In our mission to strengthen city-systems and build inclusive, resilient cities, we explored the below possibilities under Public Health: 

• Conducted a landscape study on the role of Urban Local Bodies in Primary Health Care in Bihar. This included understanding the role of ULBs in primary healthcare, a study of primary healthcare systems and their readiness within and outside the state, as well as an analysis of the synergies of XV FC health grants with NUHM.
• Assisted the state in drafting a roadmap to strengthen ULBs in primary healthcare.
• Developed capacity-building modules for elected representatives and administrative functionaries of Urban Local Bodies to orient them to work towards health and its interlinkages with a City-Systems approach.
• Advocating for mainstreaming the role of Urban Local Bodies in primary health through consultations with key government stakeholders and domain experts.

Landscape Study on the Role of ULBs in primary healthcare

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Executive Summary Landscape Report

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National Conference on ‘Decentralisation in Health’

Climate change is intensifying at an unprecedented scale and its impact is likely to worsen in the following years if immediate, effective and systemic action is not undertaken. India is the third largest emitter of greenhouse gases and as part of global negotiation has made bold pledges. Furthermore, India’s rapid urban transition is underway and the country is geared for a large growth trajectory both economically and in population.

Indian cities, while traditionally seen as consumers & emitters, also stand to be affected by severe climate impact due to the concentration of peoples, economic activities, assets, and social and cultural institutions.

India’s most significant response to address these impacts are commitments to Nationally Determined Contribution (NDC) at the international level, converted to a National Action Plan for Climate Change (NAPCC); which is then cascaded down to the State and District levels (as SAPCCs and District Plans). But there are a few conundrums when one tries to look at effective City Climate Action:

The above concerns need to be mapped at the level of the root causes, and seeing cities as larger city-systems. Application of city-systems to climate action, as a use case, would result in identifying challenges across the framework.

Towards this end, the Climate team at Janaagraha works at the intersection of city-systems and environment in order to identify and work on resolving systemic governance challenges that would enable effective climate action.