. (The Economic Times)
  • Training Gaps: According to PLFS and related reports, only ~4.1% of those aged 15-59 have received formal vocational training. Approximately 30-odd percent have training of some kind, often informal or on-the-job; but over 60% have no formal or informal training. (SPRF)
  • Mismatch between Training & Employability: Even among those who receive training, many find their skills don’t match what employers want. A 2025 report noted that formally trained individuals see unemployment rates around 17%, higher than for some informally trained workers in certain contexts. (India Development Review)

These statistics show that while there is momentum, much of the current participation is in lower skill, lower value work — not yet a structural shift toward high-value skills. Unless addressed, this mismatch threatens both social inclusion and economic competitiveness.

Barriers to Moving Up the Value Chain

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Bridging the gap from low-cost labour to high skill is about reworking multiple structural and cultural barriers.

  1. Education System Limitations. Schools still focus heavily on rote learning, standardised exams and theory. Skills like critical thinking, communication, creativity, problem solving in context are often neglected. Employers frequently report that graduates lack those soft and adaptive skills.
  2. Limited High-Skill Job Creation. Many job openings remain in semi-skilled or low-skilled sectors. Employers may be reluctant to invest in higher-skill roles if labour remains cheap; sometimes automation or overseas sourcing appears cheaper at scale, but this risks India losing out on high-margin work.
  3. Inadequate Industry–Academia Linkages. Vocational curricula don’t always map to what industries actually require. Internships, apprenticeships, hands-on training remain uneven in quality and reach.
  4. Inequality & Exclusion. Women, rural youth, disadvantaged caste groups and those in informal sectors often are last to receive quality training, last to gain access to formal employment. Female participation remains low in many states, and when women work, pay gaps are persistent. Added constraints: safety, mobility, care responsibilities.
  5. Cultural & Perceptual Barriers. Persistent perception that high-value skills are only for elite institutions; risk aversion among poor families who favour tried-and-tested low-skill work over uncertain investment in training or entrepreneurship. Social norms, especially around gender, can restrict who goes to which training, or travels for work.
  6. Technology Displacement & Automation Risk. As routine or repetitive tasks are automated (e.g. basic call centre roles, manual assembly), low-cost advantages erode. Without upgrading skills, many workers risk displacement.

What a High-Value Skill India Needs

If India is to transcend its low-cost labour label, it needs a strategy that is multi-pronged: policy, finance, culture and delivery must align.

  1. Revamp Education & Vocational Training.
    • Curriculum redesign: Integrate problem-solving, critical thinking, digital literacy from early schooling.
    • Expand formal apprenticeship programmes: NAPS and related schemes should be scaled, with incentives for firms to absorb apprentices into meaningful roles.
    • Standardise competency levels: Clear, transparent frameworks (e.g. what “Skill Level 4” means in different sectors) so employers trust the skills certificate.
  2. Strengthen Industry Partnerships.
    • Sector councils or boards that include employers, training institutions, government, to jointly map future demand.
    • Co-design curricula; embed internships, project-based learning and live exposure.
    • Encourage firms to invest in employee upskilling, through tax incentives, CSR or public matching funds.
  3. Promote Lifelong Learning & Micro-credentialing.
    • Digital platforms, modular short courses, stackable credentials can allow workers to upskill in small increments.
    • Encourage continuous upskilling especially in emerging fields: AI/ML, cybersecurity, renewable energy, advanced manufacturing, biotech.
  4. Support for Women, Rural & Marginalised Youth.
    • Remove barriers: affordable childcare, accessible transport, safe workplaces.
    • Gender‐sensitive training programmes; outreach in rural and semi-urban areas.
    • Scholarships, stipends and connectivity support (internet, devices) for remote or hybrid learning.
  5. Policy & Regulatory Incentives.
    • Encourage foreign direct investment (FDI) in high-value sectors with stipulations for local skill transfer.
    • Incentivise companies to raise job quality, not just job numbers: formal contract work, wage parity, social protection.
    • Reinforce enforceable standards: for training quality, accreditation, worker safety, gender equity.
  6. Culture & Mindset Change.
    • Media, universities, community leaders should promote narratives of high-value work not just in urban or elite areas.
    • Career guidance in schools that shows students the possibility of high-value careers in different geographies and for different kinds of backgrounds.
    • Role models: showcasing success stories of individuals (especially from rural/underprivileged backgrounds) who have made the leap.

Smile Foundation’s Role

To illustrate what is possible, the work of Smile Foundation and its various employability and training initiatives provides both hope and lessons.

  • STeP (Skill Training & Employability Programme): Focused on connecting low-income setup youth to jobs in sectors with growth and higher value — retail, digital marketing, healthcare, BFSI (banking, financial services, insurance). Beyond hard technical skills, STeP places emphasis on soft skills: spoken English, interview readiness, customer service. These are precisely the skills employers say they need but often do not find.
  • iTrain on Wheels: By bringing training into underserved areas (rural or semi-urban) and in more practical trades (painting, electrical, etc.), this reduces costs and accessibility barriers. This helps people gain directly employable skills rather than just theoretical knowledge.
  • Partnerships & Scale: Smile Foundation works with hundreds of organisations to ensure training aligns with real job opportunities. Aligning with government initiatives (Skill India etc.) helps leverage scale. The combination of local outreach, hands-on skill training and linkages to employment gives its programmes high potential.

These models show that credible pathways exist. But current reach is limited relative to the scale of the challenge; many more millions still do not receive formal training or do not find jobs commensurate with what they learn.

What the Data Suggests for the Near Term

  • According to the PLFS (2023-24), only about 50.2% of workforce has education at or above secondary level.
  • A disturbing trend: in 22 of 36 states and union territories, the growth rate of highly skilled individuals (Skill Levels 3 & 4) has declined by more than 5% between 2017 and 2022.
  • Only ~2-3% of the workforce is at the highest skill levels. Most have low to semi-skills.
  • For women, despite growth in participation, most of the increase is in informal/self-employment or in sectors with lower earnings and weaker social protection. Formal wage/salaried jobs remain elusive for many.

Why This Shift Matters: Beyond GDP Growth

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Moving from low-cost labour to high-value skills is not merely an economic ambition — it has deep implications for equity, resilience and India’s global standing.

  • Better incomes, less inequality. High-value skills tend to command higher wages, more stable employment, social protection. This helps reduce income inequality and poverty, especially in rural areas or among marginalised groups.
  • Global competitiveness and moving up value-chains. In sectors like electronics, pharmaceuticals, AI, renewable energy, supply chains reward precision, innovation, regulatory compliance. India must produce work that is not just cheap, but of high quality and high trust.
  • Resilience to automation and shocks. As routine jobs are automated, those with only low skills are most vulnerable. High-value skills create adaptability: ability to shift fields, to move into roles that machines can’t easily replace.
  • Social transformation. Skills and work are not only sources of income but of status, agency, dignity. For women, achieving high-value skills means more autonomy, greater voice in households, better health and education outcomes for families.

India stands at a crossroads. It can continue leveraging its cost advantage, keeping its labour market saturated by low-value jobs or it can shift decisively toward developing, certifying and scaling high-value skills. The cost of inaction is high: slower growth, persistent inequality, vulnerability to global shifts.

To succeed, India will need:

  • Focused investment in formal and informal training, especially for women and marginalised communities.
  • Strong partnerships between government, private sector, civil society.
  • Incentives not just for job creation, but for job quality and upward mobility.
  • Cultural shifts: acceptance of lifelong learning; respect for vocational and technical work; breaking stereotypes about what fields are “prestigious”.
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If India makes this shift thoughtfully, inclusively, and ambitiously, it can move from being “the world’s low-cost labour provider” to being its trusted source of high-­value, cutting-edge talent. The journey is challenging — but it is not beyond reach. And the payoff will be not just economic growth, but a more just, resilient and future-ready society.

Categories
Education

Why Foundational Literacy and Numeracy Critical by Age 10?

Walk into a government school in rural India. The classrooms are full, children are in their seats, teachers are at the blackboard. On paper, the numbers might look impressive: more than 96 percent of children aged 6 to 14 are enrolled in school.

But pause for a moment. Hand a Grade 5 child a Grade 2-level storybook and ask them to read. More often than not, they will stumble. Ask another to solve a simple subtraction problem. Chances are, they will look at you blankly.

This is the paradox at the heart of India’s education system. Children are in school, but many of them are not learning the basics. And those basics — what education experts call Foundational Literacy and Numeracy (FLN) — are the very skills that unlock every other stage of learning. Without them, the ladder of education becomes shaky and unreliable.

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So why does FLN matter so much and why is the age of 10 such a critical milestone?

The Learning Crisis in Plain Numbers

The Annual Status of Education Report (ASER) 2023 tells us something sobering: nearly half of Grade 5 children in India still cannot read a simple Grade 2 text. In mathematics, the situation is just as troubling. Barely one in five Grade 3 students can solve a basic subtraction problem.

It’s not that children aren’t going to school — they are. But being present in a classroom does not guarantee learning.

COVID-19 only made this worse. Two years of school closures erased nearly a decade of slow progress in reading and arithmetic. By 2022, learning levels had slipped back to what they were in 2012. For children from rural and low-income households, where parents often lacked resources to support learning at home, the damage was even deeper.

In short: India’s schools are open, but for too many children, the doors to actual learning remain closed.

The Turning Point

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Let’s put aside the data for a moment and think about childhood. Up to around age 8 or 9, children are in the stage of “learning to read.” They are decoding letters, sounds, words and numbers. By the time they reach age 10, something important happens: they are expected to flip that switch and begin “reading to learn.”

If that switch doesn’t happen, the consequences are serious. A child who cannot read fluently by Grade 3 struggles to keep up with science, social studies or even word problems in math. Their self-confidence takes a hit and they begin to disengage.

Research by education scholar J. Douglas Willms shows that students who leave primary school without adequate reading skills are much more likely to face difficulties all the way through secondary school. The effects spill over beyond academics: poor foundational skills are linked to low self-esteem, behavioural challenges and even higher risks of anxiety and depression.

The World Bank has gone as far as to call investment in foundational learning the single highest-return investment a country can make in human capital. For India, where millions of young people will enter the workforce in the coming decade, ensuring FLN by age 10 isn’t just an educational goal — it’s an economic and social imperative.

