In 2015 UN had declared a set of all-encompassing and inclusive sustainable development goals 2030. The third goal deals with good health and well being. The health status of Kerala being different from the rest of the country, there was a need to reset the SDGs in the context of our state as part of which Mission Aardram was launched in February 2017. Aardram is one among the four missions under the ‘Nava Kerala Karmapadhai’ launched by the Government of Kerala to revamp the health system of the state by people friendly transformation of public health service delivery system. The main objective of the mission is to achieve the short and long term goals of the state in line with United Nations’ Sustainable Development Goals. One of the strategies of the Mission is to transform all Primary Health Centres to Family Health and Wellness Centres (FHC) by redefining the package of services offered and also improving quality. The transformed services aim to achieve universality (making services available to all irrespective of whether they approach institutions or not) and comprehensiveness (includes promotive, preventive, curative, rehabilitative and palliative services) thus addressing social determinants of health through intersectoral collaborations and community participation. The other missions are LIFE (Livelihood Inclusion and Financial Empowerment), Comprehensive public education rejuvenation (for universal education) and “Harithakeralam” (for water and food safety, sanitation and safe disposal of waste and sustainable development of water resources). These missions are indirectly related to the development of public health by catering to the various social determinants of health. The Chief Minister is the Chairman, Health Minister - Co-chairperson and Principal Secretary of Health & Family Welfare is the Chief Executive Officer of the Aardram Mission. The primary objectives of the Aardram mission are -