Since 2014, India’s foreign policy has moved away from the caution and hesitations of earlier decades toward a more assertive form of strategic autonomy rooted both in restraint, and sovereign decision-making. In a fragmented global order, the Modi Government has consistently emphasized legitimacy, engagement, and balance over coercive intervention or externally imposed outcomes.
Not always does a country's foreign policy announce itself in neat doctrines. It reveals itself over time through choices made, lines not crossed, and methods and approaches that remain consistent even as circumstances shift. Since 2014, India's external engagement has taken shape in this manner. It does not rest on dramatic departures or rhetoric, nor does it seek attention through political drama. Its shape becomes visible when we place the Modi Government's conduct of foreign relations against the tendencies of the major actors and institutions of the international system.
One recurring feature of the present global environment has been the ease with which political systems are judged from the outside with little regard for internal context, and cast in a "We as Good" vs "Them as Evil" binary.
Here, there is an underlying assumption that models of governance can travel intact across societies, that internal processes can be accelerated or corrected through external involvement. The record of such efforts has been uneven at best. Institutional continuity suffers, and political legitimacy becomes contested in ways that are difficult to repair.
New Delhi has stayed clear of such impulses. Its engagement does not begin with an assessment of how another system ought to look. It begins with recognition of what exists. Foreign governments and other societies are dealt with as they are, not as they are expected to become. It is not an abdication of values. Prime Minister Modi attaches the highest importance to democratic functioning, but draws a distinction between preference and prescription. Where there is a space and willingness, for instance, in the Global South, the Modi Government has contributed to strengthening institutions through capacity building, developmental partnerships, and sharing India's indigenously developed tools for change. Where there is none, it does not attempt to force outcomes. The pace and direction of political change are left to domestic processes.

Strategic Autonomy and India’s Pragmatic Global Engagement

This posture also explains India's distance from the idea of externally driven regime change. Political transitions, when shaped from outside, tend to disturb continuity and endure instability more than they resolve conflicts and tensions. The absence of stable institutions in the aftermath (Be it Afghanistan, Iraq or Libya) has prolonged uncertainty. India's approach has been to work with continuity, even in difficult circumstances, and to avoid inserting itself into the internal political trajectory of other states.
A similar sensibility is visible in India's position on sanctions and the use of military force. The international system has, over time, accommodated measures that do not always rest on shared agreement. Economic restrictions and military actions have been employed in ways that show selective alignment, which benefits few, rather than collective endorsement, which would have benefited everyone, including the state upon which they are acted upon.
India under PM Modi has not aligned itself with these methods despite increasingly becoming stronger and having the capacity to do so. Its position has been to recognize only those sanctions or military actions that emerge from a multilateral process anchored in multilateral institutions like the United Nations. The reasons are two-fold. First, it is less about procedure and more about the structure of legitimacy. Second, when decisions carry the weight of collective approval, they are more likely to endure. India's own conduct has reflected this understanding. Its participation in UN peacekeeping missions has been sustained and substantial, operating within agreed mandates rather than independent frameworks. The emphasis remains on shared responsibility.
In conflicts, New Delhi has chosen engagement as a method. In a setting where confrontation narrows options, India has continued to maintain lines of communication. It has required patience, particularly in situations where immediate responses might appear more compelling. Yet, the preference has been to avoid closing channels that may later be required.
However, that preference has not meant an absence of response. When security concerns have demanded it, India has acted deliberately and in a contained manner. The effort has been to address the immediate concern without widening the scope of the situation. This calibrated use of response, alongside continued engagement, has allowed India to retain both flexibility and control over escalation. It is a balance that the Modi Government has maintained with commendable consistency, and that has been recognized by the strategic community worldwide.

Diplomacy Through Balance, Legitimacy, and National Interest

Two elements help explain why this approach has held its ground. The first is continuity in leadership. With Narendra Modi remaining at the helm over an extended period, there has been a steady reinforcement of these positions. What might otherwise have remained general preferences have been translated into practice. Over time, this has given India's foreign policy a more institutional character, where methods are repeated, refined, and absorbed into the system.
The second lies in the Modi Government's reading of prevailing approaches elsewhere. Many of the methods that dominate the current system (whether sanctions, selective interventions, or shifting alignments) do not operate on uniform principles. Their application varies depending on the actor, the context, and the balance of power at a given moment. And this selective use has reduced their credibility and effectiveness. India has kept its distance from such approaches, not out of hesitation, but because they introduce uncertainty into the system. A framework that is applied unevenly cannot provide a stable basis for India's long-term engagement with the world.
Therefore, India's foreign policy after 2014 has not attempted to reorder the international system but has preferred its natural evolution. It has worked within it to reform it with discipline, avoiding excesses, maintaining continuity, and setting limits where necessary. The emphasis has remained on consent for an enduring solution of the conflicts rather than on imposition; on engagement rather than isolation; on legitimacy rather than expediency.