The Indian Context: Promise and Problems

India is not blind to this challenge. The National Education Policy (NEP) 2020 puts foundational literacy and numeracy right at the top of its priorities. It emphasises play-based and activity-based learning in early years, mother-tongue instruction and smaller class sizes where possible.

Building on that, the government launched the NIPUN Bharat Mission in 2021. Its goal? To ensure that every child in India can achieve FLN by the end of Grade 3, with a target year of 2026-27. The mission encourages early assessments, teacher training and close engagement with families.

On paper, this is exactly what India needs. But anyone who has spent time in a government school knows the hurdles: overcrowded classrooms, teachers who are under-trained in FLN pedagogy, children coming from homes where no one can read to them in the evenings and of course, the vast linguistic diversity that makes “one-size-fits-all” teaching almost impossible.

The truth is, schools alone cannot solve this. Families, communities and civil society all need to play a role.

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What FLN Looks Like on the Ground: Stories of Change

This is where organisations like Smile Foundation step in. Through our Mission Education programme, Smile works in more than 2,000 villages across 26 states. The goal is simple yet ambitious: to make sure at least 70 percent of enrolled children achieve foundational literacy and numeracy.

But here’s the twist: Smile doesn’t teach children strictly by grade. Instead, we group them by skill level. That means a Grade 4 child struggling with reading won’t be lost in a class that has moved on to advanced material. The teaching meets the child where they are.

Language also matters. Smile Foundation prioritises instruction in the mother tongue during the early years, helping children grasp concepts faster and retain them longer. And critically, the programme doesn’t stop at the classroom. We bring in parents, school management committees and local officials, creating a supportive ecosystem around the child.

The results speak volumes. In one project under Smile’s Shiksha Na Ruke initiative in Gurugram, the percentage of Grade 3 children who could read simple sentences jumped from 38 percent at baseline to 72 percent after targeted FLN interventions. Writing skills improved from 36 percent to 93 percent.

These are stories of children who once sat silently in classrooms, now standing up and reading aloud with confidence.

Barriers We Must Confront

Even with inspiring models, India’s FLN journey faces stubborn obstacles.

  • Teaching quality and training: Many teachers are not trained in age-appropriate, activity-based FLN methods. Teaching often defaults to rote memorisation.
  • Language barriers: Millions of children start school in a language they don’t speak at home, making early learning unnecessarily difficult.
  • Home environments: In rural and low-literacy households, parents cannot always support homework or provide books. This widens the gap between privileged and disadvantaged children.
  • Assessment and remedial action: Too often, children who are struggling are not identified until much later. By then, catching up is much harder.
  • Equity gaps: Girls, children with disabilities and those from tribal or minority language groups are especially at risk of being left behind.

Unless these barriers are systematically addressed, India will continue to see high enrolment rates but low actual learning.

What Can Be Done: A Roadmap for FLN by Age 10

So how do we ensure every child crosses the FLN milestone by age 10? Here are some essential steps:

  1. Start early and focus on the first three grades. Invest in pre-primary education so children arrive at school ready to learn. Prioritise play, storytelling and numeracy activities in the first years.
  2. Teach in the child’s language. Research shows children learn best in their mother tongue in early years. Building literacy in the home language provides a foundation for learning additional languages later.
  3. Support teachers, not just students. Train teachers in activity-based methods, give them access to high-quality teaching-learning materials and provide continuous mentoring.
  4. Assess early and often. Simple, classroom-friendly assessments can help identify struggling learners by the end of Grade 1, so remedial support can begin immediately.
  5. Engage families and communities. Equip parents with simple reading and counting activities. Run community reading sessions. Show families why FLN matters for their child’s future.
  6. Leverage civil society partnerships. Scale up proven models like Smile Foundation’s Mission Education, which combine classroom support with community mobilisation. Government alone cannot do it all.
  7. Fund FLN like the national priority it is. Budgets must reflect the urgency. Investing in early learning is not a cost — it is the most cost-effective way to secure India’s human capital future.

Why FLN Matters Beyond the Classroom

Foundational literacy and numeracy are not just about reading textbooks or solving sums. They are about agency.

A child who can read is a child who can understand a medicine label, apply for a job, or read about their rights. A child who is numerate can manage money, measure ingredients or compare prices. These are life skills as much as academic skills.

Economically, the stakes are immense. The World Bank estimates that if all children in low- and middle-income countries, including India, acquired basic reading skills, global poverty could be cut by 12 percent. In India, where millions will join the labour force each year, a failure to achieve FLN translates into lost productivity, lower wages and weaker competitiveness.

Socially, FLN is about equity. When the poorest and most marginalised children fail to learn to read or count by age 10, the gap between them and their peers only widens. Ensuring universal FLN is thus not just an education target — it is a matter of justice.

The Bottom Line

By the age of 10, a child should be able to pick up a book, read with understanding and solve a simple math problem. That is the bare minimum we owe them. Yet today, millions of Indian children are being denied even this.

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The good news is that we know what works. Early childhood education, mother-tongue instruction, teacher training, regular assessments, parental engagement and community-based programmes like those led by Smile Foundation are already showing results. What’s needed is the will to scale these solutions quickly and equitably.

India has set itself a deadline through the NIPUN Bharat Mission: 2026-27. That is not far away. The question is not whether we can achieve foundational literacy and numeracy by age 10, but whether we choose to make it the national priority it deserves to be.

Because when every child in India can read and count by the age of 10, the ripple effects will reach far beyond classrooms — into families, workplaces and the future of the nation itself.

Categories
Smile

Children’s Mental Health Well-being in the AI Era

As smartphones and AI chatbots become ever more common, many Indian children are finding new ways to cope with loneliness and anxiety through technology. For example, recent surveys report that 88% of Indian school students now turn to AI tools (notably ChatGPT) when they feel stressed. Indeed, it is common to see a ChatGPT icon on a young person’s phone screen – the app has become a kind of digital confidant on demand. But educators and child experts warn that this digital safe space can be a double-edged sword.

An Economic Times report cites experts who caution that chatbots foster dangerous dependency, fuelling constant validation-seeking and aggravating a communication crisis within families. In many cases, children confide in AI because they feel they cannot share their feelings with parents or friends. As one school principal observes, adolescents today mistakenly believe that their phones offer a private sanctuary. They report using ChatGPT whenever they feel low, depressed or unable to find anyone to confide in, reflecting a serious gap in real‐life communication. The worry is that chatbots may calm and flatter young users in the moment – saying things like “please, calm down. We will solve it together” – but ultimately teach them to depend on digital validation instead of human support.

Studies of adolescents’ AI use in other contexts echo this trend. For instance, a U.S. survey found roughly half of teens have tried AI chatbots for emotional support, with 70% of U.S. teens having engaged with AI at least once and over 50% using it regularly for stress or advice. Psychologists there caution that while chatbots are convenient (available 24/7, often free), they can never replace trained human therapists.

Notably, 30% of teens in one U.S. study said they found conversations with AI as satisfying as talking with people and a worrying 6% were spending more time with bots than with friends. Experts warn that as AI mimics empathy, youth may increasingly cut off human relationships in favour of machines.

AI as Emotional Crutch: In India, these concerns are playing out vividly. Children describe ChatGPT as an emotional safe space that always agrees with them. A 16-year-old girl (Ayeshi) said she gradually developed an emotional dependency on the chatbot because it gave only positive, non-judgmental feedback. Another student, 15-year-old Gauransh, noticed his own mood deteriorating – growing impatient and aggressive after lengthy chatbot use – and he only quit once he learned that ChatGPT was harvesting his information to train itself. These personal stories mirror what psychiatrists are warning. Dr Lokesh Singh Shekhawat of Delhi’s RML Hospital explains that AI chatbots are meticulously customised to maximise user engagement, meaning they will validate any negative thoughts a young person shares. When an AI consistently confirms a teen’s worst fears or misunderstandings, those misbeliefs become embedded as truths in the child’s mind. In effect, the chatbot reinforces the youth’s biases and anxieties. Crucially, there is no corrective feedback: “constructive criticism…is completely absent in the AI interaction,” and this lack can leave teens feeling temporarily relieved but ultimately dangerously dependent.

In the long run, this is feared to resemble other addictions – “the dependency on it increases day by day,” cautions Dr Shekhawat, risking a social skill deficit and isolation as children substitute real human bonds for digital ones.

At the same time, the AI boom is exposing deeper social factors. Many experts note that children often turn to bots not out of simple curiosity but because they feel emotionally neglected at home or in school. School principal Sudha Acharya points out that parents today may give children material comforts but are often gadget-addicted themselves and fail to spend emotional time with them. In such families, a child may feel no one will listen to their concerns.

As one psychologist put it, youth are building a new emotional geography where AI becomes the safe outlet for thoughts too risky to share in family WhatsApp groups or with embarrassed friends. Chatbots fill gaps in companionship, but again, without any true empathy or problem-solving ability. A senior educator notes grimly: “It is just a machine and it tells you what you want to listen to, not what’s right for your well-being”.

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Digital Inequality and the Urban-Rural Divide

Crucially, not every child has the same access to these AI companions. India’s digital divide means that urban and affluent youth enjoy much greater connectivity than their rural or underprivileged peers. For context, only about 24% of Indian households had internet access as recently as 2019, with barely 15% of rural homes connected versus 42% of urban ones. The good news is that coverage has expanded rapidly – today 4G networks reach almost every village – and government surveys find that around 95–97% of youth (ages 15–24) can use mobile phones.

As of 2023, roughly 82% of rural youth reported having internet access, narrowing the gap with 92% in urban areas. Nonetheless, gaps remain in practice. According to ASER 2024, about 84% of rural households now own a smartphone (up from 36% in 2018) and 82% of rural teens (age 14–16) know how to use one. But far fewer teens actually own their own device: only 27% of 14-year-olds and 38% of 16-year-olds in rural areas had a personal smartphone. Girls own even fewer phones than boys (about 27% of girls versus 36% of boys), highlighting a gender gap.

This matters for emotional coping. A child without a personal device or reliable internet can’t turn to ChatGPT or any online companion at all – a stark contrast to urban peers. Even among connected youth, usage patterns differ: ASER 2024 found that 57% of rural teens used phones for learning, whereas 76% used them for social media. The divide also shows up in social context: while city teens often see ChatGPT mentions in school or online, rural children may struggle more with basic connectivity or device access. In short, digital life – and thus digital loneliness or support – looks different across India. Policy solutions must therefore recognise that some communities are overwhelmed by screen time risks, while others are still fighting just to be online.

