Covering for uncertainty; family as the complex adaptive system in times of polycrisis.

Development of a modern healthcare system largely utilising the limited relations model of the west needs an urgent revision . The strength of the Indian and other eastern civilizations has been the central place that family has always occupied in obtaining healthcare. In the emerging era of health polycrisis, nothing offers a more resilient counter to uncertainty than "family".

Development of Protocol for the Indian Council of Medical Research (ICMR) task force study to strengthen the implementation of National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) in tribal population.

Understanding the health culture of tribal community is important as health problems among tribal communities and their care is influenced by sociocultural factors, which will help in the implementation of health services. The conventional way of improving the access for the general populations may not suit the tribal populations owing to their distinct culture and owing to health systems factors as well. A stepwise process was followed for the development of a protocol to study to strengthen the implementation of National Programme for Prevention and Control of Non-Communicable Diseases.

Is the National Medical Commission aligning with discontinuity and transitory in times of uncertainty by making the science and art of family medicine redundant?

Policy decisions shape strategies which in turn influence the outcome. The expected outcome of medical education in India is to produce an MBBS graduate of first contact. Are we able to do so or are we failing in that and what are the reasons behind our failure Is it a failure on part of the regulatory body to align with the expected outcome using a continuity of approach or a willingness to accept transitory as the process to achieve the objective?

ChecKAP: A Checklist for Reporting a Knowledge, Attitude, and Practice (KAP) Study.

Introduction: The Knowledge, Attitudes, and Practices (KAP) model is a foundational tool in public health research. KAP surveys play a vital role in this process by gauging a population's current level of knowledge about a specific health issue. Rigorous evaluation is essential for ensuring the validity and reliability of KAP studies.

India's need to integrate its socio-cultural and scientific epistemology to position itself as a global leader.

Somewhat pitch-forked into a role it had been envisioning for itself for a long time now by the rapidly changing politico-administrative dynamics of the nations across the world and emerging and re-emerging crises limited not the least to wars and pandemics, India needs to leverage its strengths to deliver on the promise it has long held. But India's struggle to stem the outward flow of many of the brightest may just be one among the many factors that can play a spoilsport. The civilizational strength of India has been its cultural-scientific epistemology, strengthening the exploration of which will help it position itself as the global leader.

Measuring the Effect of (AB-PMJAY) on Health Expenditure among Poor Admitted in a Tertiary Care Hospital in the Northern State of India.

Background: - (AB-PMJAY) as a financial risk protection scheme intends to reduce catastrophic health expenditure (CHE), especially among poor. The current study was carried out to assess the utility of AB-PMJAY in terms of reduction in CHE from before and after admission in a tertiary hospital in the northern state of India.

Methodology: It was a hospital-based cross-sectional study carried out from August 2020 to October 2021 at a public tertiary hospital of Himachal Pradesh, India.

Globalization through global citizenship and right to migrate.

All human beings of the world should be equal in status and stature. However, in reality human beings are divided by citizen status of nation states that are members of the United Nations. The human development index differs from one nation to another.

Hypertension Prevalence, Awareness, Treatment, Control and Risk Factors in Tribal Population of India: a Multi-Centric Cross-Sectional Study.

The prevalence of hypertension is increasing in the tribal population of India. Lifestyle modifications, including dietary changes and acculturation, are the main reasons for the high prevalence of hypertension among the Indian indigenous (tribal) population. This paper reports hypertension prevalence, awareness, treatment, control and risk factors among tribes in five districts of different geographical zones of India.

Development, standardization, and contextualization of qualitative tools for possible use in the assessment and valuation of snakebite envenomation.

Background: Snakebite envenoming, a neglected tropical disease (NTD), is an important public health problem that is responsible for more than 1 lakh deaths annually across the world. However, the majority of the data in this regard is from health institutions and data from community settings are scarce. The aim of the current study was to develop valid and reliable qualitative tools for assessing the burden of snakebites and the health-seeking behavior of the community.

Do current concepts of One Health suffer from the physics envy.

