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India Must Build a Holistic Care System
Oct. 29, 2026

Context

  • India’s development over the past decade has focused on highways, metro networks, electrification and digital platforms.
  • However, the care economy remains an overlooked foundation of economic and social progress.
  • Childcare, eldercare and support for persons with disabilities are essential for human well-being, gender equality and economic participation.
  • As India pursues Viksit Bharat 2047, care must become an integral part of its development strategy.

The Importance of the Care Economy

  • Care as a Foundation of Economic Development
    • Care is a universal need that influences individuals’ opportunities and participation in society.
    • When formal services are unavailable, families, particularly women, bear the burden of unpaid care work, sacrificing employment, education and personal development.
    • Recognising care as social infrastructure would support productivity, employment and inclusive growth.
  • Women's Employment and Unpaid Care Work
    • According to the Periodic Labour Force Survey 2025, 44.4% of women outside the labour force cited childcare and homemaking as their primary reason for not working.
    • The Time Use Survey 2024 found that 41% of women aged 15–59 provided unpaid care, spending an average of 140 minutes daily.
    • Affordable care services can improve women's economic empowerment, increase workforce participation and strengthen household incomes.
  • The Growing Need for Care Services
    • Population ageing, urbanisation and changing family structures are increasing demand for organised care.
    • India needs accessible services for children, senior citizens and persons with disabilities, alongside support for families and caregivers.

India's Existing Care Framework

  • Government Programmes and Institutional Support
    • The Anganwadi network, Saksham Anganwadi and POSHAN 2.0 support early childhood development and nutrition.
    • Palna, under Mission Shakti, supports crèches, while Mission Vatsalya addresses child protection.
    • Social security provisions also support older persons and persons with disabilities.
  • Fragmentation Across Ministries
    • Care programmes operate across multiple Ministries without adequate coordination.
    • This creates service gaps, such as childcare facilities closing before factory shifts end.
    • India needs coordinated governance to connect existing initiatives and improve service delivery.

Four Major Gaps in India's Care Economy

  • Fragmentation of Policies and Programmes
    • Dispersed responsibilities create overlapping initiatives and inadequate coverage.
    • A unified framework should establish common standards, clarify institutional responsibilities and strengthen coordination between Union, State and local governments.
  • Inadequate Coverage of Care Services
    • The UNDP estimates that 9-10 million women in low-income urban households need childcare.
    • Additionally, 24% of older persons face limitations in daily activities.
    • Better data collection, service mapping and targeted investment are necessary to reach underserved communities.
  • Weak Recognition and Protection of Care Workers
    • Anganwadi workers, home-based caregivers and domestic workers frequently face inadequate remuneration and limited employment security.
    • Professional certification, decent working conditions, social protection and career pathways can recognise care as skilled work and improve service quality.
  • Insufficient Financing and Traditional Gender Norms
    • Care is often treated as welfare expenditure rather than productive investment.
    • The Economic Advisory Council to the Prime Minister (EAC-PM) has recommended statutory paid paternity leave in the private sector.
    • Shared caregiving responsibilities and adequate financing can strengthen gender equality.

International Experiences and Lessons for India

  • Colombia's 2025 National Care Policy coordinates 34 government entities.
  • Brazil's national care policy and plan establish inter-Ministerial mechanisms, while Nepal uses care mapping to develop pilot projects.
  • These examples demonstrate the importance of integrated governance, evidence-based planning and adequate financing.

The Way Forward

  • Establishing a National Caregiving Council
    • NITI Aayog's Reimagining Care: Strategies for Empowering Caregivers in Viksit Bharat@2047 proposes a National Caregiving Council to coordinate policies, establish standards and monitor implementation.
  • Developing a National Care Economy Mission
    • A proposed National Care Economy Mission, discussed at a national workshop in May 2026, could align financing, shared data and inter-Ministerial governance.
  • Preparing State-Level Care Roadmaps
    • States should map demographic trends, existing services and local needs.
    • Costed care roadmaps with clear responsibilities and measurable targets can address gaps in childcare, eldercare and disability support.
  • Strengthening Partnerships, Skills and Innovation
    • Government, civil society and businesses should collaborate to expand services, train care workers and support women-led childcare enterprises.
    • Digital information systems and professional training can improve accessibility and accountability.

Conclusion

  • India has several care-related programmes but needs a coherent, adequately financed and accountable care system.
  • Treating care as essential economic infrastructure can increase women's employment, create dignified jobs and improve household well-being.
  • Giving care the same importance as transport, electricity and digital connectivity is vital for inclusive growth, gender equality and sustainable development under Viksit Bharat 2047.

 

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