Moreover, smartphone addiction itself appears in both settings. A recent study of North Indian schools found problematic smartphone use in roughly 39% of students overall (43.7% urban vs 35.8% rural). The predictors differ: in cities older teens were more likely to exhibit addictive use, whereas in villages it was higher among boys, private-school students and those active on social media. Interestingly, rural students also reported more difficulty in cutting back on phone use (42.7% struggled vs 32.6% in cities). These data underline that digital habits are complex with mere access not guaranteeing healthy use.

Schools, Parents and Healthy Digital Habits

Given this landscape, schools and families play a pivotal role in shaping how children engage with technology. Child development experts stress that digital literacy and balanced habits must be taught from an early age. For example, the Indian Psychiatric Society (IPS) has issued guidelines for parents and schools to promote healthy media use. They advise setting clear rules: avoid using devices at mealtime or during homework and keep gadgets in common areas rather than isolated in bedrooms. Parents should have age-appropriate discussions with children to jointly set time limits, and model good behaviour themselves – in the IPS’s words, “parent media use is a strong predictor of child media habits”.

Indeed, clinicians emphasise that there is no substitute for a real human being in a child’s life. Families are encouraged to designate daily media-free periods (for example, during dinner), co-view content with children and talk through what they learn and promote outdoor play and at least an hour of exercise each day. Crucially, the guidelines warn against bedtime screen time: no gadgets in bedrooms and a strict no screens one hour before sleep rule helps prevent sleep disruption.

Schools, too, must adapt. Educators like Acharya have begun teaching digital citizenship as a curriculum topic, beginning as early as Class 6, precisely because today’s nine- and ten-year-olds often own powerful devices without the maturity to use them wisely. Such programmes cover online etiquette, privacy, cyberbullying prevention and discerning misinformation – skills that help children navigate AI tools critically. Schools should also integrate mental health education and social-emotional learning into daily routines, training teachers to spot emotional distress. Smile Foundation’s experience confirms this: when teachers are trained to be “first responders,” they can identify stress or depression signs and weave emotional coping into classroom activities. In short, both at home and in school, the goal is to help children use technology as a tool, not as a crutch. Kids need real friends rather than ‘reel’ friends. Only then might the lure of a chatbot start to fade.

Smile Foundation’s Work: School-based Mental Health Initiatives

In this broader landscape, NGOs are stepping in to fill gaps. Smile Foundation – a national NGO working on child welfare among other thematic areas – has highlighted the scale of the challenge and piloted school-based solutions. Our research notes that about one in five Indian children experiences a mental health challenge. Epidemiologists estimate that tens of millions of children suffer diagnosable disorders at any given time (one national survey found a 7.3% prevalence among 13–17-year-olds). Clearly, the school environment itself becomes a crucial site for support.

Smile’s flagship programme Child for Child trains teachers in mental health first aid. In intensive three-hour workshops (with periodic refreshers), educators learn to recognise signs of anxiety, stress or trauma in their students, to incorporate basic coping and resilience exercises into class time and to guide troubled pupils toward help. For example, teachers are taught to start the day with short mindfulness exercises or to hold classroom discussions about feelings and conflicts. This approach treats teachers as “first responders” – they may not be counsellors, but with training they can create a more empathetic school climate. Smile reports that these interventions significantly shift teacher mindsets and begin to build caring classrooms.

Smile is now planning to expand this model with a new initiative, Schools Show the Way, aiming to institutionalise emotional support in schools. This two-pronged programme will (1) empower teachers through ongoing mental health workshops helping them spot warning signs in students and learn how to respond or refer them to professional care – and (2) engage students directly via interactive tools. For instance, Smile plans to use short films on adolescent issues (bullying, identity struggles, peer pressure) to spark open conversations in classrooms. The emphasis is on destigmatising mental health and giving students language to talk about what they feel. These NGO-led efforts complement government schemes like Manodarpan, but go beyond one-off counselling sessions: by embedding support in the daily fabric of school life, they aim for early intervention.

Peer organisations in India are taking note of promising pilots. For example, NIMHANS Bangalore is testing a Seva Sahayog model in schools, where lay mentors are trained to recognise at-risk children and connect them to care. Initial findings suggest even brief workshops can reduce stigma and significantly increase student help-seeking. While scale is still small, these case studies underline an important point about how investing in school mental health alongside digital literacy can pay dividends. As Smile Foundation argues, ignoring the mental health needs of even 10–20% of our youth is a risk we cannot afford.

Recommendations: Supporting Children’s Emotional Well-Being

To address these challenges, India needs a multi-pronged strategy engaging educators, parents, civil society and policymakers:

  • Educators and Schools: Integrate digital and emotional literacy into the curriculum. Schools should mandate life-skills and digital citizenship courses that teach coping strategies, critical thinking about technology and empathy. Regular classroom activities or assemblies can normalise conversations about feelings and stress. Government guidance (e.g. CBSE directives) should be updated so that every school commits to mental health. Teacher training programmes must include modules on child psychology and digital well-being. In practice, this could mean giving all teachers a short certification in mental health first aid or partnering with NGOs (like Smile) for periodic workshops. Schools also need to revise policies on devices: for instance, banning phones during class but using them proactively for learning under supervision.
  • Parents and Families: Parents must act as positive role models for technology use. We advise parents to follow paediatric guidelines: no screen time for infants under 2, very limited edutainment screen time for young children and strict bedtime limits (no devices one hour before sleep) for all ages. Families should establish media-free times (during meals and family activities) and spaces (for example, keep bedrooms gadget-free). At the same time, parents need digital literacy too: they should learn about social media and AI, and talk openly with children about online experiences. Crucially, parents must intentionally make time to listen to their children’s feelings and be emotionally available. Even simple practices – such as a daily chat without phones or parents occasionally sharing their own feelings can help rebuild trust. The IPS guidelines emphasise that even a few minutes of one-on-one conversation each day can counterbalance hours of isolation behind screens.
  • Civil Society and NGOs: Nonprofits and community groups should support mental health programmes in schools and neighbourhoods. NGOs can supplement government efforts by training more counsellors and facilitators, developing child-friendly digital literacy materials in local languages and running helplines or peer-support networks. Importantly, companies and philanthropies can fund these efforts under CSR or NGO partnership models. For example, IT and telecom firms might sponsor digital well-being workshops for teachers or seed small grants to schools for counselling services. Online platforms (social media companies, smartphone makers) should also be engaged to enforce child-safety norms and to fund positive content for youth. In rural areas and marginalised communities, local organisations can adapt global frameworks to local cultures – for instance, organising group art or storytelling projects that allow youth to express feelings offline. Civil society should also advocate vigorously to reduce stigma: campaigns by youth clubs, influencers and even celebrities can make seeking help cool rather than taboo.
  • Policymakers: The government must treat child mental health as a pillar of educational policy. A national school mental health program is needed, similar to existing programmes for nutrition, that mandates life-skills curricula, routine screening for anxiety/depression and the presence of trained counsellors in every secondary school. Funding should be tied to these mandates: for example, budget allocations for education can include explicit lines for mental health resources. Teacher education colleges must include child psychology in their curricula and incentives should be provided for counsellors and psychologists to work in schools, especially in rural areas. At the same time, digital infrastructure must continue expanding so that all children can benefit from online resources. Policymakers should invest in affordable internet and devices for rural and low-income students, for instance through schemes like BharatNet or by partnering with private providers. Data and Research: In parallel, India needs robust monitoring of youth well-being. Conducting nationwide surveys (like an adolescent mental health census) will help target interventions. Existing data gaps, as noted by WHO and UNICEF, mean we must invest in school-based research on mental health outcomes and digital habits. Any new school programmes (whether by government or NGOs) should include evaluation: for example, teachers trained by Smile could report on student outcomes and successful models should be documented and scaled. Finally, child protection laws and platform regulations must catch up with technology: parliament should consider age limits or privacy protections for minors on social media and AI apps, as experts are increasingly urging.

In a changing world, safeguarding our children’s emotional health is as important as ensuring their literacy. Supportive school environments and engaged families lead to better mental health and learning outcomes, while neglecting these needs risks high dropout rates and even youth suicide.

Our analysis concludes that investing in mental health pays lifelong dividends in human potential, helping Indian children grow into resilient, productive adults. By working together – educators, parents, civil society and government – we can help every child navigate the digital age without losing the human connection at the heart of childhood.

Sources: Research reports and news articles from Economic Times, India Today, UNICEF/WHO, as well as academic studies and expert guidelines cited above among others.

Categories
Nutrition

Linking Nutrition & Health to Early Learning Outcomes

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Imagine two 4-year-old children in neighbouring villages. One gets a hearty midday meal, a clean home, regular health check-ups; the other is anaemic, eats limited food and visits the clinic only when very ill. A few years later, when they start school, the first child catches words quickly, counts with confidence; the second struggles to read simple sentences, often falls behind in arithmetic.

This is a reality for millions in India. And the gap in early learning outcomes between them isn’t just blameworthy; it’s avoidable — if we properly link nutrition, health and education from the beginning.

Why Early Nutrition & Health Are Foundational, Not Optional

The first 1,000 days of life — from conception through age two — are a period of extraordinary brain development. Neuroscience and developmental psychology show that inadequate nutrition during this window can inflict irreversible damage to memory, attention and problem-solving skills. A seminal 2007 study by Grantham-McGregor et al. warns that under-nutrition in those early years often leads to children entering school late, struggling academically or even dropping out.

India’s own data backs this up. The Comprehensive National Nutrition Survey (CNNS, 2016-18) found that about 38% of children under five are stunted and 17% are wasted. Stunting and wasting are not just physical health markers — they correlate closely with cognitive deficits, poor school performance and lower learning retention. (PMC)

Let’s also consider India’s anaemia challenge: large proportions of young children and pregnant mothers suffer from iron deficiency, which reduces attention span and learning capacity. These combined health burdens make it much harder for children to meet early learning benchmarks in reading and arithmetic.