The current models of One Health appear to be suffering from a elevated emphasis on a small area of interface involving humans, environment and animals. This may largely be because of an extension of our understanding of physical science to biological world, which, though is far more complexer.

Democracy, economics, or health-Time to look to the east for leadership.

While the capabilities of the low and middle-income countries (LMIC) have always been defined as "doubtful" to deal with public health crises of Covid pandemic magnitude, a flip-flop and incoherent response by the high-income countries (HIC) was unexpected. In the unprecedented moment of the pandemic, it is that we are beginning to find among ourselves, across the globe a search for stronger, resilient, scalable, and economy-efficient foundations in health systems that are capable of delivering healthcare to all. The apparently underperforming international health bodies have only increased this willingness of individual nations to look towards multilateralism as the foundational principle for not just the exchange of ideas but to deliver on these.

Is it "the conflict of interest" that is influencing our efforts on Climate change, tobacco control and primary care?

What seems to work against making climate change relevant, tobacco control necessary or primary care a felt need despite the efforts being claimed to the contrary? Emerging evidence points to a conflict of interest with academic institutions and academics fighting on both sides with clear support from the industry and others.

Need to involve relevant stakeholders -lessons from NFHS data.

Contextualizing data to their settings is perhaps the most important step in deriving a meaning from them. This is no less true for health data. The National Health Survey data are an excellent source of information; however, its strength may not be its contextualization.

"Vasudaiva kutumbakam-one earth, one family, one future: "- India's mantra for a healthy and prosperous earth as the G20 leader.

India is a civilization, not just a country, nation, or government. Taking over the leadership of G20 by India, at a time when the world is battling pandemics, war, energy and climate crisis, and resource restriction is not just appropriately suited politico-economically but socio-culturally as well. COVID-19 proved that the unbelievably diverse world was too complex to be packed into a utopian hold-all one size fits all ideas.

Sustainability, criticality, transition, fragility; pandemics, war, climate change and resource restriction - A recipe for the end.

The criticality of the system or processes is in the values that the system or process represents. The acceleration to transition point, to fragility and ruin is dependent on our acceptance of an understanding of criticality. Pandemics, wars or climate change; as diverse as situations can be, point to this lack of a collective understanding of criticality of real-world situations.

Risk of Childhood Obesity in Children With High Birth Weight in a Rural Cohort of Northern India.

Objective: To compare the risk of early childhood obesity (BMI z-score of ³+2SD) among children of more than 7 years of age with a birth weight of more than 3500 g to a birth weight of 2500-2999 g.

Methods: Retrospective birth cohort study among children of 7 to 10 years of age in 22 villages of Himachal Pradesh with not-exposed (birth weight: 2500 to 2999 g) and exposed (> 3500 g) group.

Results: A total of 379 and 377 participants were enrolled in not-exposed and exposed group, respectively.

Training in public health and community medicine without training of precautionary principles is incomplete.

What has been the learning is from the current pandemic. Besides the fact that it taught us the immense potential of pandemics to lead to ruin, it also taught us about our limitations in dealing with it.

Multi-sectoral implementation interface framework (MIIF) to achieve the objective of tobacco-free Himachal Pradesh.

The limitations observed in achieving the goal of a tobacco-free Himachal Pradesh have necessitated the need to contextualize the existing policy directives in tobacco reduction. Our observation has been that despite having clearly defined policy guidelines and laws, the implementation may not have followed suit. An analysis of the gaps observed had led us to develop an implementation interface framework involving stakeholders from multiple sectors.

A multinational Delphi consensus to end the COVID-19 public health threat.

Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic. Here we convened, as part of this Delphi study, a diverse, multidisciplinary panel of 386 academic, health, non-governmental organization, government and other experts in COVID-19 response from 112 countries and territories to recommend specific actions to end this persistent global threat to public health. The panel developed a set of 41 consensus statements and 57 recommendations to governments, health systems, industry and other key stakeholders across six domains: communication; health systems; vaccination; prevention; treatment and care; and inequities.