India is witnessing a significant demographic shift, with its senior citizen population growing rapidly. According to the Directorate General of Health Services, the number of people aged 60 and above is projected to rise from 103 million in 2011 to a staggering 319 million by 2050. This dramatic increase brings with it complex challenges around healthcare, financial security, and social inclusion. To address these needs, the government has rolled out a diverse set of welfare schemes that span pension support, medical care, employment opportunities, and assistive devices for the elderly.

Table of Contents

Atal Vayo Abhyuday Yojana (AVYAY): The umbrella scheme

Launched in April 2021 by the Ministry of Social Justice and Empowerment, the Atal Vayo Abhyuday Yojana (AVYAY) is a revised National Action Plan for Senior Citizens. It functions as an umbrella programme that brings together multiple sub-schemes aimed at protecting the health, dignity, and empowerment of the elderly. The vision behind AVYAY is to build a society where senior citizens live healthy, happy, dignified, and self-reliant lives supported by strong inter-generational bonds.

The scheme operates through several interconnected components, each addressing a specific aspect of elderly welfare. From establishing senior citizen homes to providing assistive devices and re-employment opportunities, AVYAY takes a holistic approach to ageing.

Integrated Programme for Senior Citizens (IPSrC)

The IPSrC component focuses on improving the quality of life for indigent senior citizens by providing shelter, food, medical care, and recreational opportunities. Under this initiative, financial assistance is given to eligible organisations and NGOs to run Senior Citizen Homes and Continuous Care Homes. According to a Press Information Bureau release, around 552 Senior Citizen Homes, 14 Continuous Care Homes, 19 Mobile Medicare Units, and 5 physiotherapy clinics have been supported across 361 districts, with nearly 1.5 lakh beneficiaries staying in these homes.

Rashtriya Vayoshri Yojana (RVY)

This component provides free physical aids and assisted living devices to senior citizens from economically weaker sections who suffer from age-related disabilities. The devices restore near-normal functioning for those facing issues like low vision, hearing impairment, loss of teeth, and loco-motor disabilities. The financial criteria specify that beneficiaries must either belong to the Below Poverty Line (BPL) category or have a monthly income not exceeding Rs. 15,000. Items distributed include walking sticks, wheelchairs, hearing aids, spectacles, artificial dentures, and tripods, helping seniors regain mobility and independence.

SACRED portal for re-employment

The Senior Able Citizens for Re-Employment in Dignity, commonly known as SACRED, is a unique online platform launched in 2021. It connects senior citizens aged 60 and above with potential employers, recognising that many elderly individuals possess valuable skills and experience that can contribute meaningfully to the workforce. The portal allows seniors to register their qualifications, work experience, and areas of interest, while employers can search for suitable candidates for part-time, full-time, or consultancy roles.

This initiative is particularly important because, while traditional retirement age has been fixed at 60 in most sectors, many seniors are physically and mentally capable of continuing to work. SACRED helps them stay engaged, financially active, and socially connected.

Other key components of AVYAY

Beyond the major components, AVYAY also includes the Elderline (National Helpline for Senior Citizens), a toll-free helpline accessible through the portal elderline.dosje.gov.in, which handles grievances and provides emotional support. The Seniorcare Ageing Growth Engine (SAGE) promotes the silver economy by supporting startups that develop products and services for the elderly. AGRASR Groups (Action Groups Aimed at Social Reconstruction) are Elderly Self Help Groups that encourage peer support and community engagement.

Healthcare initiatives for the elderly

Health concerns multiply with age, and the elderly often face chronic conditions, mobility issues, and mental health challenges. India has responded with dedicated programmes that integrate geriatric care into the public health system.

National Programme for Health Care of the Elderly (NPHCE)

Launched in 2010-11 by the Ministry of Health and Family Welfare, the NPHCE aligns with the National Policy on Older Persons (1999) and Section 20 of the Maintenance and Welfare of Parents and Senior Citizens Act, 2007. Its vision is to provide accessible, affordable, and high-quality long-term, comprehensive, and dedicated care services to the ageing population while promoting the concept of active and healthy ageing.

