Infrastructures of hope: what will it take to build planetary health

This chapter outlines a vision and practical guidance for generative and inter-generative planetary health systems. Planetary health is conceptualized as a pattern for living, building, and regenerating in ways that sustain life. Key principles include relationality, multicentrism, plurality, positivity, and translocality. The chapter highlights the importance of systems thinking and solutions-oriented approaches that solve multiple issues concurrently. It introduces the concept of “re-systems” as resistance—the work of bringing alternative, life-sustaining systems into being. Translocal infrastructure based on emerging technologies like blockchain and artificial intelligence can connect decentralized innovations for collaborative learning and impact. The chapter grounds its conceptual guidance in practical community-driven initiatives, honouring the central role of place, care, and Indigenous knowledge systems. The vision presented is one of hope, modelling how planetary health can be advanced through bridging grassroots experimentation with facilitating infrastructure for emergence.