1. Changing wider macro-environment that moves us towards individual freedoms & liberties - with all its promise of getting each "citizen" to realise their rights and entitlements - the intersectionality framework - the huge gains in gender and sexuality and such - but the flipside being the diminishign role of community-level phenomena in favour of individual citizens - example of the Adivasi forest rights issues (which CMG frames as "health") and which is invisibilised by moving towards engaging individual citizens in committees etc 2. The challenge towards institutionalising CE in the lack of multi-level leadership and champions to do so - take the Kar example of local government/decentralisation requireing huge championship within governemnts - has health CE somehow disengaged from wider decentralisation processes (why) - while SOPs and committees and manuals and guidelines are available for JAS/MAS - where is the work culture that engages people here menaingfully - and the wider movement of NGOs much more for CSR doing projects, PPPs and TAs vs NGOs as conscience-holders for accountability and such 3. Last updated: 2026-01-15 11:40