The programme operates through a multi-tiered structure that ensures continuity of care from the village level all the way to specialised tertiary hospitals.

Primary and secondary care

At the grassroots level, NPHCE integrates elderly care into existing Sub-Centres, Primary Health Centres (PHCs), and Community Health Centres (CHCs). Services include regular screening for common geriatric diseases like hypertension, diabetes, arthritis, and cataracts. Trained ASHA workers and ANMs conduct domiciliary visits for bedridden patients, while weekly geriatric clinics are organised at PHC and CHC levels. District hospitals are equipped with 10-bedded geriatric wards offering dedicated OPD services, laboratory investigations, and rehabilitation facilities.

Tertiary care services

For specialised treatment, the programme has established Regional Geriatric Centres (RGCs) at 19 medical colleges across 18 states, along with two National Centres for Ageing (NCAs): one at AIIMS, New Delhi, and another at Madras Medical College, Chennai. These centres offer advanced geriatric care, conduct research, train medical professionals, and run postgraduate courses in geriatric medicine. The tertiary component was renamed Rashtriya Varisht Jan Swasthya Yojana in 2016-17 to reflect its dedicated focus.

The programme has also supported the Longitudinal Ageing Study in India (LASI), conducted through the International Institute for Population Sciences (IIPS), Mumbai. The first wave of LASI covered all 30 states and 6 Union Territories with a sample of 72,250 older adults, providing comprehensive data on health, economic, and social aspects of ageing.

Convergence with Ayushman Bharat

Healthcare for the elderly is further strengthened through convergence with the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), which provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalisation. In 2024, the government extended Ayushman Bharat coverage to all citizens aged 70 and above, regardless of income status, marking a significant step in universal healthcare for the elderly.

Social security and financial schemes

Financial dependence in old age is one of the most pressing concerns for millions of Indians, particularly those without formal pensions or family support. Several schemes aim to provide income security to senior citizens.

Indira Gandhi National Old Age Pension Scheme (IGNOAPS)

Introduced in 1995 under the National Social Assistance Programme (NSAP) by the Ministry of Rural Development, IGNOAPS is a non-contributory pension scheme for elderly citizens living below the poverty line. The eligibility criteria are straightforward: applicants must be 60 years or older, belong to a BPL household, and have no regular source of income.

Under the scheme, beneficiaries aged 60 to 79 receive Rs. 200 per month from the central government, while those aged 80 and above receive Rs. 500 per month. Many state governments add their own contributions on top of the central amount, sometimes raising the total pension to Rs. 1,000 or more. For example, Maharashtra adds significant top-ups under the Shravanbal Seva State Pension Scheme.

While the central pension amount has been criticised as inadequate given rising costs of living, the scheme remains a critical lifeline for millions of destitute elderly individuals who would otherwise have no income at all. Applications can be made online through the UMANG portal or offline at local Social Welfare Departments and Gram Panchayats.

Atal Pension Yojana (APY)

The Atal Pension Yojana, launched in 2015, is a contributory pension scheme designed especially for workers in the unorganised sector. Any Indian citizen between the ages of 18 and 40 with a savings bank account can subscribe. Contributions are made monthly, quarterly, or half-yearly through auto-debit, and the amount depends on the age of joining and the chosen pension slab.

Upon turning 60, subscribers receive a guaranteed monthly pension ranging from Rs. 1,000 to Rs. 5,000, depending on their contributions. The pension is also extended to the spouse after the subscriber’s death, and the accumulated corpus is returned to the nominee thereafter. Crucially, the government guarantees the minimum pension; if actual returns fall short, the shortfall is funded by the government.

