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The issues with adolescent health are not limited to just the structure of the policy — it extends to the structure of institutions as well.

Even as India achieved statistical elimination of leprosy at the national level in 2005, the target continues to be part of the country’s policy documents. But what is “elimination”, to begin with? The policy documents are unclear of its operational definition, of whether it is at the national level, the state level or the district level. Despite lack of clarity, the political leadership has not failed to indulge in the rhetoric of “lepro

Sub-Saharan Africa (SSA) constitutes 23.82 percent of the global disease burden but less than one percent of health expenditure.[1] The region has a severe shortage of trained medical personnel[2] and health delivery has low coverage. This brief outlines the most crucial challenges facing SSA’s healthcare system, and describes the footprint of Indian health companies in the region, especially in the context of the failure of the public sector t

Adapting health interventions to the social, economic, political, ecological, and cultural contexts of local communities increases trust and acceptability for policies and programmes. Locally led initiatives entrust local stakeholders with providing insights into grassroots-level realities and community-sensitive approaches. Global and country-wide evidence also highlights that granting authority and accountability to local stakeholders improves

This paper presents a bibliometric analysis of the literature on private health aid and official health assistance between 2000 and 2022. It provides an overview of the sites and themes in the literature pertaining to development assistance in health, and collates the significant policy recommendations presented therein. Several crucial findings emerge from the bibliometric analysis: 44.2 percent of the 489 papers/articles assessed focused on low

How can access, equity, equality, and technology shape maternal health in India and South Africa?

Task Force 6: Accelerating SDGs: Exploring New Pathways to the 2030 Agenda

Goals 4 and 5 of the United Nations Millennium Development Goals (MDGs) focused a great deal on maternal and child health, which has now been carried forward to the Sustainable Development Goals (SDGs). While India made significant strides in reducing maternal and child mortality, the country did not succeed in achieving its health goals. This paper makes an assessment of the current state of Reproductive, Maternal, Newborn and Child health (RMNC

The growing concern for mental health has only heightened in the past two years, amidst the prolonged COVID-19 pandemic. This brief tells the story of Africa where, in many communities, the subject of mental health can often be a taboo. It discusses the role of the internet in helping individuals manage their mental health issues, while at the same time, posing its own challenges, especially those related to extensive use of social media.

The reforms in Myanmar took yet another symbolic step in the past few weeks with Aung San Suu Kyi, the leader of the National League for Democracy (NLD) and the nation's crusader for democracy, set foot for the first time outside the country in over 24 years.

Countries like India are in the phase of a transition where the public policy challenges presented by overnutrition are in addition to those posed by undernutrition, instead of replacing traditional challenges of undernutrition.

The coming together of cognitive computing, digital devices with capabilities to touch, feel, smell and hear and super-speed Internet is poised to transform telemedicine.

In partnership with the Forum of Federations (FoF), Canada, Observer Research Foundation intends to study various decentralized approaches to Health Care delivery and draw inspiration for an ideal Indian model.This programme aims to provide the Government of Gujarat and other interested parties an ideal model of decentralized delivery of Health Care in India drawing from experiences in India as well as countries such as Brazil, Mexico, Spain, Can

In May 2016, the Health Secretaries of the States and Union Territories of India gathered in the capital and issued “The Delhi Commitment on Sustainable Development Goals for Health”. Among others, the document acknowledged the need to invest in health data collection, analysis and research so that these can properly inform government policies and strategies necessary to address the various challenges facing India’s healthcare. Such commitm

Rajasthan’s Right to Health law mandating private hospitals to provide free emergency care has irked private medical practitioners who doubt government’s commitment to reimburse costs. But for citizens dreading medical expenses bankrupting them, the state covering for emergencies is a welcome safety net

A key element of India’s strategy for Reproductive, Maternal, Newborn, Child Health and Adolescent Health (RMNCH+A) is menstrual health. However, the focus is on the provision of single-use pads which, being non-biodegradable, contribute massively to environmental waste. Integrating reusable menstrual products into existing supply chains could benefit women in low-income households while reducing the negative consequences on the environment. Th

There is evidence that sexual and reproductive health (SRH) is strongly linked to menstrual health and hygiene (MHH). Yet globally, governments, policymakers, and non-government organisations (NGOs) fail to include MHH in their SRH agenda. This brief examines the most crucial evidence linking MHH and SRH, and offers a framework to underline the imperative of pushing MHH into the mainstream of India’s SRH agenda. It argues that gaps in t

The commitment of states towards achieving gender equality as part of the 2030 Agenda for Sustainable Development received a renewed boost during the G20 Summit in New Delhi in September 2023, with a marked shift in the discourse from women’s development to ‘women-led’ development. This article uses the Public Financial Management (PFM) lens to emphasise the role of governments in achieving gender-related outcomes. While proposing an outcom

The problem of female foeticide and sex selection was highlighted as a big public health concern at a seminar on 'Public Health Concerns and Reforms' organised by ORF and RLS in Delhi. It was said that India could witness elimination of 9-10% girls in the times to come.

Public health is the worst spot in India’s economic path despite a recent rise in GDP growth. Without a healthy population and labour force, India cannot hope to compete with countries in the West or the ASEAN.