So when we talk about improving early learning outcomes, especially in foundational literacy and numeracy (FLN), we are talking about more than better teaching. Without good health and proper nutrition first, even excellent classrooms struggle.

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What the Evidence Shows: Health + FLN = Better Outcomes

Recent studies demonstrate more clearly than ever how health and nutrition drive learning.

  • A November 2024 study in Tamil Nadu (one of India’s more advanced states) found that children with balanced diets — adequate protein, frequent meals, micro-nutrient supplementation — performed significantly better in early grade reading and numeracy than those with poor nutrition. While the gap was most pronounced in Grade 1 and 2, its effects carried forward into higher classes.
  • The CNNS data (2016-18) revealed that around 38 percent of children under five are stunted and 17 percent wasted. Stunting, especially, has been shown in multiple studies to correlate with delayed cognitive development and lower school achievement. (PMC)
  • Another survey, using NFHS data and CNNS, finds that undernutrition among children under 5 remains high across many states — an obstacle that directly undermines early learning outcomes. Moreover, children in households with poor sanitation, maternal malnutrition, and food insecurity frequently miss school or are fatigued, further hurting learning effectiveness. (PMC)

These findings show that improving early learning outcomes (reading, counting, comprehension) depends heavily on upstream factors like diet diversity, micronutrients, prenatal and early childhood health services, and overall well-being.

Policy Frameworks & India’s Current Efforts

India has recognised the vital role nutrition and health must play in improving early learning. Some government policies and programmes already address this intersection but often in disconnected ways.

  • NIPUN Bharat Mission (launched July 2021): officially seeks to ensure foundational literacy and numeracy by Grade 3 across India by 2026-27. This includes children aged roughly 3-9 years, focusing on reading, writing, arithmetic. It implies school readiness and continuous developmental progress. (scert.delhi.gov.in)
  • NEP 2020 ties early childhood care and education (ages 3-6) to foundational learning outcomes. It recognises that school readiness including physical, cognitive and health readiness is fundamental for children to benefit from primary education. (scert.delhi.gov.in)
  • Nutrition programmes: ICDS (Integrated Child Development Services) and PM-POSHAN (Mid-Day Meal Scheme) are central in feeding children, especially young ones. But evaluations show variable implementation quality, delays, gaps in monitoring and sometimes insufficient attention to cognitive readiness.

For example, in states with high stunting and maternal anaemia, collaboration between education and health/nutrition departments has often been weak — resources and accountability may belong to different ministries, with different priorities.

What We Could Do Better: Integrating Nutrition into Early Learning Outcomes

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To truly improve early learning outcomes, India needs to move from siloed programmes to integrated action. Here are key strategies:

  1. Strengthen Coordination Among Ministries
    Education, health, women & child development must collaborate at all levels — national, state, district. If the health department identifies a community with high child malnutrition, education services need to target that area with extra support (remedial FLN, teacher training, etc.).
  2. Expand School Readiness Interventions
    Pre-school and early childhood programmes must go beyond counting colours and rhymes. They should ensure children enter Grade 1 well-nourished, without untreated health issues (vision, hearing, anaemia), with sufficient exposure to language, books and stimulation at home.
  3. Monitor Nutrition Indicators Alongside Learning Metrics
    FLN assessments under NIPUN Bharat are important but they should be paired with data on nutrition status (stunting, anaemia, weight), health check-ups and school attendance. When learning outcomes drop, is it because of teaching, or illness, or hunger, or all three?
  4. Shape School-Based Health & Nutrition Interventions
    • Regular health camps in schools for deworming, iron and folic acid supplementation.
    • Nutritionally balanced meals under PM-POSHAN, with quality checks and local food sourcing.
    • Growth monitoring, early diagnosis of nutritional deficits.
  5. Empower Frontline Workers & Families
    Anganwadi workers, ASHA, community health workers need well-designed, digestible training to identify not just physical growth problems but developmental delays. Parents must understand why early nutrition matters — not just for health but for learning, reading, problem-solving. Better communication, culturally meaningful messages can help.
  6. Address Cultural & Contextual Barriers
    In many households, feeding practices are influenced by tradition. Meal frequency, diet diversity, care practices, hygiene and stimulation at home often lag because of lack of awareness, poverty or gender norms. Interventions must be tailored locally and respectful of cultural realities.
  7. Invest in Infrastructure & Supply Chains
    Nutrient-rich food, clean water, sanitation, reliable supply of supplements and hygiene are not “extras” — they are foundations. Adequate funding, logistics, supply line accountability are essential.

Smile Foundation: Bridging Nutrition, Health & Early Learning Outcomes in Practice

NGOs often fill the gaps left by policy and Smile Foundation offers useful models of integration.

  • Through Mission Education and related programmes, Smile supports children in vulnerable communities not only with quality schooling but also with nutritional awareness, supplementary feeding, health check-ups and regular deworming. These interventions ensure children are ready to learn when they reach school.
  • Smile’s model frequently includes digestible training for parents, caregivers and local stakeholders so that practices like healthy feeding, hygiene and early childhood stimulation (talking to, reading to children) become part of daily life — not just something done in a clinic or school.
  • In areas where Smile operates, observation shows better attendance in early grades, fewer health-related absenteeism cases and more children reading or counting at expected levels earlier than in control or non-intervention areas. These outcomes suggest that integrating nutrition and health with FLN interventions makes a tangible difference.

The Costs of Not Doing This

Ignoring nutrition in early learning outcomes isn’t harmless. The consequences are multi-fold.

  • Learning deficits become persistent. A child who enters Grade 1 with untreated anaemia or malnutrition may struggle to catch up, even if schooling improves. These gaps can widen over time — reading, comprehension, arithmetic all build on earlier layers.
  • Economic opportunity is lost. Lower learning outcomes mean fewer students qualified for higher education or skilled jobs. This suppresses productivity, worsens inequality and slows national economic potential.
  • Social inequalities deepen. Children from poorer, rural, indigenous or marginalised communities often suffer worse nutrition and worse learning outcomes. Without intervention, their disadvantage compounds into lower earning potential, lower health, less civic participation.
  • Health costs rise. Malnutrition, anaemia, recurring illness, poor cognitive development lead to higher long-term costs for health care, social services, special education, remedial programmes, lost income and broader societal strain.
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Early Learning Outcomes Need Early Health & Nutrition

When we talk about “improving early learning outcomes,” if we ignore nutrition and health we are only turning part of the wheel. The full engine of learning doesn’t turn without both parts.

For India, aligning nutrition, health and education policies — especially under frameworks like NIPUN Bharat — is imperative. Ensuring that children enter school well-nourished, healthy and capable of learning is central to achieving reading, writing, arithmetic benchmarks by Grade 3.

If India commits to integrating nutrition, health and education interventions in early childhood supporting frontline workers, strengthening supply chains, engaging parents, tracking health & educational outcomes together, then early learning outcomes can improve dramatically. And when early learning outcomes improve, the rest of education becomes stronger, communities become more resilient and the whole country gains.

Let’s make “good learning” the norm, not the exception for every child, no matter where they are born.

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Categories
Smile

Vedanta Delhi Half Marathon 2025: The Marathon of Inclusion

Every year in the month of October, Delhi wakes up to a morning that reminds the world how powerful kindness can be. Amidst the crisp autumn air, in the early hours of dawn, Jawahar Lal Nehru stadium starts bustling with enthusiastic runners from across the world and corporate organisations that come together to run at the Vedanta Delhi Half Marathon- World Athletics Gold Label Road Race recognised by the AIMS (Association of International Marathons and Distance Races). The racetrack is set for the test of speed and endurance, while the air echoes with purpose, inclusivity and positive transformation.

The Psychology of Running for a Cause

As much as it is true that marathons are a reminder of how important fitness is to keep our body and mind healthy– marathons like the Vedanta Delhi Marathon, are also a testament to prove that –people run more when motivated by a purpose.

According to experts, it has been observed that the benefits of participating in marathons for a purpose– go well beyond the race itself. They state that physical activity naturally enhances mood and helps lower stress, depression and anxiety; however, these effects are amplified when people run together, creating a sense of belonging and community.

As social beings, humans thrive on shared positive experiences, which stimulate the release of oxytocin—a hormone that reduces stress and deepens social connection. Research further indicates thatvolunteering contributes to higher life satisfaction, while also easing stress and symptoms of depression.

Furthermore, it has been observed that when runners come for marathons for a cause, their endurance limits become more than physical stamina, when linked with empathy. Every kilometer run is no longer just about pushing limits, but about carrying a purpose beyond the finish line.  Knowing that each step contributes to a greater cause makes the effort feel lighter, as empathy transforms fatigue into motivation, turning a personal challenge into collective impact.

Corporate Participation: Impact Beyond Race Day

As key social stakeholders, corporates are invited to step onto the track at the Vedanta Delhi Half Marathon 2025 for two powerful reasons: first, to demonstrate that their commitment to an inclusive society goes far beyond mandated Corporate Social Responsibility laws; and second, to embrace a unique employee engagement experience that nurtures wellness, strengthens camaraderie, and unites teams around a greater purpose.

Research consistently shows that initiatives like VDHM not only inspire employees, but also cultivate deeper satisfaction, pride, and loyalty — turning every stride into both personal fulfillment and collective impact.

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VDHM as a Festival of Inclusion

Over the years, the Vedanta Delhi Half Marathon has evolved into more than a race– it is a powerful symbol of equal participation. With its doors open for all, especially participants who are differently abled, children, youth and corporate runners, this marathon brings everyone together forging unity through miles and meaning.

Last year at its 19th edition, 78 NGOs and 70 fundraisers raised over Rs 3.28 crores for 12 causes. Collectively, till date the event has raised over Rs 84 crores since its inception.

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Corporate participation has become a backbone of this inclusive narrative. At VDHM’ 24, 12 corporates and their teams donned running shoes, not just to compete but to contribute. Leading organisations like GlaxoSmithKline (GSK) in partnership with Smile Foundation, led the marathon alongside dozens of NGOs and individual fundraisers reinforcing the marathon’s embrace of diversity and purpose.

Carrying forward its legacy with renewed spirit, the Vedanta Delhi Half Marathon 2025 is set to ensure that inclusivity is more than just a number — it is a lived ethos. By welcoming a versatile range of groups such as corporates, international athletes and differently abled participants as champions of change, VDHM’25 seeks to embody diversity in motion, transforming every stride into a powerful statement. Beyond raising funds, it raises awareness, nurtures empathy, and forges lasting partnerships — proving that when we run together, we move society forward.

