Unlike last year during the first wave of the COVID-19 pandemic, the second wave witnessed the virus making inroads into rural areas of India as well. To discuss this and more, Yamini Aiyar (President and Chief Executive, CPR) speaks to Abhijit Chowdhury (Chief Advisor, Liver Foundation, West Bengal) in this episode of India Speak. Chowdhury discusses what the on-ground realities look like in rural India. He sheds light on how the health system in these areas can be prepared to respond to this unfolding crisis. Finally, he discusses what it will take to achieve universal vaccination for all adults in these areas, advocating for a community-based approach to both treatment and vaccination.