APY is particularly important because the vast majority of Indian workers are in the unorganised sector and lack access to formal retirement benefits like the EPF or NPS. This scheme attempts to bridge that gap by encouraging long-term savings habits.

Other financial schemes worth noting

Additional schemes complement these flagship initiatives. The Pradhan Mantri Vaya Vandana Yojana (PMVVY), operated by LIC, offered seniors aged 60 and above an assured return through monthly pensions, though new subscriptions closed in March 2023. The Senior Citizens Savings Scheme (SCSS), a post office savings scheme, provides one of the highest interest rates among small savings schemes for seniors. The Varishtha Pension Bima Yojana and bank-led Reverse Mortgage Schemes add further options for retirement security.

Challenges and the road ahead

Despite this extensive policy framework, gaps remain in implementation. According to a review published in the Annals of Geriatric Medicine and Research, challenges include inadequate awareness among beneficiaries, shortage of trained geriatric professionals, uneven coverage across states, and limited integration of home-based care. The pension amounts under IGNOAPS have not been revised since 2007 and fall well short of meeting basic needs given current inflation.

Strengthening these schemes will require not just higher financial allocations but also better last-mile delivery, simplified application processes, and greater community awareness. Civil society, family support, and digital tools like the SACRED portal and Elderline helpline will play crucial roles in making old age dignified and productive.

What do you think? Considering the rapid ageing of India’s population, do you believe the current pension amount under IGNOAPS is sufficient to meet the basic needs of elderly citizens? Should re-employment platforms like SACRED be more aggressively promoted to keep seniors economically and socially engaged?

How useful was this post?

Click on a star to rate it!

Average rating 4 / 5. Vote count: 1

No votes so far! Be the first to rate this post.

We are sorry that this post was not useful for you!

Let us improve this post!

Tell us how we can improve this post?

References
  1. https://dghs.mohfw.gov.in/national-programme-for-the-health-care-of-the-elderly.php
  2. https://socialjustice.gov.in/schemes/43
  3. https://www.pib.gov.in/PressReleaseIframePage.aspx?PRID=1938996
  4. https://www.pib.gov.in/Pressreleaseshare.aspx?PRID=1759640
  5. https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=1046&lid=605
  6. https://pmc.ncbi.nlm.nih.gov/articles/PMC9535372/
  7. https://nsap.nic.in/
  8. https://financialservices.gov.in/beta/en/atal-pension-yojna

Comments

Leave a Reply

Your email address will not be published. Required fields are marked *

Social Groups and Family Health

1 Gender and Sex

  1. Contextualizing Sex and Gender
  2. The Sex-Gender System
  3. The Many Roles of Gender
  4. Some Criticisms of the Sex-Gender Binary
  5. The Paradox of Gender

2 Gender and Health

  1. Health: Concept and Indicators
  2. Gender and Health
  3. Determinants of Physical Health and Well-being
  4. The Reproductive Health of Women

3 Disability and Divyang

  1. Concept of Health and Disability
  2. International Classification of Functioning, Disability, and Health (ICF)
  3. Disabled Population
  4. Factors Contributing to Health Inequalities

4 Health issues of Tribal Population

  1. Tribal Population and Why Tribal Health Matters
  2. Tribal’s and Disease Burden
  3. Tribal Health and Present Scenario
  4. Opportunities and the Way Forward for Tribal’s
  5. Innovation Interventions to Improve Tribal’s Health

5 Ageing and Society

  1. Elderly and Society
  2. Ageing: Concepts and Constructs
  3. Theories of Aged Persons
  4. Perspectives of Ageing in India
  5. Demographic Scenario of Elderly: World and India

6 Ageing and Health

  1. Concept of Ageing
  2. Different Types of Ageing
  3. Health Problems of the Elderly
  4. Changes that Occur with Ageing
  5. Elderly Abuse and Prevention

