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This study explores the development of a One Health Implementation Framework to assess the impact of climate variability on the health of tribal communities in Wayanad, Kerala. The One Health approach, integrating human, animal, and environmental health, is particularly relevant for addressing the multifaceted health challenges posed by climate variability. The study involved a systematic literature review, primary data collection through qualitative research methods, and continuous community engagement to ensure the framework's cultural relevance and practical applicability. Key findings highlight that climate variability, characterized by increased temperatures and erratic rainfall patterns, leads to a rise in vector-borne diseases such as malaria and dengue. Additionally, disrupted agricultural productivity due to erratic weather patterns results in food insecurity and malnutrition, particularly among children and pregnant women. Water- borne diseases become more prevalent with increased flooding and water contamination. Existing frameworks like the Tripartite Collaboration Framework and USAID's One Health Operational Framework provide valuable insights into interdisciplinary collaboration and capacity building. However, their application in Wayanad requires adaptation to local contexts, integration of traditional health practices, and strong community engagement. The Wayanad Tribal One Health Framework(WTOH) framework was developed to address these gaps, focusing on community engagement, integrating traditional and modern health practices, and building local capacity. Key components include community engagement and participation, capacity building and education, disease surveillance and response, environmental and ecosystem management, and health infrastructure development. The framework's implementation involves establishing community health committees, training traditional healers, conducting collaborative health camps, enhancing disease surveillance, promoting sustainable environmental practices, and improving health infrastructure. Continuous community feedback ensures that interventions are culturally relevant and sustainable. This framework offers a holistic, community-driven approach to improving health outcomes amidst climate change, tailored specifically for the unique challenges faced by Wayanad's tribal communities.
Keywords: One Health Implementation Framework, Climate variability, Health, Tribal communities, Wayanad, Kerala.