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An op-ed by Kate Kuo- Program Officer, Agriculture, Srivalli Krishnan,-Senior Program Officer, and Nachiket Mor-Country Director, India at Bill & Melinda Gates Foundation

In March 2018, Nature magazine published a groundbreaking 10-year study by China Agriculture University involving millions of smallholder farmers adopting enhanced practices. Through a scaled, countrywide effort, farm productivity rose by 11% while the use of nitrogen fertilizers — critical to increasing crop productivity, but also harmful to the environment when overused — declined by 14–18%. The profitability of the intervention, even before monetising the positive environmental impacts, was $12.2 billion.

The programme was an impressive marriage…


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An opinion piece by Nachiket Mor — Country Director, India at Bill & Melinda Gates Foundation

There are some interesting developments in progress within India. Extreme poverty is all but gone and by 2025 the prediction is that fewer than 1% of the population will be at that level of income. With the total fertility rate nearing replacement rate, population growth rate has slowed sharply and is expected to fall below 1% per annum by 2025, with several states already showing negative rates of growth. Total calorie consumption has fallen and there are now consistent food surpluses in the country…


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Joe Cerrell - Managing Director of the Gates Foundation’s Donor Government Relations team working across Europe, the Middle East and South Asia, and Nachiket Mor - Country Director, India at Bill & Melinda Gates Foundation

The world’s progress in improving health and development related outcomes for people everywhere is one of the greatest success stories of the past 20 years. Two decades ago, the infectious diseases that killed or harmed millions often went unchecked. Children born in poor countries were only vaccinated against a handful of the same diseases as children born in wealthier countries. There was no access to…


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An op-ed by Stefan Nachuk- Deputy Director, Global Development, and Nachiket Mor- Country Director, India at Bill & Melinda Gates Foundation

While much has been written about the universal healthcare models of high-income countries such as United Kingdom and Germany, it is generally not well known that Thailand achieved Universal Healthcare (UHC) in 2002, when its per capita income and health expenditures, and tax base, were comparable to what India has today. Post UHC while total health spending has stayed stable in Thailand at around 4 percent of GDP, the proportion paid out-of-pocket has dropped sharply to 12 percent, while…


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An op-ed by Raj Shankar Ghosh- Deputy Director, Vaccine Delivery and Infectious Diseases, and Nachiket Mor- Country Director, India at Bill & Melinda Gates Foundation

Diseases that afflict humanity are of multiple types. Some present as outbreaks, such as SARS in Hong Kong and Ebola in the Congo, that call for a rapid response, while others, such as hypertension and cancer require a more planned and sustained effort. …


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An op-ed by Marcella McClatchey- Program Officer, Agriculture, Anjani Bansal-Deputy Director, Agriculture, and Nachiket Mor- Country Director, India at Bill & Melinda Gates Foundation

Large numbers of low-income families the world-over depend on agriculture as their primary source of income. Agriculture is however a challenging sector and several issues prevent farmers, in particular small-holders, from realizing greater incomes. These include, low yields, weak market linkages, high price volatility, limited risk management, and poor price realization. Given the very large numbers of people involved, addressing these concerns of farmers is an important goal of public policy. …


An op-ed by Prashant Yadav- Strategy Leader, Supply Chain, and Nachiket Mor- Country Director, India at Bill & Melinda Gates Foundation

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Given the problems in the old system, many countries have developed more scientific models

Health systems around the world are benefitting from recent advances in supply chain technologies to deliver essential medicines to patients, more effectively. Traditional lines between public, private, online, and physical are starting to blur and, as a result, for example, direct-to-home and online pharmacy models have developed more quickly in emerging markets like India than many had expected. A commonly used supply chain architecture for essential medicines in most developing countries has historically been bulk procurement by the national…


An op-ed by Chris Damman — Senior Program Officer- Global Health, and Nachiket Mor- Country Director, India at Bill & Melinda Gates Foundation

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An inseparable part of the human body, the complement of microorganisms living within our intestine, called the intestinal microbiome, plays a critical role in directing healthy growth and development, and preventing vulnerability to childhood illness. Research links the microbiome with better cognitive scores in one-year-old infants, and has identified brain and behavioural characteristics clustered by gut microbiota profile, in middle-aged adults.

We now know that the human gut microbiome impacts human brain-health in numerous ways, such as…


An op-ed by Tracy Johnson - Senior Program Officer, Integrated Delivery, User Experience and Innovation, and Nachiket Mor - India Country Director at Bill & Melinda Gates Foundation

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The first few hours and days of life are critical for the survival of a child and most of the factors that need to be addressed during this period are clinical in nature and are under the control of the attending nurse or physician. However, these factors are responsible for only about half the under-five deaths, because the rest of the deaths take place once children return home from the hospital. Recent…


An Op-ed by Jack Langenbrunner, Economist - World Bank & Nachiket Mor, Nachiket Mor (Country Director, India)- Bill & Melinda Gates Foundation

Costs relating to healthcare have a feature that is very different from that of virtually all the other services such as education, food, and clothing. This is the extremely high variability associated with these expenses. There are long periods when most individuals have predictable expenses which can be planned for through savings. However, there are times when some individuals face very high levels of expenditures, such as when they get cancer or are severely injured in an accident…

Nachiket Mor

India Country Director, Bill & Melinda Gates Foundation

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