Millennium Development Goal 4 (MDG4) of India targeted to diminish the under-five mortality rate (U-5MR) rate to 42 and infant mortality rate (IMR) to 27 per 1,000 live births by 2015-end. Although the country has gained some improvements in reducing U-5MR and IMR, it failed to achieve the target. Despite, the Government of India's promises to strengthen the health system, it is merely a rhetoric. Lacunae and challenges remain. Improved financial commitments, alongside increased access to medical supplies, new technologies and regular interventions must be enhanced. This signals fortifying increased access to low–cost interventions and transnational support and health programs that can save lives.