India is going through a significant demographic shift, and the percentage of older adults in the Indian population is increasing remarkably. This demographic shift presents unique public health challenges and requirements. This article underscores the multi-faceted and intricate challenges older adults face: non-communicable diseases, psychological health, cognitive decline, functional limitations, financial constraints, and social restrictions. In order to address these challenges, this article also critically evaluates the National Social Assistance Programme and other relevant schemes by the Government of India. In order to enhance the inclusiveness and effectiveness of the Government of India's existing schemes, this article proposes strategies such as revisiting the inclusion and exclusion criteria, simplifying the formalities, and reviewing/adjusting the financial assistance regularly.
Moreover, this article encourages a whole system approach, which embraces collaborative practices, incorporates multidisciplinary alliances, facilitates evidence-based medicine/policymaking, and advocates the balance between salutogenesis and pathogenesis. Furthermore, in order to comprehensively enhance the health and well-being of older adults in India, this article underlines the significance of collaborative research, a specialised workforce, age-friendly infrastructures, and community-based solid services.