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inform the initiation of a place-based integrated climate-food-health surveillance system in Kanungu Districtas well as other contexts with a rich diversity of knowledges and existing forms of monitoring and response. Applying conventional approaches to surveillance, without deliberate consideration of the broader contextual and relational processes, can lead to the re-marginalization of peoples and the reproduction of inequalities in power between groups of people. We anticipate that our findings can be used to inform the in