What does mental health mean to the youth? How is it expressed beyond just diagnostic labels? The book on ​‘Creative expressions on mental health among youth’ features over 40 powerful contributions through a range of forms that include poetry, prose, Gond and Bhil art, sketches, doodle art as well as excerpts from diaries. The writings are presented in Hindi, English and Pardhi languages thus creating a safe and inclusive space for many. Each word and each image encapsulate a story that is hidden yet spoken. This book is an effort to break silences around the conversations on mental health.

Curators:

Seema Sharma, Arima Mishra, Prashant Kesharvani, Mayur Trivedi

While the recent COVID-19 pandemic has accentuated attention to the public health challenges of our times, many of these concerns are certainly not new. There are multiple public health concerns including the rising burden of non-communicable diseases, health risks due to environmental degradation and climate change, and re-emergence of several communicable diseases. Responses to these challenges, including educational responses, have often been reductionist and hence found to be inadequate. There has been an increasing global recognition of the need for transformative education to address the complex health challenges of the 21^st century. In this article, we discuss one such effort in designing a public health education programme in India that echoes the sentiment of transformative learning that is contextual, competency-driven, trans disciplinary, reflective, and collaborative. We discuss how these aspects of learning were reflected and considered through a series of internal deliberations within the university and external consultations with different stakeholders. This process involved examining existing gaps in public health education, articulating the core competencies, developing the curriculum, and envisaging students’ contribution to public health practice in India.

Authors:

Arima Mishra, Adithya Pradyumna, Mukta Gundi, Edward Premdas Pinto and Prasanna Saligram

Background: Care provision received renewed attention during the COVID-19 pandemic as several healthcare providers vied for the coveted title of ​“frontline warrior” while they struggled to provide care efficiently under varying health system constraints. While several studies on the health workforce during the pandemic highlighted their difficulties, there is little reflection on what ​“care” or ​“caring” itself meant specifically for community health workers (CHWs) as they navigated different community and health systems settings. The study aimed to examine CHWs’ caregiving experiences during the pandemic.

Methods: Twenty narrative interviews with CHWs including ASHAs (Accredited Social Health Activists) and ANMs (Auxiliary Nurse Midwives) were conducted in different states between July and December 2020.

Results: Our findings highlight the moral, affectual, and relational dimensions of care in the CHWs’ engagement with their routine and Covid-19 related services, as well as the ​“technical” aspects of it. In this article, we argue that these two aspects are, in fact, enmeshed in complex ways. CHWs extend this moral understanding not just to their work, but also to their relationship with the health system and the government, as they express a deep sense of neglect and the lack of ​“being cared for” by the health system.

Conclusion: CHWs’ experiences demand a more nuanced understanding of the ethics of care or caring that challenges the binaries between the ​“technical” and moral aspects of care.

The comprehensive environmental pollution index has been applied to identify and monitor industrially polluted clusters in India. In the calculation of the CEPI, there is a health parameter (Component C), which uses local health-related data. The article draws attention to the gaps in the design and guidelines to calculate Component C.