Context: The Global Conference on Climate and Health held in Brazil in July 2025 shaped the Belém Health Action Plan which will be launched at COP30. The plan marks a global shift towards placing health at the centre of climate action.
Relevance of the Topic: Prelims: Belém Health Action Plan; Major international climate agreements and action plans.
Belém Health Action Plan
The Belém Health Action Plan aims to become a global reference for strengthening climate-resilient health systems. The draft plan is structured around three main pillars:
- Surveillance and Monitoring: Aims to strengthen health surveillance systems to effectively respond to climate-related threats, such as vector-borne disease outbreaks and mental health impacts from extreme weather events.
- Evidence-Based Policy Strategy: Seeks to accelerate the implementation of proven solutions by fostering cooperation among governments, academic institutions, civil society, and other key actors.
- Innovation and Production: Proposes investments in research and technology to develop solutions tailored to the specific needs of the most vulnerable populations.
Why does the Climate-Health link matter?
- Climate change exacerbates malnutrition, heat stress, respiratory ailments and vector-borne diseases. This makes it imperative to frame climate action not as a distant environmental agenda but as an immediate public health priority.
Insights from India’s Welfare Experience:
India’s welfare policies demonstrate how non-health interventions can generate substantial health and climate co-benefits. For example:
- The PM POSHAN scheme has simultaneously improved child nutrition, strengthened education outcomes, promoted agricultural diversification, and built climate-resilient food systems through the use of millets.
- The Swachh Bharat Mission has tackled sanitation, dignity, and public health while mobilising communities through cultural symbolism rooted in Gandhian ideals.
- The MNREGA programme has improved rural livelihoods while restoring degraded ecosystems through water conservation and afforestation works.
- The PM Ujjwala Yojana (PMUY) has reduced household air pollution and carbon emissions by providing clean cooking fuel to rural households.
These initiatives demonstrate that intentional, intersectoral action can multiply impacts across health, environment, and development.
From this experience, three insights emerge for integrated climate-health governance:
- Strong political leadership ensures inter-ministerial cooperation and elevates climate action as a public health and empowerment issue rather than a technocratic agenda.
- Community engagement enhances legitimacy when policies are anchored in local culture and participatory structures, as seen in parent–teacher committees under PM POSHAN or mass mobilisation under Swachh Bharat.
- Embedding climate goals within existing delivery systems such as ASHAs, self-help groups and panchayats ensures sustainability without creating parallel structures.
Challenges in Implementation:
Despite these successes, certain barriers persist :
- Administrative silos reduce effectiveness when multiple departments are involved.
- Economic barriers such as high LPG refill costs in PMUY hinder access for poor households.
- Social and cultural practices limit adoption unless supported by long-term behavioural change.
- Monitoring remains focused on outputs (E.g., toilets built) rather than real outcomes like improved health.
Way Forward
To overcome these challenges and build effective climate-health governance, India’s experience points towards a three-pillar framework:
- Strategic Prioritisation: Reframe climate policies as immediate health imperatives.
- Procedural Integration: Mandate health impact assessments across all climate-relevant policies.
- Participatory Implementation: Mobilise communities around tangible health gains like clean air, safe water, and nutritious food.
India can provide a model for the Global South, promoting a whole-of-society response to climate and health challenges.