As part of this effort, the Observer Research Foundation (ORF) launched a report, Health Equity and Inclusion in Action, which seeks to examine the ways different health initiatives in six countries across Asia and Africa are exploring to address this complex problem. The report, created by the ORF in collaboration with Gilead Sciences who commissioned it, examines case studies from Bangladesh, India, Morocco, Rwanda, South Africa and Vietnam to

Biotechnology is a critical and emerging technology with wide-ranging applications in human medicine, biodefence, nutrition, and the use of bio-based materials. This positions it as a key driver of geopolitical influence and a pillar of global health security, where innovations shape disease surveillance and enable the development of medical countermeasures. Recognising biotechnology as an upcoming frontier in technology competition, the Quad cou

Artificial Intelligence (AI) is increasingly proliferating the healthcare landscape and has immense promise for improving health outcomes in a resource-constrained setting like India. With emerging technology still finding its footing in the healthcare industry in the country, there are systemic roadblocks to hurdle before AI can be made transformative up to the last mile of public health. AI also carries immense challenges for India’s mostly t

Although COVID-19 has ended, the threat of new and re-emerging zoonotic viruses remains, the most recent cases being the Nipah virus (NiV) and Guillain-Barré syndrome (GBS) outbreaks; there is also the risk of accidental or intentional biological threats. Addressing them requires effective surveillance systems and response mechanisms within a health emergency preparedness framework. Strengthening India’s ability to identify and respond to pa

South Africa’s Covid-19 responses are marred by policy paradoxes. How does a country with one of the most sophisticated health systems in Africa account for the highest number of Covid-19 fatalities? This brief argues that contemporary approaches to South Africa’s social, domestic, and foreign policy responses should be viewed through the theoretical lenses of racial capitalism—a racially hierarchical political economy constituting war, mil

The COVID-19 pandemic, in India, illustrated the need to enhance the country’s capabilities in confronting biological threats, particularly through early detection and timely intervention. Although the pandemic has ended, the threat of new and re-emerging zoonotic viruses remains, the most recent cases being the Nipah virus (NiV) and Guillain-Barré syndrome (GBS) outbreaks; there is also the risk of accidental or intentional biological threats

In December 2020, the government released the results of the National Family Health Survey (NFHS) 5 for 2019-20, covering 22 states and Union Territories (UTs). Contrary to expectations, NFHS5 found an increase in the percentage of stunted children in 13 states and UTs, compared to the results of NFHS4. This paper analyses such reversal of the three-decadal progress that India had previously made in reducing stunting in children. It analy

Globally, healthcare has made great strides in making vaccines, diagnostics and therapeutics available to more people. Yet, infectious diseases continue to pose a significant threat in many parts of the world, and the SARS, Ebola, and Zika crises are only a few of the recent outbreaks that draw attention to the weaknesses of public health systems. In India, the recent epidemics of Nipah virus and acute encephalitis syndrome call attention to the

Education in India is compulsory and free for primary and middle school, yet about 20 percent of children aged 6-14 remain absent. Analysts offer various explanations for India’s continued challenges in ensuring universal basic education, including lack of access to schools and poor educational environment. In this context, an index measuring the health of the early education system can be a valuable tool. This paper devises a Performance, Infr

The global health landscape is undergoing dramatic shifts, none of which are conducive to mitigating urgent health issues that affect large populations across the globe. In particular, the United States (US) will likely slash its multibillion-dollar contribution to Gavi, the Vaccine Alliance, the international public-private platform that seeks to increase access to vaccination in low- and middle-income countries. This brief outlines the potentia

The BRICS+ bloc, accounting for over 40 percent of the world’s population and a substantial share of its forest area, can play a critical role in shaping responses to climate-related health threats. The grouping’s leadership in harmonising policies across the domains of climate action and healthcare can have profound implications for global strategies to manage pandemics and protect planetary health. This brief makes a case for BRICS to champ

Past debates on waiving certain sections of the World Trade Organization’s Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) have centred on issues such as development and technology transfers. The COVID-19 pandemic has brought more urgency to such discussions, prompting India and South Africa to table a waiver proposal in October 2020. This brief discusses the evolution of the TRIPS Agreement and the link between the a

To ensure sustained growth levels, the country requires a strong and healthy workforce – possible only when citizens are protected against health-related financial risks and can access quality health services.

Climate change exacerbates HMPV spread in India, requiring proactive measures like improved healthcare access, climate-health database, and AI-driven outbreak prediction for better crisis response.

In an effort to facilitate the digitisation of the country’s healthcare systems, India released a National Digital Health Blueprint in January 2020, which provides a detailed framework for a “Federated National Health Information System.” This brief makes a case for expanding the scope of the blueprint to include digital therapeutics, digital diagnostics, and telemedicine. It proposes a “National Digital Health Blueprint 2.0,” with dive

In April 2023, the Supreme Court of India advocated for the government to establish a "uniform national policy" on menstrual health and hygiene (MHH), spotlighting the need for comprehensive measures on a significant public health issue. This brief traces India's path to promoting MHH, highlighting key policy initiatives and their impact on period product usage. Using secondary data from the National Family Health Survey-5, this brief introduces