推进登革热防治与加强应对：泰米尔纳德邦与卡纳塔克邦的经验启示

LESSONS FROM TAMIL NADU & KARNATAKA TABLE OF CONTENTS EXECUTIVE SUMMARY01 ABOUT THE REPORT03 ABOUT THE EQUIHEALTH ALLIANCE05 KEY TERMS 06 INTRODUCTION 07 THEMATIC FOCUS09 Prevention, Timely Management andBehaviour Change Data and SurveillanceFinancing INCLUSION OF LIVED EXPERIENCES21 CONCLUSION 28 ANNEXURE 35 EXECUTIVE SUMMARY This report brings together insights from five convenings held in Tamil Nadu and Karnataka,aimedat advancing equitable healthcare access and strengthening India’s response toclimate-sensitive infectious diseases, with dengue as a focal point. Thediscussions,convenedundertheEquiHealthAlliance,unitedgovernmentrepresentatives, policymakers, healthcare practitioners, community voices, researchers, andfunders to explore actionable pathways across three critical areas:A) Prevention, Timely Management, and Behaviour Change;B) Data and Surveillance; andC) Financing; the report distils cross-sector perspectives into a forward-looking roadmap fornational and sub-national action. Onprevention and behaviour change,stakeholders emphasised the importance ofembedding health education within everyday spaces—schools, workplaces, and communitynetworks—while leveraging frontline workers like ASHAs to lead hyperlocal awareness andcare referral systems. Shifting public perception of dengue as a year-round risk, rather than aseasonal outbreak, emerged as essential to lasting behaviour change. Thedata and surveillance track called for building an integrated,climate-sensitivesurveillance architecture—one that decentralises data collection to local health committeeswhile enabling real-time insights through AI-driven tools and citizen reporting platforms.Creating systems that capture nuanced, patient-level data while facilitating coordinationbetween public and private providers was seen as key to early detection and targetedresponse. Finally, thefinancingdiscussions stressed the urgency of moving beyond emergency-drivenfunding toward long-term, sustainable investment. Recommendations included leveragingblended finance, establishing benchmark costs for dengue treatment, and reducing out-of-pocketexpenses through insurance and digital vouchers.Strategic use of dormantinfrastructure and catalytic funding for innovation pilots were also identified as high-impactenablers. Throughout, the report centreslived experience—of patients, caregivers, frontline healthworkers, and marginalised communities—as essential to designing accessible, inclusive, andresilient public health responses. The formation of theEquiHealth Alliance is a directresponse to this need: a tactical platform bridging policy and practice, rooted in equity andsystems change. By bridging diverse perspectives, the report highlights actionable recommendations thatalign with broader national and regional health strategies, emphasising the importance ofmulti-sectoralcollaboration,policy integration,and sustainable financing models. Theseinsightsaim to inform decision-makers,catalyse partnerships,and drive long-terminvestments in equitable and effective healthcare responses. ABOUT THE REPORT This report is grounded in the urgent need toaddressclimate-sensitive infectious diseases,withdengue as a critical and timely lens. Asrisingtemperatures,altered rainfall patterns,and unplanned urban expansion increase thevulnerabilityof populations to vector-bornediseases,there is growing recognition thathealth systems must adapt—not just clinically,but structurally and socially. This report reflectsthat understanding, focusing on the intersectionofaccess,equity,and systemic resilience inpublic health. The insights captured here are theoutcome offive strategic convenings hosted acrossTamilNadu andKarnatakabetween December 2024 and April 2025. These convenings were intentionally designed as collaborative, cross-sectoralengagements,bringing together government representatives,policymakers,healthcarepractitioners,community voices,researchers,and funders to co-create a roadmap forstrengthening healthcare systems. The process began on 10th December 2024 in Chennai with an introductory roundtable thatserved as a contextual mapping exercise. This open-format discussion helped surface variedperspectives on gaps in infectious disease response—particularly around fragmentation, datalimitations, and under-recognition of frontline challenges. This convening directly led to theidentification of a need for a multi-stakeholder coalition, and set in motion the formation ofthe EquiHealth Alliance. It also shaped the report’sthree central thematic tracks: Building on this foundation, subsequent convenings deepened the exploration across thesethemes. On 28th February in Tamil Nadu and 7th March in Karnataka, the dialogues focusedonthe broader landscape of infectious diseases,mapping common barriers andopportunitiesacross regions and actors.These engagements reinforced the need forstructural shifts inhealthfinancing, decentralised surveillance, and community-ro