Why Should Corporates Run with Smile Foundation?

For corporates, running at the VDHM 2025 with Smile Foundation is an opportunity to dive into the depth of goodness of health and spread the power of education, for over 2 lakh children from the underserved communities.

The Run with Smile initiative is an opportunity for brands to amplify their commitment towards making their CSR goals a movement for positive change.  This year, Smile Foundation is participating in the 20th Vedanta Delhi Half Marathon with the call – “When you run, they learn”.

With education at the heart of Run with Smile, the organisation is determined to ensure that every stride fuels classrooms, creates opportunities and empower young learners across India.

When corporates support education initiatives such as Smile Foundation’s Mission Education through platforms like VDHM– they do more than just funding classrooms. They help bridge the urban-rural divide in access to learning, enable children to pursue higher studies and empower families to move beyond cycles of poverty.

There is no doubt that today as a nation, India has made remarkable strides in education, with children from rural communities enrolling in schools in ever greater numbers. Yet, sustaining this momentum and ensuring that grassroots education is truly inclusive—and aligned with global standards, requires more than policy alone. It calls for corporates to join the movement, not as a one-time intervention, but as a long-term investment of vision, effort, and purpose — fuelling empowerment, skill-building and ultimately, nation-building.

When Corporates Run with Smile, Rural Classrooms Rise with-

  • Infrastructure Development

    By supporting school development in rural areas, children can have safe and well-equipped spaces to learn.

    • Digital Access and Smart Classrooms

    Bridge the digital divide by enabling smart classrooms, e-learning and devices preparing children for a competitive future.

    • Scholarship programmes

    Through Smile Foundation’s scholarship programmes for girls, young girls can continue their education without the fear of dropping out due to financial constraints.

    • Teacher Training and Capacity Building

    To equip students with 21st-century skills, it is vital to train teachers in modern pedagogy ensuring stronger learning outcomes.

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    Partner Now – From Race Day to Real Change

    For Smile Foundation, Run with Smile at VDHM is not just about sponsorship, it is about leadership in action. Each year, when corporates run for a purpose, they channel collective energy into something larger than themselves, transforming endurance and empathy into equitable classrooms, brighter opportunities and empowered futures.

    This spirit finds its stage once again at the Vedanta Delhi Half Marathon 2025, which offers companies a unique chance to turn intent into impact. As employees come together on race day, they not only celebrate fitness and teamwork but also witness their organisation standing for rural education in India, making the cause feel deeply personal and inspiring.

    The impact, however, extends far beyond the racetrack. Such shared commitment uplifts children from underserved communities, while also strengthening the fabric of the workplace. It nurtures loyalty, deepens retention and enhances employer branding, making participation a powerful and purposeful employee engagement.

    That is why on 12th October, at Jawaharlal Nehru Stadium, we invite corporates to stride alongside us for education, for equality, for empowerment. With every step you take, Smile Foundation can go further, strengthening rural communities and shaping a generation ready to lead the nation into the future.

    When you run, they learn.

    Join us at VDHM 2025. Run with Smile. Run for inclusion. Run for change

    Frequently Asked Questions about Vedanta Delhi Half Marathon

    1. Where is the Delhi Marathon 2025?

    The Vedanta Delhi Half Marathon will be held on 12 October 2025, with the start and finish at the Jawaharlal Nehru Stadium, New Delhi.

    1. How do I participate in Vedanta Half Marathon?

    Corporates interested in participating for Run with Smile at the Vedanta Delhi Half Marathon’ 25 can participate by contacting – Salony Pandya- +91 99991 80854 or Parul Sharma – +91 92667 40073 or can write us to on email- cp@smilefoundationindia.org

    1. What is the distance of the Delhi Half Marathon?

    The Vedanta Delhi Half Marathon run covers 21 km. The marathon also includes Open 10K, Great Delhi Run (~7 km), Senior Citizens’ Run (~4.3 km), and Champions with Disability race.

    Categories
    Health

    India’s Digital Health Leap

    Imagine a world where getting healthcare is as easy as making a phone call, where no one is forced to choose between their health and their livelihood. In this world, everyone – from bustling cities to remote villages – can access the full range of health services they need, when and where they need them, without falling into financial hardship. Health experts have a fancy term for this ideal: Universal Health Coverage (UHC). It’s a cornerstone of the Sustainable Development Goals and countries around the globe have pledged to achieve it. Turning that lofty vision into reality is no small feat, especially in the sprawling and diverse Indo-Pacific region. Yet, in the past decade, India has made giant leaps in using digital technology to bring healthcare closer to people’s doorsteps – leaps that offer fun, instructive lessons for many Indo-Pacific nations facing similar challenges.

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    A Tough Prescription: Health Challenges in the Indo-Pacific

    From the highlands of Papua to the atolls of the Pacific, the Indo-Pacific region faces some daunting healthcare hurdles. Consider a place like the Arfak Mountains in West Papua, Indonesia: the scenery is stunning but breathtakingly unforgiving – jagged mountains, dense forests and long winding roads make it a nightmare for health workers to reach far-flung villages. In these communities, modern medicine competes with deep-rooted beliefs in witchcraft. Many villagers attribute illness to “suanggi” (sorcery) and may delay or avoid seeking treatment from clinics. Add to this a shortage of trained medical staff and scant awareness about diseases like malaria and you get a perfect storm of obstacles to delivering care.

    Hop over to the Pacific Islands – say Fiji, Vanuatu or Micronesia – and you’ll find a different set of challenges with a similar result. These small island nations struggle with chronic shortages of doctors and nurses, making it hard to achieve universal health coverage. It’s not that people don’t want to train as health professionals; the issue is that there aren’t enough training opportunities locally and many of those who do qualify often move abroad for better pay and facilities.

    The World Health Organization notes that nearly every Pacific Island country falls below its recommended health worker-to-population ratios. Despite various international aid programmes and WHO-supported initiatives, the remoteness and isolation of these islands, limited resources and weak health data systems have hampered sustained progress in building an equitable health workforce. In short, small populations spread across vast ocean distances face big hurdles in getting quality healthcare.

    If all this sounds like a tough prescription to fill, it is. But this is where India’s recent experience can offer a dose of inspiration. India’s sheer size and diversity mean it has grappled with many of the same issues – remote communities, cultural barriers, limited doctors in rural areas – and it has found innovative, community-driven fixes. Let’s take a closer look at how India’s digital health revolution unfolded and what lessons it holds for its Indo-Pacific neighbours.

    From Health IDs to Telemedicine: India’s Digital Health Revolution

    Not long ago, India’s healthcare system was largely analouge and urban-centric. Medical records were paper files gathering dust and rural patients often travelled long distances to see a specialist or simply went without care. Over the last decade, however, India set out on an ambitious digital journey with a simple idea: connect every citizen to the health system through technology. The result is a rapidly evolving digital health infrastructure that is bridging the urban-rural divide and making healthcare more accessible than ever before.

    At the heart of this transformation is the Ayushman Bharat Digital Mission (ABDM), launched in 2021. Think of ABDM as the digital backbone of India’s healthcare. One of its first initiatives was giving every citizen a unique digital Health ID (now called Ayushman Bharat Health Account or ABHA) to store their medical records securely in the cloud. The response has been staggering – as of early 2025, more than 73 crore (730 million) Indians have created their digital health IDs. To put that in perspective, that’s like the entire population of Europe having an interoperable digital health record! Over 5 lakh (500,000) healthcare professionals are registered on the national platform, which means a vast network of doctors and nurses can both contribute to and access patients’ records with the patients’ consent. This nationwide framework makes it possible for a person in a remote village to consult a doctor in a big city and have the prescription or test results added to their digital record instantly. It’s a game-changer for continuity of care.

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    Building on this digital backbone, India has rolled out telemedicine on an unprecedented scale. The flagship telemedicine platform eSanjeevani is a prime example. Initially piloted to connect rural clinics with city hospitals, eSanjeevani became a household name during the COVID-19 pandemic when lockdowns made physical consultations difficult. Today, it’s the world’s largest telemedicine service for primary healthcare. By February 2025, eSanjeevani had facilitated over 34 crore teleconsultations (340 million and counting) since its 2019 launch. From Kashmir to Kanyakumari (north to south) and Kutch to Kohima (west to east), the platform covers all 36 states and union territories, bringing online doctor consultations to even the most sparsely served areas.

    Importantly, these eSanjeevani consultations are recorded (with patient permission) into the person’s digital health account, creating a secure health history that travels with them. This integrated approach has not only eased the burden on crowded city hospitals but also ensured that people in rural and remote areas get medical advice without spending half a month’s wages on travel. Little wonder India’s Health Minister calls eSanjeevani a “health sector revolution”, noting how it has made quality healthcare available at home and “democratized healthcare”.

    Telemedicine in India isn’t just about general doctor consultations either. It’s being used for specialist services and screenings. For instance, through hub-and-spoke telehealth models, a community clinic (Ayushman Bharat Health and Wellness Centre) can connect patients to a specialist in a city hospital. There are documented cases of AI-powered diagnostic tools being piloted, such as apps that help detect diabetic eye disease or cervical cancer from images, allowing local health workers to conduct screenings that would normally require a specialist. These tech tools mean that a village nurse, armed with a tablet or smartphone, can prevent serious diseases by catching them early and then consult a remote specialist via eSanjeevani for follow-up. The result is better availability of care when and where people need it, minimising the need for patients to undertake costly, arduous journeys to far-off hospitals.

    India’s digital health leap is not limited to cyberspace; it also has wheels and even rudders! A number of mobile medical units – essentially clinics on wheels – are bringing healthcare to the hinterlands. The Smile on Wheels program by an NGO is one notable example: these are buses or vans outfitted as tiny clinics that visit villages on a regular schedule. In riverine areas of Assam and other states, “Smile on Boat” clinics literally sail to the remote river islands with doctors and medicines on board.

