About
A research and systemdesign institution forprimary health care.
Founded 2026. Chennai and San Francisco.
We were set up on a single observation: the world knows what to do about most of its primary health burden, and it loses people in the gap between knowing and doing. That gap is logistical, it is measurable, and almost nobody measures it.
Screening is not care. Referral is not treatment. We use the words in that order.
Four point six billion people are not fully covered by essential health services. Two point one billion face financial hardship when they use them. The world will be short eleven million health workers by 2030. Those three facts set the ceiling on every disease specific programme running anywhere.
Under that ceiling sit burdens that are almost entirely addressable at the primary level. One point four billion people with hypertension, controlled in twenty three percent. Two point two billion with a vision impairment, a billion of them preventable or unaddressed. Five hundred and eighty nine million with diabetes, forty three percent of them undiagnosed.
None of those gaps is waiting on a discovery. They are waiting on a system that finds people, confirms, starts, sustains and follows up, and on somebody willing to count each of those steps separately.
See the map →Four rules that outrank every preference.
These come from our report design system and they govern this website exactly as they govern a printed report.
Clinical claims carry their evidence
No prevalence figure, screening yield, sensitivity or outcome number appears anywhere without a named source and a date. Where a number is our own field observation rather than a published study, it says so in those words.
Nothing here is clinical advice
Nothing published under this masthead states or implies a diagnosis, a treatment recommendation, or a clinical outcome for an individual. Recommendations are addressed to systems, budgets and programmes.
Population language, never patient language
We describe cohorts, districts and systems. We never describe an individual, a case history, or a person identifiable from the combination of village, age and condition.
Name the counter argument
Every report carries a section on where the analysis could be wrong. It is not a disclaimer. It is the proof that the rest of the document was tested.
Where a position is our assessment rather than a measured index, the caption says so in those words. A reader should never have to work out which is which.
Three tiers, three jobs.
Anything published under our research masthead carries the Forum mark first, regardless of which programme supplied the data.
Owns the masthead, the method and the copyright line. Every report, every indicator set, every district briefing is published here and answerable here.
Credited where the models, the screening data pipeline or the analysis came through its work. Named on the cover lockup and the About page, and nowhere else.
The operating programme a report draws field data from. Named in the metadata and here. A programme supplies data; it never becomes the author.
Global figures hide district variation larger than the gap between countries.
Which is why the first work is a district and not a continent. We are starting in Tamil Nadu, in a single district, with a facility and workforce census and a cascade measured end to end for three conditions.
The method is designed to travel. A district briefing that works in Chengalpattu should be reproducible in any district with comparable data, and the indicator set is being built to that constraint from the first draft.
San Francisco carries the analytical partnership, the model work and the funding relationships. Chennai carries the field.
Work with us →People
The founding team is being assembled.
We are looking for a health systems researcher, a measurement lead and a district implementation lead. If that is your work, we would rather hear from you now than after the first report is out.
Get in touch →