India’s public health landscape has seen marked improvement over the past decade, driven largely by government agencies implementing large-scale programs and policy reforms. With a population exceeding 1.43 billion in 2023, India allocates approximately 3.28% of GDP for health expenditure. The Ministry of Health & Family Welfare (MoHFW), in partnership with state health departments under schemes such as the National Health Mission (NHM), Ayushman Bharat, and the National Quality Assurance Standards (NQAS), has been central to advancing public wellness. For example, there are about 30,045 Primary Health Centres (PHCs) across India, providing basic preventative and curative services in rural and urban areas. Similarly, as of recent reports, 200 Health and Wellness Centres in 32 districts of Bihar have acquired NQAS certification, reflecting enhanced service quality in primary care settings. Another major public health effort, the Swachh Bharat Mission, led to more than 90 million toilets being constructed in rural areas to eliminate open defecation, significantly improving sanitation and reducing water-borne diseases. Disease surveillance has also been strengthened: over 90% of India’s districts report weekly disease surveillance data under the Integrated Disease Surveillance Programme (IDSP). Despite progress, challenges persist in equitable access, health infrastructure, and non-communicable disease burden. This analytical study examines the effectiveness of these government agencies in promoting health and wellness, identifies bottlenecks in delivery and monitoring, and offers policy recommendations—such as increasing per capita public health spending, improving manpower distribution, enhancing digital health integration, and strengthening community-based preventive care.