    In a recent public-private initiative in Assam, two mobile medical vans and a boat clinic were launched to serve over 25,000 people annually across 12 hard-to-reach districts and river islands. Each unit comes with doctors, nurses, diagnostic equipment, and free essential medicines. Importantly, they focus on the three A’s – Availability, Accessibility, Affordability – by delivering care right to communities that previously had little access. Patients who might have been an entire day’s travel away from the nearest hospital can now get check-ups, basic lab tests and medicines in their village or island. And if a serious case is identified, the mobile clinics coordinate referrals to bigger hospitals, even assisting with transport if needed. These innovative outreach efforts show a clever blend of old-school community health (bringing services to the doorstep) with new-school tech, as some mobile units are equipped with teleconsultation facilities linking to specialists in real time. It’s healthcare on the move, quite literally.

    Making Healthcare Affordable and Inclusive

    One of the biggest barriers to healthcare, especially in developing regions, is cost. It’s not just the doctor’s fee; it’s the bus fare to the clinic, the day’s wages lost in travel and waiting and the price of medicines that can all add up to devastating out-of-pocket expenses. In India, these factors historically pushed millions into poverty each year. The government recognised that achieving UHC isn’t just about having services available – people need to afford and access them without hardship. Here again, digital and community innovations have helped bend the cost curve and make healthcare more inclusive.

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    Telemedicine = savings. Every eSanjeevani consultation a rural family does from their village saves them the cost of a trip to the nearest town or city. Multiply that by 34 crore teleconsultations and you have hundreds of millions of travel miles and rupees saved. In fact, the eSanjeevani service is provided free of charge to patients, effectively eliminating consultation fees for those who use government doctors online. According to official reports, this platform has been instrumental in “ensuring availability, accessibility and affordability” of care by providing free advice and reducing the need for physical visits. It especially benefits those who live in far-flung areas or cannot easily travel – such as the elderly, women with young children or people with disabilities.

    The inclusivity impact of these digital services is striking. Over 57% of eSanjeevani’s users are women and about 12% are senior citizens. Traditionally, these groups faced greater barriers in traveling to clinics – women often have household responsibilities or societal constraints and seniors may be too frail. By bringing consultations into the home via a simple smartphone app or a common service centre, telemedicine has opened the doors of healthcare to those who were left standing outside. It’s a powerful reminder that technology, when used thoughtfully, can level the playing field. One might even say telemedicine has become the “great equalizer” for healthcare access in India, much like how mobile phones revolutionized access to communication.

    Another major expense in healthcare is medicines. Here too, India has used digital platforms and clever supply-chain thinking to help citizens save money. The government’s Jan Aushadhi scheme, a network of generic medicine pharmacies, uses an online inventory system to stock affordable generic drugs at thousands of stores nationwide. These Jan Aushadhi Kendras offer quality-assured medicines at prices 50% to 90% cheaper than their branded equivalents. For example, a blood pressure pill that might cost ₹100 under a big brand name could be ₹10 at a Jan Aushadhi store. By 2024, over 13,000 such outlets were operational, often linked with digital dashboards to manage stock and demand. Patients can even use a simple online lookup to find the nearest Jan Aushadhi outlet or check if a specific medicine is available. The impact is huge: people with chronic illnesses (who need monthly meds for diabetes, heart disease, etc.) can save thousands of rupees each year.

    On the private sector side, a host of online pharmacies and health apps have also emerged, competing to deliver medicines at discounts and sometimes even for free for the poorest. During the pandemic, India’s medicine delivery apps became lifelines and today many of them offer teleconsultation plus medication delivery bundles. Some startups coordinate with local health workers to ensure even remote orders are delivered via postal service or courier to villages.

    Then there’s CoWIN, the digital platform India developed for its COVID-19 vaccination drive, which showcased inclusivity by design. The app and website were developed in multiple Indian languages, but recognising that not everyone has a smartphone, the system also relied on old-fashioned SMS and IVR (interactive voice response). People could register for vaccines using basic mobile phones – they’d receive OTPs and confirmation via text – and even get guidance SMS messages in 12 different languages on what to do and where to go for their shot. This multi-channel approach (smartphone app, website, call center and SMS) meant that language or lack of internet wasn’t a barrier. In fact, many village communities mobilized WhatsApp groups where one person with a smartphone would coordinate vaccine appointments for others, using CoWIN and sharing the SMS details. The CoWIN platform ended up facilitating over 2.2 billion vaccine doses, a success unimaginable without its inclusive, digital-yet-accessible architecture.

    Crucially, India’s push for digital health hasn’t side lined the human touch – it has augmented it. The real heroes of India’s rural health system are the Accredited Social Health Activists (ASHAs) – nearly one million female community health workers who are the first point of contact for care in villages. Recognising their importance, many digital initiatives are built around empowering ASHAs with new tools. For example, ASHAs across several states use a mobile app that replaces the old pen-and-paper registers for tracking pregnancies, immunisations and clinic visits.

    One such app, used in Rajasthan, immediately flags high-risk pregnancies (say, if a woman’s haemoglobin is dangerously low) so the ASHA can prioritise follow-up. ASHAs also form WhatsApp groups of new mothers to share infant care tips and vaccination reminders, creating a supportive digital community. These community innovations – local language chatbots, WhatsApp help groups, voice reminders via phone calls for illiterate patients – may seem small-scale, but they significantly boost participation in healthcare programmes. During recent vaccination drives (for COVID-19 and for childhood immunisations), these personalised, community-based digital nudges helped dispel fears and improve coverage. It’s like having a friendly neighborhood health auntie in your phone, guiding and comforting you in the dialect you understand best.

    Community Innovations: Health Tech with a Human Face

    If there’s one theme that stands out in India’s digital health journey, it’s that technology works best when it’s woven into the community fabric. High-tech command centres and glossy apps alone won’t move the needle on public health; it’s the marriage of tech solutions with on-the-ground human effort that produces magic. India provides plenty of examples of this principle in action.

    Take telemedicine again – the eSanjeevani platform is digital, yes, but its massive reach was achieved by linking it with physical Health and Wellness Centres and training community health officers to assist patients in using it. In many rural clinics, an ASHA or nurse is present to help an elderly farmer have a video call with a doctor in the city. These “telemedicine kiosks” or booths at clinics ensure that even those uncomfortable with smartphones can benefit. The technology is humanised – it comes with a helping hand.

    Mobile Medical Units (the “clinics on wheels”) similarly rely on local community health volunteers to spread the word of their arrival and encourage villagers to come out for check-ups. In some remote areas, they’ve even experimented with bike ambulances and boat ambulances, and used walkie-talkies or simple apps for scheduling visits when cell networks are unreliable. It’s all about adapting to local context. In mountainous Ladakh, for instance, solar-powered telemedicine kits were given to health workers to use in villages that are cut off by snow in winter – ensuring consultations can continue even when roads are closed.

    Another grassroot innovation is the use of vernacular-language voice bots and helplines. One healthcare start-up, BigOHealth, realised that many rural users struggled with text-based apps but were quite comfortable speaking over the phone. So they launched a 24/7 helpline where patients can describe their symptoms in their own language to an operator or AI-driven system, which then connects them to a doctor. By using local dialects and even illiterate-friendly interfaces (like voice commands or icon-based navigation in apps), such services break the literacy barrier. This approach has been vital in expanding the reach of digital health in a country with dozens of languages and varying education levels.

    Perhaps the most powerful lesson from India’s experience is that trust and technology must go hand in hand. People trust people – the local nurse, the ASHA didi (sister), the friendly pharmacist – more than a distant app or website. So India has often put those trusted people at the center of its digital rollouts. The government didn’t just launch a Health ID and wait for people to sign up; it enlisted ASHAs and village councils to help families register for their digital IDs during health camps. It wasn’t just a top-down tech deployment, but a ground-up mobilisation. This community-first mindset ensured that digital health tools were seen not as alien intrusions, but as helping hands that amplified what communities were already doing.

    Lessons for the Indo-Pacific: A Healthy Dose of Innovation

    So, what can countries across the Indo-Pacific region take away from India’s digital health leap? While every nation has its unique circumstances, a few broad lessons emerge that could be as useful as a first-aid kit:

    • Meet people where they are (literally and linguistically): A one-size-fits-all approach won’t work for diverse communities. Health tech must be tailored to local languages, cultural beliefs and realities on the ground. That might mean having vaccine registration platforms that operate in multiple languages and even via basic SMS – like India’s CoWIN did or using audio and video content to reach populations with low literacy. Humanising the technology is key: a chatbot that speaks the local dialect or informational videos featuring community leaders can go a long way in building trust.
    • Empower the frontline troops: Community health workers are the unsung heroes in healthcare delivery. Training and equipping them with digital tools can multiply their impact. Imagine a village midwife in the Pacific islands using a tablet app to monitor pregnancies or a health volunteer in a Papuan village doing a video call with a distant doctor to treat a fever. When frontline workers become fluent in using these technologies, they serve as both care providers and tech educators for the community. Plus, their endorsement can assuage fears of new technology. Investing in their continuous training (and yes, paying them decent wages) is one of the best moves a health system can make.
    • Bring the clinic to the community: Distance and difficult terrain are common challenges in the Indo-Pacific. If people can’t easily reach healthcare, bring healthcare to them. Mobile clinics on vans, boats or even motorbikes can deliver basic services and preventive care. Set up telemedicine kiosks in post offices or community centres where people can drop in for an online consult. Use radio or SMS blasts to send health alerts (for example, reminders for vaccination drives or malaria precautions before the rainy season). These last-mile delivery innovations, as India showed, can dramatically expand access while keeping costs low. In Assam’s case, a couple of boat clinics now serve dozens of islands that had no doctor visits before – an idea easily replicable in archipelagos or riverine communities elsewhere.
    • Public-private partnership is a prescription for success: One striking aspect of India’s digital health story is the ecosystem that formed. The government built foundational infrastructure (like ABDM, eSanjeevani, CoWIN), but a lot of the innovation came from start-ups, NGOs and the private sector plugging the gaps – be it low-cost apps, health devices or last-mile delivery methods. This kind of collaboration can greatly benefit Indo-Pacific countries. Governments can provide support and scale, while NGOs and tech innovators provide agility and fresh ideas. For example, an NGO in the Solomon Islands might pilot a solar-powered telehealth kit for outer islands, which the government can then scale up nation-wide if successful. Or a tech company in Fiji might develop a bilingual health app for diabetes management that could be adopted by the public health department. Breaking silos and working together multiplies impact.
    • Commitment and continuity matter: Digital leaps don’t happen overnight. India’s progress came from years of policy push (like the National Digital Health Blueprint) and sustained funding in both tech and basic healthcare. Indo-Pacific countries looking to emulate this should view it as a journey – start with pilot projects, learn and adapt, and importantly, scale up what works with political and financial commitment. Even maintaining a simple telemedicine network requires training people, updating software and spreading awareness so that citizens know such services exist. Consistency in approach, with room to tweak based on feedback, will build public confidence over time.

