Thread by @RanuDhillon

1/ Something that those of us in global health can attest to:

Figuring out & talking about what to do is one thing & often the easier part

Current political & institutional barriers notwithstanding, actually getting things done is very difficult

2/ When I worked on health systems in Rajasthan, an old woman (who looked like my grandmother) in a village asked me why I hadn't made things better

I told her about ideas we were pushing but weren't happening bc of political & bureaucratic challenges in the gov't health system

3/ She yelled at me - "So my family & neighbors have to continue to suffer because it's too hard or too messy for you to get into that. I don't care about any ideas unless I see them happening here"

I'll never forget that

4/ Even if we waved a magic wand & had perfect political & institutional action tomorrow, hard things are still hard

Coordinated implementation of interaction-intensive complex interventions at scale is not easy

Engaging communities on new behaviors amidst fear is not easy

5/ It's not enough to talk about what to do & call it a day; it's our responsibility to - despite political & institutional hurdles - see that things get done & people get what they need

@AbraarKaran @pam_das @richardhorton1 @JoiaMukherjee @s_keshavjee

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