Is health insurance a good model to ensure equitable access to quality health care? Is Mohalla clinic a viable way to strengthen primary health care? How have policies evolved to address core public health concerns of access, equity and quality? What has the shift from Health for All to Universal Health Coverage imply? M.A. Development students need to engage with these questions as they begin to contribute to the world of practice. This course deals with these questions by taking students through a landscape of health policies in India, as these have evolved historically. It examines the way in which policies are framed and translated into action in the context of a Health System. It allows students to appreciate why a health systems lens is important to engage with policy and programmatic responses to health concerns. Post-Alma Ata (1978) and the gradual adoption of a selective primary health care approach in India, there is a growing recognition that the focus needs to shift away from individual health programs to look at health systems as a whole. The course will help students engage with different health systems frameworks, critically examine how health policies and systems have evolved with shifting narratives of calls for Health for All to Universal Health Coverage- Health in All Policies and its implications in addressing existing and emerging health challenges. The course would introduce select health system strengthening efforts and experiments (both by state and non-state) to address some of the main challenges in health and health care.