Background Health workers are often faced with challenges in gaining acceptance on their health advice by members of the community. The primary reasons are preset mindsets and the resistance to change. Ability for behavioural modification of the target person/population is an important skill that every health worker must possess to be able to effectively communicate and bring a change in the wrong practices by the people/community. Objectives This study aims to: (1) identify the health conditions and unhealthy practices in communities in India, influenced by customs and traditions and (2) create a prototype of a game to enhance competencies of Health Workers for behavioural modification of communities to adopt healthy practices. Methods The research approach used for present study is quantitative research approach. An exploratory and descriptive survey design was used to identify the problem and pre-experimental research design used to design the prototype. Results The survey revealed people’s misconceptions for causes of diseases and the practices related to age-old customs and traditions. The main challenges faced by the health workers were resistance to change and non-acceptance of scientific reasoning. More than 60% of the respondents expressed confidence in their ability to increase knowledge and change the attitude and practices. More than 65% health workers had played computer games and were eager to be trained to develop competencies to bring a behavioural change in the community. Conclusion Based on the result analysis, a prototype of a game has been created which can further be used as a framework to train health workers after an exhaustive, exploratory, and multi-centric study.