The healthcare system is a collection of people, institutions, and resources that provide healthcare services to fulfil the requirements of certain populations. Country spaces of emerging nations present specific difficulties for creating and carrying out successful reactions inferable from immature well-being framework, lopsided state limit with respect to disease control, and endemic neediness. In India, health is a state responsibility, and states use a three-tier system to divide their policies between rural and urban areas. The role of the Local Government in policymaking and strengthening the public health system is crucial. Local governments collect data and provide it to state agencies in order to develop policies to combat the spread of the coronavirus in provincial areas of their districts during the Covid 19 pandemic. The role of local self-government in affecting the outcomes of healthcare reform in rural India is examined in this research. This article will spotlight how local governments can prevent the virus from spreading into communities in the first and second waves of covid 19 on a broad scale. Secondary research is used in this paper’s discussion in the form of academic research papers, reports from international or national organisations, journals, newspaper articles, and interactions with officials. It looks at how local governments can help strengthen the public health system. Finally, we will offer some recommendations and causes for the deaths of a huge number of individuals in India during Covid-19, the second wave, as well as some safeguards that we should take before the third wave arrives.