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What climate-access means, and why climate is a healthcare story
What is climate-access? The definition, and what it is not
The gap between healthcare that exists on paper and healthcare people can reach once climate disruption is counted.
Climate change is a healthcare story
Heat cost India USD 194 billion in lost income in 2024. The argument this firm is built on, set out in full.
The Lancet Countdown 2025 for India: five numbers, in operating terms
19.8 heatwave days, 247 billion lost labour hours, USD 194 billion in lost income. What each number costs a health programme.
Obligations and disclosure
Section 135, BRSR, duty of care and head-office mandates
Heat at mass gatherings is now an organiser's duty
WHO's new suite, half a million clinical encounters of evidence, and the checklist to adopt before the 2027 calendar.
Section 135 and climate-health: how to defend the line item
Climate-health work is eligible CSR. What makes the line item survive a Board report, an auditor and an impact assessment.
BRSR Core and the health and climate disclosures most companies under-report
Principle 3 asks about employee wellbeing, Principle 6 about emissions. Nothing asks how one affects the other.
Heat is now a workplace duty of care in India
The OSHWC Code never names heat, yet its general duty covers it. What employers must do, what the Code leaves open, and how to prove it.
Head office has a climate-health mandate. The India arm has to answer it.
Most teams answer with activity, not exposure. What a defensible answer contains.
From Belém to Antalya: what the first health adaptation plan means for companies in India
The plan binds governments, not companies. The question from head office will still arrive, in the plan's vocabulary.
Evidence
Dengue, heat and the access gap, read in operating terms
Chronic disease is 74% of deaths. Climate shocks break treatment first.
WHO's new estimates reset the denominator. Treatment days lost is the casualty figure nobody counts.
Europe counted 34,600 heat deaths in season. India could run the same count.
Spain's method needs registry and weather data India already collects. The gap is a choice, not a capability.
Chennai's dengue spike arrived on schedule. The response did not.
1,290 cases in September against 605 in August, ahead of a monsoon the calendar had already announced.
The skin is the first organ climate reaches
A 136-country survey finds climate already reshaping skin disease, worst in India's income bracket.
Maharashtra's drought relief has no health line
265 of 358 tehsils in deficit, Rs 6,728 crore committed, and a muster point nobody treats as a care touchpoint.
15,800 heat deaths projected for India. 7,400 are still movable.
The Climate Impact Lab's El Nino projection, and the one response measure no heat plan funds.
Rs 29,454 a trip: the distance tax on healthcare has a number
Health is the costliest purpose of domestic travel the NSO measures, and the survey counts only completed trips.
Dengue in India 2026: the death count measures the counting first
Kerala records the most deaths, Tamil Nadu the most cases. India's two death registers disagree nearly sevenfold.
Heat insurance pays the worker. Who pays for the clinic visit?
Parametric cover replaces lost income when heat crosses a threshold. Nothing in the design reaches care.
The climate risk hiding in your access data
What access-programme data reveals about which disruptions were actually climate events.
Why the heat season is a healthcare operations problem
The connection most organisations are missing in their summer preparedness planning.
Methods and standards
How to choose districts, partners and supply routes
The Continuity Cohort Method
A named cohort, fixed at the disaster trigger, closed at day twenty-one. The published method for holding treatment continuity through a response.
What a climate-health plan looks like when someone writes one
Three plans in eight days share four organs: governance, surveillance, a facility standard, finance. The anatomy scales to a district.
A forecast is not a decision
Weather data reaches 81% of health ministries; decision tools reach 23%. The one-page spec: trigger, action, owner, count.
The climate-access district index
A published method for deciding where CSR health money goes: four sourced layers, equal weights, nothing imputed.
The monsoon cold chain: how flood days break medicine access
Stock tells you the medicine was there. Cut days tell you whether anyone could reach it, counted from records you already hold.
How to screen a CSR implementing partner in India: the diligence checklist
The statutory documents to verify, where each one fails, and the delivery questions eligibility never asks.
Implementing partner screening: eligible is not the same as suitable
The law says who may receive CSR money, never how to choose between them. IPSS v1.0 is a published method for that choice.
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