Rewriting Health Narratives in Urban India

Executive Summary

This case study highlights a behavioral science-driven research project conducted for a health-tech company entering India with a precision health offering based on DNA and microbiome testing. Our mandate was clear: uncover consumer insights, design a go-to-market strategy, and outline the emotional and behavioral barriers that would shape product positioning, feature design, and communications.

Our approach combined:

  1. Qualitative depth interviews with high-income urban Indians
  2. Behavioral journey mapping for lifestyle disease management
  3. Narrative identity analysis to uncover deeper motivations
  4. Market sizing for the premium health segment in India

What we uncovered shaped not only the product roadmap—but the entire conversion architecture. Here's how we did it.

Life expands and contracts to accommodate your fitness levels.

Context & Challenge:

"My health graph is my life graph." – Male, 41, Bangalore

Urban India is experiencing a slow-burn epidemic: lifestyle diseases like obesity, PCOS, diabetes, and hypertension are increasingly common—but dangerously normalized. Health is rarely proactive; it becomes a focus only after a breakdown. And even then, people seek quick fixes rather than sustained change.

Our client—a genomics and microbiome testing company—sought to introduce a precision health platform that could help users make more personalized, preventive decisions using their biology.

But in early testing, we found something surprising. The term “DNA testing” triggered fear, not curiosity.x To most, it meant paternity disputes, crime investigations, or foreign tech.e Even among medical professionals, knowledge of genomics-based prevention was minimal. We weren’t just introducing a product. We were confronting cultural stigma, knowledge gaps, and identity beliefs around health.

Human Insights: Health Is Identity Work

We conducted in-depth interviews with high-income, urban Indians living with chronic conditions. What emerged was a recurring theme:

Health wasn’t seen as a routine—it was a reaction. A collapse. A wake-up call. Many participants described the onset of symptoms—not goals—as the start of their health journey.

“I didn’t feel right. I couldn’t focus. That’s when I got scared.”

For most, health was deeply emotional, tied to their performance and self-worth:

  1. Fitness = confidence (especially for men)
  2. Weight = guilt (especially for women)
  3. Routine = proof of control
  4. Illness = failure

We also uncovered a mental model:

“Life expands and contracts to accommodate your fitness levels.”

When people were unwell, they withdrew. They skipped social gatherings, dropped habits, avoided mirrors, and became invisible—even to themselves. This insight reframed our approach entirely. DNA was not a test.v It had to become a mirror. A narrative tool. A reason to believe.

Goal vs System

Intervention: Education Before Conversion

Given the novelty of genomics and gut microbiome testing, we realized that direct conversion would fail. We needed to first build comfort, understanding, and trust.

Our recommendation: design the funnel as a journey of education → personalization → transformation.

Key behaviourally driven shifts we proposed:

Challenge

DNA perceived as legal/criminal → Reframe as “body blueprint,” “personalized roadmap”

Health seen as reactive → Shift from goals (I want to run a marathon) to identity systems (I am a diabetic marathoner)

No habit formation scaffolds → Introduce coaches, daily rituals, and micro-habits

Cultural food & relapse cycles → Design for relapse resilience, not just discipline, we called this the Chhole Bhature Effect:

“I went from 90kgs to 73kgs. Then lockdown happened and my sister came down from Orissa. She makes very good Chhole Bhature. Now I am 84kgs.”

This wasn’t a failure—it was family cultural. So the product had to provide slack, people are human, they slip, the secret was in providing an opportunity to get back on track.

Outcome: Building a Product for Transformation, Not Just Data

Based on the insights, we designed a precision health ecosystem that paired diagnostics with:

  1. Trained health coachese
  2. Certified nutritionists
  3. Behavioral triggers
  4. Habit tracking and identity anchoringu

We embedded growth mindset principles:

  1. Reframed failure as learningm
  2. Built “Non-Zero Days” to reward consistencym
  3. Focused on emotional wins before biometric onesa

“When I saw my inflammation markers, it scared me. But when my coach said, ‘We can reverse this,’ it changed how I felt about myself.”r — Female, 36, Mumbai

This approach shifted user engagement from:

  1. Fear to flow
  2. Information to identityy
  3. Discipline to design
Nutrigenomics + Behavioural Science

Market Opportunity: India’s Premium Preventative Health Segment

This could not have been not have been a mass-market product, at least not yet. This is a solution for an affluent, urban segment ready to invest in longevity, performance, and personalization.

📈 Market Sizing: High-Income Indians with Lifestyle Conditions

Serviceable Affluent Market: ~3.7 million Estimated SOM (10% over 5 years): ~370,000 users Avg Annual Revenue per user: $1,000 Market Potential: $370M+

This market is growing. It is health-conscious, digitally native, and behaviorally primed. But it doesn’t need another app. It needs a system it can belong to.

What We Learned

This case demonstrated that:

  1. Behavioral barriers often outweigh technical ones
  2. Cultural associations can derail innovation
  3. People don’t buy tests—they buy transformation
  4. Conversion starts not with marketing—but with identity framing

We weren’t building a campaign. We were building a bridge between science and selfhood.

Final Word

If your product asks someone to change their life, you’re not designing for their biology. You’re designing for their belief system.

People don’t want to be fixed. They want to be understood.