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The Lancet Commission on a Citizen-Centred Health System for India, published in January 2026, analyses the progress towards achieving universal health coverage for the people of India and proposes six major reforms to realize this goal. Building off a large body of primary and secondary research, the Commission shifts the conventional narrative of the barriers to realising UHC in India: these are no longer driven by the lack of political will, underfunding, inadequate human resources and physical infrastructure, or low health-seeking behaviours; instead, uneven quality of care, inefficiencies in spending, fragmented delivery, inadequate design and implementation of financial protection programmes, and poor governance emerge as key challenges. The clarion call is for a publicly-financed and publicly-provided integrated citizen-centred healthcare delivery system as the primary vehicle for UHC, while shaping the private sector to leverage its strengths. Read the Commission here.
Look out for a forthcoming announcement of a long-term research and policy initiative, supported by the Lancet, to disseminate, implement, and document the reforms proposed by the Commission.
For more on our mission and guiding principles, please see the commentary below:
to view the Lancet commentary on a Citizen-Centred Health System for India
Co-chairs
Tarun Khanna
Jorge Paulo Lemann Professor, Harvard Business School; Director, The Lakshmi Mittal and Family South Asia Institute, Harvard University
Kiran Mazumdar-Shaw
Executive Chairperson, Biocon Ltd.
Vikram Patel
Pershing Square Professor of Global Health, Harvard Medical School; Professor, Harvard TH Chan School of Public Health; Co-founder, Sangath
Gagandeep Kang
Clinician Scientist and Professor in the Department of Gastrointestinal Sciences, Christian Medical College
Commissioners
Devi Shetty
Chairman, Narayana Hrudayalaya Limited
Nachiket Mor
Visiting Scientist, The Banyan Academy of Leadership in Mental Health
S V Subramanian
Professor of Population Health and Geography,Harvard University
Mirai Chatterjee
Director, Social Security Team, Self-Employed Women’s Association [SEWA]
Poonam Muttreja
Executive Director, Population Foundation of India
Sharad Sharma
Co-founder, iSPIRT Foundation
Yamini Aiyar
President and Chief Executive, Centre for Policy Research
Bhushan Patwardhan
Distinguished Professor, Savitribai Phule Pune University;
Arnab Mukherji
Professor of Public Policy, Center for Public Policy, IIM Bangalore
Thelma Narayan
Director, Academics & Policy Action, SOCHARA
Sapna Desai
Associate, Population Council
Leila E Caleb Varkey
Independent Public Health Researcher
Vijay Chandru
Professor, Interdisciplinary Research, Indian Institute of Science
Atul Gupta
Assistant Professor, Department of Health Care Management, Wharton School, University of Pennsylvania.
Sandhya Venkateswaran
Senior Fellow, Centre for Social and Economic Progress
Sandra Albert
Director, Indian Institute of Public Health Shillong and Professor of Public Health
Preethi John
Associate Professor and Deputy Director, UCL Global Business School for Health; Faculty of Population Health Sciences, UCL, London, UK
Dr. Rakhal Gaitonde
Professor of Public Health, Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Insititute of Medical Sciences and Technology, Thiruvananthapuram
Indu Bhushan
Chairperson, Partnership for Impact (P4i) and former CEO of National Health Authority
Lancet Handling Editor
Pamela Das
Senior Executive Editor, The Lancet
Project Team
Shubhangi Bhadada
Mittal Institute Fellow, Lakshmi Mittal and Family South Asia Institute, Harvard University
Anuska Kalita
Visiting Scientist and India Health System Specialist at the Harvard T.H. Chan School of Public Health
Kheya Melo Furtado
Associate Professor, Goa Institute of Management; Associate, The Lakshmi Mittal and Family South Asia Institute at Harvard University






