The Lancet Commission on a Citizen-Centred Health System for India

This Lancet Commission report outlines a comprehensive roadmap for transforming India’s health system into a citizen-centred model to achieve universal health coverage. Drawing on extensive research and stakeholder engagement, the authors argue that the main barriers to high-quality care are no longer limited to funding or infrastructure, but instead stem from fragmented service delivery, inefficiencies, and weak governance. The Commission proposes reforms centered on citizen engagement, strengthened public sector delivery, improved financing mechanisms, and integration of digital health systems. The report emphasizes equity, accountability, and community participation as essential to ensuring accessible, high-quality healthcare for all.