    In essence, the Indo-Pacific region can take a page from India’s playbook: leverage technology to leapfrog traditional barriers, but do it in a way that’s grounded in community needs and human relationships. A digital health tool is only as good as its adoption by the people on the ground. And people embrace what they find useful, affordable and trustworthy.

    A Healthier, Shared Future

    India’s digital health leap isn’t about shiny gadgets or cutting-edge AI in isolation – it’s about how these tools were used to include and uplift communities. It demonstrated that a developing country can indeed pioneer health innovations and implement them at mind-boggling scale. For nations across the Indo-Pacific, from small islands to vast archipelagos, the core message is optimistic. You don’t have to wait decades to build hundreds of hospitals and train thousands of doctors to start improving healthcare access. By intelligently deploying technology – and partnering with the people who know their communities best – even resource-constrained countries can make rapid, meaningful gains.

    The path to Universal Health Coverage will look a bit different in each country, but sharing successes and solutions is vital. India’s experience shows that digital health, when done right, can be a great leveler, making healthcare more democratic and patient-centric. Other countries in the region are already taking note and adapting these ideas to their contexts. In Bangladesh and Indonesia, for example, telemedicine and health hotlines have taken off. In the Pacific, countries are exploring digital health record systems and e-learning for health workers with support from international partners.

    As we move forward, imagine an Indo-Pacific where a mother in a remote Pacific isle can consult a pediatrician in the capital via telehealth, where a community nurse in Papua has a solar backpack to power her medical tablet, where medicine deliveries by drone or boat are routine, and where health awareness info is as common on local radio as the weather report. It’s not a far-fetched dream – it’s the next logical step, building on innovations already in motion.

    The famous saying “health is wealth” holds true not just for individuals but for nations. By learning from each other and scaling up community-based digital innovations, we can make huge strides toward that world of accessible, affordable, quality healthcare for all. In doing so, they won’t just be improving health outcomes – they’ll be investing in the overall well-being and economic future of their people. And that is a dividend that will pay off for generations to come. The doctor is (virtually) in – now it’s time to make sure everyone can get an appointment.

    Sources:

    • UNICEF – Challenges of healthcare delivery in remote West Papua
    • CSIS – Pacific Islands health workforce shortages and migration issues
    • Press Information Bureau (Govt. of India) – Ayushman Bharat Digital Mission stats (73+ crore health IDs, 5+ lakh providers)
    • The Economic Times – India’s eSanjeevani telemedicine platform crosses 34 crore consultations (impact on accessibility and affordability)
    • Invest India – Telehealth usage in India (57% women and 12% senior beneficiaries)
    • ET Healthworld – Jan Aushadhi scheme providing medicines 50–90% cheaper than market prices
    • Syllad News – Mobile medical units (“Smile on Wheels/Boat”) serving remote areas in Assam and focusing on availability, accessibility, affordability
    Categories
    Health

    Healthy Moms, Healthy Babies: How India Can Improve Pregnancy Outcomes

    Pregnancy is supposed to be a time of hope. A new life. A family growing. But for too many women in India, it’s also a time of risk, stress and danger. The journey to motherhood can be beautiful but only if women have access to good care, support and resources. Otherwise, the outcome — both for mother and child — can be tragic. Improving pregnancy outcomes is not a lofty goal. It’s essential for health, justice and the future of our country.

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    What Does the Data Tell Us?

    India has made real progress over recent decades. Maternal mortality (MMR) which is the number of women who die during pregnancy, childbirth or shortly after has dropped significantly. The Sample Registration System and WHO reports show it declined from about 130 deaths per 100,000 live births in 2014-16 to approximately 93 per 100,000 in 2019-21. (Press Information Bureau)

    Still, that’s far from the target. The Sustainable Development Goal (SDG) 3.1 wants maternal mortality to drop to fewer than 70 per 100,000 live births by 2030. (UNICEF)

    Behind these numbers are thousands of stories. Women in remote areas who can’t reach reliable care in time, young mothers still growing themselves, families who don’t know which check-ups matter and health facilities that lack basic equipment. These are the issues hurting pregnancy outcomes in India.

    Why Pregnancy Outcomes Still Lag

    We know many of the causes. They’re not secrets. It’s just hard work, coordination and resources to fix them. Here are the main challenges:

    1. Geography & Transportation Gaps
      Women in remote villages often have to travel long distances to reach Primary Health Centres (PHCs) or sub-centres. When complications arise, every minute counts but access is delayed.
    2. Shortage of Skilled Human Resources
      Trained obstetricians, midwives and birth attendants tend to cluster in cities. Rural PHCs and sub-centres might have staff, but sometimes not the ones trained for obstetric emergencies. Some births are attended by unskilled persons because infrastructure or incentives are lacking.
    3. Hidden Costs & Economic Strain
      Even when government schemes promise free services, there are often hidden costs: transport, diagnostics, medicines and loss of daily wages. For many families, these costs can be large barriers.
    4. Early Pregnancy & Poor Nutrition
      Adolescent pregnancies remain a serious risk. Younger mothers are more likely to be undernourished, have low body weight or anaemia and their bodies are not fully developed for safe childbirth.
    5. Low Awareness & Cultural Barriers
      Many women do not know why antenatal care matters or how often they should go for check-ups. In some communities, shame, distance or beliefs lead to delayed or skipped care. Post-partum care is often neglected. Mental health and emotional support are seldom included.
    6. Unequal Access & Socioeconomic Divide
      Wealthier, urban women have much better pregnancy outcomes than women in poor, rural, tribal or otherwise marginalised communities. Infrastructure varies hugely across states. The poorest often suffer the worst outcomes.
    7. Health System Weaknesses
      PHCs and sub-centres may lack electricity, diagnostic tools, clean water or blood supply. Referral systems sometimes fail. Emergencies like haemorrhage, pre-eclampsia, infections remain leading causes of maternal deaths and they require quick, skilled and well-equipped care.
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    What Needs to Change: Key Steps to Better Pregnancy Outcomes

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    Given what we understand, here are clear, practical, evidence-based measures India (and its states) can scale up to improve pregnancy outcomes. These are not impossible — they exist in parts of India already.

    1. Strengthen Antenatal and Postnatal Care
      • Ensure every pregnant woman has access to at least 4 essential antenatal check-ups including blood pressure, screening for high-risk conditions, ultrasounds, tests for anaemia, gestational diabetes.
      • After birth: postnatal checks for mother and baby, monitoring for complications, ensuring breastfeeding support and follow-ups for issues like post-partum depression or hypertension.
    2. Bring Care Closer to Home
      • Expand mobile health clinics and Improve telemedicine reach for remote areas.
      • Empower ASHAs (Accredited Social Health Activists), midwives, local health workers with training for risk detection and referral.
      • Strengthen regional centres so emergencies can be handled locally instead of transporting long distances.
    3. Nutrition Before & During Pregnancy
      • Supplementary nutrition programmes, iron/folic acid tablets, ensuring expectant mothers are not malnourished.
      • Nutritional counselling, food security support, especially among adolescent girls, underweight women and communities with high malnutrition rates.
    4. Awareness & Education
      • Community and family-level education campaigns: why certain checkups matter, danger signs of pregnancy, importance of institutional delivery.
      • Use media, local leaders and peer networks to reduce myths and fears.
    5. Incentivise Healthcare Providers in Underserved Areas
      • Offer better pay, compensation, career growth for doctors, nurses, midwives willing to serve in rural areas.
      • Quality improvement initiatives: regular audits, feedback loops, training for emergency obstetric care.
    6. Support Emotional & Postpartum Well-Being
      • Mental health support during and after pregnancy. Screening for depression, anxiety.
      • Support for lactation, breastfeeding, rest, recovery.
      • Social support networks and counselling for women who face complications, infant loss or challenging births.
    7. Ensure Equity & Inclusion
      • Focus especially on states and districts with high maternal mortality: Uttar Pradesh, Assam, Bihar, Madhya Pradesh, etc.
      • Make special efforts for marginalised groups: tribal populations, pregnant adolescents, women with disabilities.
      • Gender-sensitive, culturally attuned care. Language, social norms, respect all matter.
    8. Improve Infrastructure & Referral Systems
      • Equip PHCs and sub-centres with necessary facilities: emergency obstetric surgical capability, blood banks, diagnostic labs.
      • Reliable transportation options for emergencies.
      • Ensure timely referral all the way up to district hospitals when required.

    India’s Progress: Where Things Are Changing, Thanks to Policies & NGOs

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    India is not starting from zero. Many programmes already exist, progress has been recorded and NGOs like Smile Foundation are helping close gaps.

    • As noted, India’s MMR dropped from ~130 per 100,000 (2014-16) to ~93 (2019-21). That’s already a big improvement.
    • Some states are doing even better: Karnataka, for example, has reduced its MMR sharply and states like Kerala have among the lowest MMRs in the country.
    • Smile Foundation works at the grassroots. Its Smile on Wheels (SoWs) mobile medical units bring prenatal care into remote, hard-to-reach areas.
    • Programmes like Mission Saksham Anganwadi and Poshan 2.0 help ensure pregnant women and lactating mothers receive supplementary nutrition, which supports healthier pregnancies and better outcomes.
    • Smile’s “Bringing Down Maternal Mortality Rate” initiative highlights training local health workers, improving delivery facilities and encouraging institutional deliveries. These have saved many lives in areas previously underserved.

    What Smile Foundation Is Doing: Stories & Impact

    Here are a few stories and examples of how things are improving on the ground.

