In a good share of the world public health policy making is about important stuff–not big gulps and sugary drinks, but real progress like sewers and toilets and a safe water supply. India is developing or developed country (in some areas), just like any 3rd world country, they have a way to go for much of their population.
http://www.newindianexpress.com/editorials/Building-Toilets-Key-to-Improving-Public-Health/2013/12/28/article1968656.ece