Aravind Eye Care trained villagers into world-class clinical staff when hiring wasn't an option. Here's the talent-building playbook Indian leaders need right now.

Can't find trained people to hire? Build them yourself. In 1976, Dr. Govindappa Venkataswamy trained villagers with no medical background into the clinical staff who now run Aravind Eye Care. With NASSCOM-Deloitte projecting India needs 1.25 million AI professionals by 2027, hiring alone won't close that gap.
TL;DRWhen the market doesn't have enough trained people for a role, you have two options: keep competing for the same shrinking pool, or train people yourself. "Build instead of hire" means designing a structured, paid training path that turns willing, capable people without the exact skill into people who have it — on your timeline, in your culture. It's not a fallback for when hiring fails. Done right, it's a deliberate strategy, especially for skills where formal training pipelines haven't caught up with demand.
In 1976, Dr. Govindappa Venkataswamy — everyone called him Dr. V — opened an 11-bed eye clinic in a rented house in Madurai. He was around 58, freshly retired from government service, his fingers deformed by arthritis. Trained clinical staff simply weren't available to hire, so he recruited young women from nearby villages with school education and zero medical background, and trained them for two years, free, with food and housing included. It's the same instinct behind other servant-leadership stories I've written about — leaders who build people up instead of just extracting output from them.
| Factor | Build Talent In-House | Hire From the Market |
|---|---|---|
| Time to productivity | 3-24 months, depending on role complexity | Weeks, if the right candidate is found |
| Cost per role filled | Lower cash cost, higher time investment | Higher cash cost (salary premium, agency fees) |
| Culture fit | High — shaped from day one | Variable — depends on prior work culture |
| Attrition risk | Real, but mitigated by mission and loyalty | High in a competitive talent market |
| Best suited for | Roles with a teachable, systematic skill | Roles needing judgment built over years |
| Scalability | Scales with training capacity | Scales with market supply of skilled candidates |
This isn't a heritage-industry story — it's directly relevant to boardrooms today. NASSCOM and Deloitte project India will need 1.25 million AI professionals by 2027, and the formal education pipeline isn't producing that number of ready-to-deploy specialists. The same shortage shows up quieter in mid-management, specialised manufacturing roles, and service delivery. Companies waiting for the "perfect hire" to appear are competing for a shrinking pool and losing time. The Aravind model says: stop waiting, start training the people you can already find.
A practical build pipeline has four steps. First, define the exact skill gap, not just the job title. Second, recruit for aptitude and attitude over prior experience — trainability matters more than a resume line. Third, build a structured training path with a real timeline and a named owner, not ad-hoc mentorship. Fourth, create a growth track so people can advance within that role. Many of the leadership teams I train through leadership training programs in Pune are now building this exact pipeline instead of relying only on lateral hiring.
Build-not-buy works best where the skill can be taught systematically and where prior experience matters less than trainability — clinical support roles, technical operations, customer service, junior sales, and increasingly AI-adjacent execution roles. It works less well where judgment built over years of failure is the actual product, like senior strategy or crisis leadership. The honest question to ask before you commit: can this skill be taught in months, or does it genuinely take years of scar tissue?
The obvious risk is attrition — you invest two years in someone and a competitor hires them away in month three. Aravind's answer wasn't a bond or a penalty clause; it was a mission strong enough that people stayed. The second risk is quality drift without senior oversight during training. The third is impatience — leaders start a build program, don't see results in month two, and quietly go back to hiring only. Build-not-buy needs the same multi-year commitment you'd give any strategic bet.
Track time-to-productivity for trained hires versus lateral hires, not just headcount filled. Track retention at the 12- and 24-month marks — if trained people leave as fast as lateral hires, the program isn't working. And track whether trained employees are moving into more senior roles over time, which is the real signal the pipeline is compounding. If you want a structured way to build this into your own leadership bench, my signature leadership programs are built around exactly this kind of internal capability building.
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Avinash Chate TEDx Speaker · Founder, The Future Corporate · 11+ yrs experience Avinash has trained Indian Army, BRO, RBI, BARC, JSW Steel and 1000+ corporate leaders across India. His work focuses on leadership development, communication skills, and behavioural training rooted in Indian values and modern business needs. |
Usually yes in cash terms, but the real cost is time — training takes months before someone's fully productive, while an experienced hire, if you can find one, may be productive sooner. The trade-off pays off when the skill is genuinely scarce or expensive to hire for, which is increasingly true in India's tightest talent segments.
It depends entirely on the skill and the role. Aravind Eye Care trained clinical support staff over two years. Simpler operational or service roles can be productive in a few months with a structured program. The key isn't speed — it's having a real curriculum and a named owner, not an informal "shadow someone" approach.
Healthcare, manufacturing, IT services and BPO have all built large-scale internal training programs in India, often because market supply for a specific skill hasn't kept pace with demand. As AI and automation reshape roles faster than colleges can update curricula, more sectors are likely to follow the same build-first instinct.
Yes, and arguably it matters more for small businesses, who often can't win a bidding war for experienced hires anyway. A smaller, less formal training program, even just structured on-the-job mentorship with clear milestones, can build loyal, capable staff a small business genuinely couldn't otherwise afford to hire.
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