SDG 3

India’s Mental Health crisis: Challenges, Budget response, and the way ahead

India is facing a growing mental health crisis marked by a high burden of depression, anxiety, addiction, and suicides, with nearly 70–92% treatment gap and a severe shortage of professionals. The Union Budget 2026 has focused on institutional expansion, including a second campus of the National Institute of Mental Health and Neurosciences, upgradation of regional institutes, and continued support for digital services like Tele MANAS. However, mental health spending remains below 2% of the health budget, and challenges such as stigma, limited community-level services, workforce shortages, and rising youth and digital-age stress persist. Addressing the crisis requires greater funding, community-based care, preventive strategies, and stronger primary healthcare integration to ensure accessible and affordable mental health services for all.

Malaria elimination in India

India has made major progress toward malaria elimination under its National Framework for Malaria Elimination (2016–2030), with cases falling by around 80% between 2015 and 2023. Many districts have already reported zero indigenous cases, and the country has exited the WHO High Burden to High Impact group. The strategy now focuses on strong surveillance through the “Test, Treat and Track” approach, universal access to diagnosis and treatment, and intensified vector control.

However, challenges remain in the form of migration, urban malaria, hard-to-reach tribal and forested areas, and the persistence of Plasmodium vivax, which can relapse. Drug and insecticide resistance are also emerging concerns. India aims to achieve zero indigenous cases by 2027 and full elimination by 2030, but success will depend on accurate reporting, strong urban and community participation, and preventing re-establishment of transmission in malaria-free areas.