India has great potential to dramatically improve its health system performance and by doing so contribute to improved health outcomes. Some key constraints to use innovative approaches to health system strengthening are the knowledge of concerned government officers about how best to implement new approaches and adequate supporting systems in state, district, and local level governments Since 2005 several discussions on the issue of training and capacity building have taken place between the Ministry of Health and Family Welfare (MOHFW), and various stakeholders including the World Bank Institute (WBI) and the National Institute of Health and Family Welfare (NIHFW)

Under India's National Rural Health Mission there is ample scope for national, state, and local level programs. Currently, exposure of policy makers and implementers to best practices and innovative approaches in the area of health system policy and management is limited. Policy makers responsible for designing and implementing programs have little formal and strategic exposure to health management training and best practices for innovation in the sector.