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How India is changing the approach from reactive treatment to proactive detection
May 24, 2026

India’s health system is undergoing a stable and decisive transformation under Prime Minister Narendra Modi. For decades, the system was built largely around treatment after illness had already advanced.
Today, it is increasingly structured around prevention, early detection, and timely intervention. This shift matters because India’s heaviest disease burden such as Tuberculiosis, anaemia and other communicable and non communicable diseases , has always fallen on those least able to absorb it, that is, the poor, the undernourished, and those who reach care too late.
Through large-scale screening programmes, nutrition support, and more accessible treatment pathways, the government is ensuring that the disease is detected earlier, treated sooner, and prevented from becoming a greater social and economic burden.

Holistic approach to TB

In 2014, India accounted for more TB cases and deaths than any other country in the world, with an incidence rate of 237 per lakh, with an estimated 15 lakh patients missing entirely from the system. By 2024, that rate had fallen to 187 per lakh.
According to the WHO’s Global Tuberculosis Report 2025, this represents a 21% decline, the steepest among high-burden countries, and nearly double the global average reduction of 12%, with treatment coverage rising from 53% to 92% in the same decade.
What drove this was not only better medicines but mass detection. Under TB Mukt Bharat Abhiyan (2024), 20 crore people were screened, 28 lakh active TB patients were identified, and 9 lakh asymptomatic cases were found who were carrying the disease without knowing it, undetected and untreated. The act of finding them was itself a public health intervention.
This identification led to a better intervention. The BPaLM regimen further reduced drug-resistant TB treatment from 20 months to 6 months, with treatment success rates among MDR-TB patients reaching 87%, as documented in a 2025 Science Direct study on India’s TB Elimination Programme.
Yet the clinical evidence is emphatic about one point: medicines alone are not sufficient. A 2025 study published in PLOS Global Public Health by Cornell University found that TB patients carry a “metabolic scar” with disrupted metabolic patterns persisting after the infection clears and that nutritional care must be integral to TB management, not supplementary.
Under PM Modi’s initiative, Ni-Kshay Poshan Yojana operationalises this challenge directly. The government doubled the monthly nutritional support for TB patients from Rs. 500 to Rs. 1,000, disbursing nearly Rs. 4,500 crores to 1.38 crore patients through Direct Benefit Transfer since 2018.
These interventions resulted in over 46 thousand Gram Panchayats being certified TB-free, a community-level confirmation that a combined medical and nutritional approach is producing results beyond facility walls.

Anaemia

Anaemia presents a different scale of burden. NFHS-5 (2019-21) data show that 57% of women aged 15-49, 67% of children under five, 52.2% of pregnant women, and 59.1% of adolescent girls are anaemic.
Its consequences extend far beyond fatigue, presenting as developmental impairment in children, poor pregnancy outcomes, and long-term reductions in cognitive and physical productivity, which are all well-documented downstream effects.
To address this disease burden, the PM Modi government started the Anaemia Mukt Bharat (AMB) programme, which includes deworming and iron-folic acid (IFA) supplements as interventions. And under Pradhan Mantri Poshan Shakti Nirman, fortified rice has been mandated through the PDS, midday meal programmes, and ICDS.
This has shown a profound impact on anaemia reduction. A landmark study published in The Lancet Global Health, conducted across India, found that IFA supplementation cured approximately 85% of children with mild anaemia and 75% with moderate anaemia within 90 days, making combined IFA the most efficient single intervention for India’s profile.
Adding rice fortification addresses what supplementation programmes alone cannot reach, where populations that will not consistently attend health facilities.
A 2024 GiveWell meta-analysis in India, drawing on six controlled trials, found that iron-fortified rice reduced the prevalence of anaemia by 29%.
Together, these measures have shown that sustained intervention against anaemia, focusing on prevention, nutrition, and delivery systems that reach people before the condition becomes severe.

Screening: Prevention as Policy

Non-communicable diseases (NCD) share TB and anaemia’s central problem: they cause the most harm before producing symptoms. In 2025, the Ministry of Health launched an Intensified NCD Screening Campaign to achieve 100% coverage for all individuals aged 30 and above, delivered through nearly 1.85 lakh Ayushman Arogya Mandirs (AAM).
Cumulatively, more than 55.50 crore people have been screened for hypertension, and 48.5 for diabetes, 57.74 crore screened for oral cancer, breast cancer and cervical cancer in AAM reducing the burden of NCDs through early management, reaching nearly 90% of its target by the end of 2025.
Taken together, these initiatives show how, under Prime Minister Modi, India is becoming a healthier nation through a balanced mix of preventive, diagnostic, and curative solutions.
The significance lies not only in the scale of the programmes but also in the way they reach citizens at the community level and change health outcomes before disease becomes irreversible.
The same community infrastructure, through grassroots intervention by ASHA workers, Ayushman Arogya Mandirs, the Ni-Kshay platform, is simultaneously addressing TB, anaemia, and other chronic diseases.
This is the larger reform of the public health system, moving from isolated interventions to a more integrated model of care, steadily strengthening the nation’s health map.