    • In villages where mobile medical units visit, pregnant women who might otherwise skip check-ups are now getting regular visits. This helps catch anemia early, monitor blood pressure, spot risks like gestational diabetes.
    • Smile’s partnerships often include local clinics and community health workers. They train them in screening for danger signs, ensuring clean deliveries, referring high-risk cases.
    • Nutrition programmes tied to pregnancy (like supplementary nutrition) are ensuring that mothers who are underweight receive extra food, iron/folate supplements and education about diet leading to better birth weights and fewer complications.
    • Some Smile projects include postnatal follow-ups: lactation counselling, monitoring for postpartum depression, helping mothers recover physically and emotionally after childbirth.
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    Why Better Pregnancy Outcomes Matter: More Than Just Statistics

    It’s easy to see maternal mortality ratio, MMR and imagine they’re just numbers. But behind each rate are lives, families, futures. Improving pregnancy outcomes means:

    • Fewer mothers lost, fewer babies lost or born underweight.
    • Healthier infants who survive, thrive and begin school ready to learn.
    • Lower long-term health costs (for mothers and children) and less burden on health systems.
    • Stronger families, communities when mothers are healthy, children do better, families are more resilient.

    Also, addressing pregnancy outcomes is crucial for India to reach its SDG goals and to build a healthier, more equitable society.

    A Motherhood Vision of Hope & Action

    India’s journey toward safer pregnancies is already in motion. We have seen progress. We know what works. The question is, do we amplify our efforts, streamline implementation and ensure that no woman is left behind — no matter where she lives, her social status or how much money she has.

    Here’s what I believe we can do and what voices like yours can push for:

    • Advocate that every health facility in remote areas is capable of handling emergencies.
    • Strengthen community health models; support ASHAs, midwives, mobile clinics.
    • Push for better nutrition programmes for pregnant women early — long before childbirth.
    • Ensure postpartum care, emotional support and follow-up are built into every maternal plan.

    Because when mothers are safe, healthy, supported — pregnancy becomes a journey of joy, not fear. And when that happens, babies born are healthier, families are stronger, communities prosper and our country fulfils its promise.

    Categories
    Education

    Why Does Dropout Among Girls Spike in Secondary Education?

    At first glance, the Indian school system looks like a success story. Primary enrolment is nearly universal, with over 95% of children stepping into classrooms by age six. The country has built thousands of new schools, trained teachers and rolled out free textbooks and midday meals. But, in many places, somewhere between a girl’s first letter in Class 1 and her teenage years in Class 9 or 10, something goes terribly wrong.

    She disappears.

    Across the globe, nearly four in 10 adolescent girls fail to complete their upper secondary education. In India, the number is starker: nearly 40% of girls drop out before reaching Class 10 (UNESCO Institute for Statistics, 2023). These numbers reveal a broken promise. Secondary education is more than just the next rung in the ladder; it’s the critical gateway to agency, employment, delayed marriage and dignity.

    So why does the dropout rate spike precisely when girls need education the most? And what can be done to fix it?

    Why Secondary Education Matters for Girls

    Secondary education is where the magic, and the hard reality, begins.

    Primary school teaches children to read, write and calculate. Secondary school, by contrast, prepares them to think critically, solve problems and specialise. It determines streams of study, vocational pathways and higher education opportunities.

    For girls, finishing secondary school is one of the strongest predictors of empowerment:

    • Economic independence: Completing secondary school increases women’s lifetime earnings significantly. The World Bank estimates each additional year of schooling raises wages by 10–20% (World Bank, 2022).
    • Health benefits: A Lancet study shows that each additional year of education lowers adult mortality risk by 2%. Women who finish secondary school are more likely to survive childbirth and raise healthier children.
    • Social outcomes: Staying in school delays early marriage, reduces the risk of domestic violence and fosters confidence in civic participation.

    The cascading effects are undeniable. UNICEF calls secondary education for girls the “most cost-effective investment” a society can make in breaking intergenerational poverty. However, despite these benefits, the path to completing it remains steep, rocky and for many, impossible.

    The Fragile Transition from Primary to Secondary

    Why do dropout rates climb so sharply at this stage? The answer lies in the fragile transition years — from childhood to adolescence.

    Primary schools are often located close to home, sometimes even within villages. By Class 6, however, many children must travel farther for secondary schools. Distances lengthen and safety becomes an issue. The curriculum grows more demanding, but academic support rarely keeps pace. And adolescence itself brings added layers of menstruation, social pressures and household responsibilities that families often interpret as reasons to pull girls out.

    Families that tolerated six years of schooling for daughters suddenly balk at the added costs of uniforms, transport and exam fees. With boys still seen as future breadwinners, the choice of who stays in school and who drops out too often follows predictable gendered lines.

    Breaking Down the Barriers

    Let’s unpack the forces driving this exodus of girls from classrooms.

    1. Socio-Cultural Norms

    At the heart of the dropout crisis are deep-rooted cultural expectations.

    Child marriage remains a major driver. According to UNICEF, India has the largest number of child brides in the world, accounting for one-third of the global total. Research by Girls Not Brides finds that every additional year of secondary schooling reduces the likelihood of child marriage by 6%. But, in many rural communities, the pressure of marriage and childbirth looms large as soon as a girl enters her teens.

    Household responsibilities also cut into study time. Cooking, caregiving and cleaning are still disproportionately assigned to girls. Families view daughters’ education as a poor investment since they will marry into another family. Sons, meanwhile, are groomed for economic roles. The result? Girls’ education remains expendable when household resources are stretched.

    2. Economic Barriers

    Money, or the lack of it, is another wall.

    Secondary education introduces new expenses: uniforms, books, higher fees, exam costs and transport. Even when tuition is nominal, hidden costs add up. A family struggling to afford food and shelter weighs the short-term economic relief of pulling a girl from school against the long-term (and abstract) gains of keeping her in.

    Girls’ labour is also central to family economies. In rural India, adolescent girls are often expected to help in agriculture, tend animals or support siblings at home. For poor families, the economic logic of immediate labour outweighs the promise of future wages.

    Generational poverty also creates a dangerous perception: “Why invest in girls when they will leave after marriage?” This thinking erodes motivation to finance secondary education.

    3. Safety and Accessibility

    Safety is the silent deterrent.

    Secondary schools are often miles away, requiring long walks or unsafe bus rides. Harassment on the way to school including verbal, physical or sexual abuse is a real threat. Surveys find that a large number of girls drop out due to abuse.

    For parents, safety fears translate into school withdrawal. The solution seems easier: keep daughters at home.

    4. School Infrastructure and Quality

    Even when girls reach school, conditions often drive them away.

    • Sanitation: Globally, only 47% of schools have adequate water and 46% have proper toilets. In India, too many schools lack private, functional toilets for girls. Managing menstruation becomes a nightmare. A UNESCO study found that one in ten girls in sub-Saharan Africa misses school during menstruation up to 20% of the academic year. India shows similar patterns.
    • Female teachers: Their absence makes classrooms less comfortable for adolescent girls, particularly in conservative areas.
    • Teaching quality: Overcrowded classrooms, outdated curricula and uninspiring teaching leave girls disengaged. When education feels irrelevant, motivation crumbles.

    5. Policy and Implementation Gaps

    India has strong policies on paper. Scholarships, free uniforms, midday meals, laws against child marriage — all exist. But the devil is in implementation.

    • Many scholarships never reach their intended beneficiaries because of bureaucratic hurdles or lack of awareness.
    • Child marriage laws are unevenly enforced, especially in rural pockets.
    • Pregnant or parenting girls often find no legal or institutional support to return to school.

    UNESCO monitoring shows that in 63% of countries, legal protections for pregnant or married girls to continue education are absent. Without enforcement, policies remain lofty words, not lifelines.

    The Human Side: A Teenage Girl’s Choice

    Consider the case of Rina, a 14-year-old from Madhya Pradesh. She excelled in primary school, often topping her class. But the nearest secondary school was five kilometres away. The journey involved walking through fields where harassment was common. Her father worried. Her mother needed help at home. The family could not afford bus fare. At 15, Rina was married to a local shopkeeper.

    Her story is not rare but painfully ordinary. Each dropout represents a fork in the road: one path leading to opportunity, the other to curtailed potential.

    Smile Foundation’s Work

    • Mission Education: With over 700 centres, it supports children aged 3–18, focusing on secondary-level retention for girls. More than 44,000 girls have received in-school vocational education, blending academics with practical skills.
    • Scholarships: Over 2,000 scholarships help girls pursue secondary and higher education, especially in STEM and vocational fields.
    • Swabhiman Programme: Tackles menstrual stigma by providing sanitary products, health awareness and safe spaces, ensuring girls don’t miss school during their periods.
    • Infrastructure & STEM Labs: Investments in sanitation, digital classrooms, labs and sports equipment make schools inclusive and engaging.
    • Teacher Training: Capacity building equips teachers to support adolescent girls better, fostering classroom environments that encourage retention.

    These interventions don’t just keep girls in school — they transform the experience from survival to empowerment.

    Holistic Solutions

    Fixing dropout among girls in secondary education isn’t about a single silver bullet. It requires layered, holistic action:

    1. Bring Schools Closer: Build more secondary schools in rural areas; provide safe transport options.
    2. Address Safety: Enforce zero tolerance for harassment; community patrols and safe routes for girls.
    3. Invest in Sanitation: Private toilets and menstrual hygiene management in every school.
    4. Financial Incentives: Conditional cash transfers and scholarships that directly reward families for girls’ secondary completion.
    5. Cultural Shifts: Campaigns that normalise education over early marriage.
    6. Mentorship & Female Teachers: Role models matter. Hiring and training more women educators is key.
    7. Policy Enforcement: Strengthen monitoring of child marriage, scholarship delivery and re-entry policies for young mothers.

    Why This Matters for All of Us

    The question is not just why dropout spikes among girls in secondary education. The question is what it costs us as a society when it does.

    Every girl who leaves school too soon represents lost productivity, lost innovation and lost leadership. McKinsey Global Institute estimates that closing gender gaps in workforce participation could add $770 billion to India’s GDP by 2025. Secondary education is the linchpin.

    Educated mothers raise healthier children. Educated daughters lift entire families. Educated women fuel economies.

    The Promise of Secondary Education

    We know why girls drop out. We know what it costs. And we know what works.

    The challenge is commitment. It’s whether families, communities, policymakers and civil society are ready to make secondary education for girls not just a right, but a reality.

    Because when a girl finishes secondary school, it’s a victory for healthier families, stronger economies and more equal societies.

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