Transcending Health Borders: A Global Community of Practice for Integrated Multimorbidity Care- Redefining Primary Care through North-South Collaboration
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Additional Director General, Indian Council of Medical Research, New Delhi, India
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Honorary Professor, Public Health Foundation of India, New Delhi, India
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Department of Health and Kinesiology, University of Illinois, Illinois, United States
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Medical Research Council, MRC South Africa, Cape Town, South Africa
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IMPACT – Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Australia
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Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Australia
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Regional Medical Research Centre, IndianCouncil of Medical Research, Bhubaneswar, India
Popul. Med. 2026;8(Supplement Supplement 1):A88
ABSTRACT
ABSTRACT:
Multimorbidity, the coexistence of multiple chronic conditions, is the definitive public health challenge of the 21st century. This session presents a "Evidence-to-Transformation" roadmap, derived from a transcontinental "Community of Practice" (CoP) involving India, Brazil, the UK, and Australia. The session centres on the CoP model as a mechanism for decolonizing evidence and building horizontal care capacity. Our work on synthesising findings from landmark longitudinal cohorts indicate that childhood health disadvantages and educational gaps are potent predictors of adult multimorbidity. Furthermore, evidence of our work with the Australian First Nations populations and large surveys among tribal communities of India reveal the increasing burden and challenges in managing multimorbity in vulnerable populations. The symposium advocates the need to move from "retail" clinical visits to "wholesale" public health strategies. Panellists will discuss: • The Policy Vision: Prof. K. Srinath Reddy (Public Health Foundation of India) on shifting from clinical siloed care to public health strategies for the SDG agenda. • The Life Course effect: Prof. Bruno P. Nunes (University of Illinois, USA) on the role of childhood disadvantage in adult disease accumulation. • Multimorbidity in pregnancy: Dr Vundli Ramokolo (South African MRC) on care needs and challenges in maternal multimorbidity. • Primary Care Reorientation: Dr. Sanghamitra Pati (ADG, Indian Council of Medical Research) on horizontal integration models in low-resource settings. • Vulnerable Populations: Prof. Abdullah Mamun (University of Queensland, Australia) on intergenerational multimorbidity challenges in Indigenous communities. • The Syndemic Interface: Dr. Akhtar Hussain (Deakin University, Australia) on managing the collision of acute infectious diseases and chronic conditions. • Moderator: Dr. Jaya Singh Kshatri, Geriatric Public Health Researcher, ICMR-Regional Medical Research Centre The session will feature an interactive discussion (45 minutes) and a moderated "North-South" dialogue (15 minutes). Attendees will gain actionable insights into bridging the research-policy gap through established Communities of Practice.