7 Welfare scheme for Old Age Population

  1. Concept of Old Age and Welfare Scheme
  2. Why Welfare Schemes for Old Age
  3. Data for Old Age Population
  4. Proportion of Old Age Population in Household
  5. Welfare Schemes for Old Age Population in India

8 Elderly in Digital world

  1. What is Digital Divide
  2. Digital Divide and Elderly
  3. Checklist: Ageing in The Digital Era
  4. Solutions to Digital Divide

9 Substance Abuse

  1. Substance Abuse: Meaning and Types
  2. Facts of Substance Abuse
  3. Effects of Substance Abuse
  4. Factors Contributing to Substance Abuse
  5. Substance Abuse and Mental Health Issues
  6. Substance Abuse Treatment
  7. Measures for Substance Abuse Prevention
  8. Government Schemes for Substance Abuse Prevention

10 Domestic Violence

  1. Theories on Domestic Violence
  2. Categories and Causes of Domestic Violence
  3. Impact of Domestic Violence
  4. Steps to Reduce Domestic Violence

11 HIV and AIDS

  1. Profile of HIV and AIDS
  2. Why is AIDS different from other diseases?
  3. Myths and Misconception related to transmission of HIV/AIDS
  4. The futility of discrimination against people living with HIV/AIDS
  5. Living positively with HIV/AIDS

12 Dietary Behaviour

  1. Meaning and Importance of Healthy Diet
  2. Nutritional Shift in India
  3. Harmful Eating Habits
  4. Ill Effects of Bad Eating Habits
  5. How to Control Bad Eating Habits

13 Internet and Social Media

  1. Internet: Meaning and Importance
  2. Social Media: Meaning, Types and Importance
  3. Problematic Use of Internet
  4. Negative Effect of Social Media Use
  5. Combating Negative Effects of Social Media

14 Primary Health Care Delivery System

  1. Primary Health Care: Concept and Components
  2. Structure of Primary Health Care System
  3. Functions of Primary Health Care Centres
  4. Deficiencies of Primary Health Care
  5. Suggestions for Development of Primary Health Care

15 Civil society and Health care

  1. Meaning and Role of Civil Society
  2. Civil Society Organizations and Health Care
  3. Scope of CSOs in Primary Health Care

16 Behavioural change communication in health care

  1. Behavioural Change Communication (BCC) in Health Care: Meaning and Benefits
  2. Channels of Behavioural Change Communication
  3. Strategies of Behavioural Change Communication
  4. Guidelines for Successful Behavioural Change Communication
  5. Barriers to Behavioural Change Communication in Primary Health Care

17 Inter-sectoral coordination in health care

  1. Coordination – Meaning and Related Concepts
  2. Intra and Inter-Sectoral Coordination (ISC)
  3. Guiding Principles for Inter-Sectoral Coordination
  4. Areas of Inter-Sectoral Coordination in Health
  5. Coordination Mechanism and Benefits of ISC
  6. Requisites for Effective Inter-Sectoral Coordination

18 Social status of women and health

  1. Women and Health Concepts
  2. Status of Women’s Health
  3. Determinants of Women’s Health
  4. Women’s Social Empowerment and Health
  5. Women’s Cultural Empowerment and Health
  6. Measures to be taken to Promote Women’s Health

19 Education and Health

  1. Health Education: Meaning, Significance and Need
  2. Principles of Health Education
  3. Content of Health Education
  4. Agencies of Health Education
  5. Communication in Health Education
  6. Strategies in Health Communication
  7. Case Studies in Health Education

20 Poverty and health

  1. Economy and Health
  2. Poverty and Health Linkages: Past and Present
  3. Challenges of Poor Health
  4. Poverty and Health Status in India

21 Health care of marginalized

  1. Marginalisation: An Overview
  2. Marginalisation and Marginalised Groups
  3. Marginalisation and Health Inequalities
  4. Factors Influencing Health Status of the Marginalised
  5. Measures to Improve Health Status of Marginal Groups