Revisiting the Kerala Model of Health

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Book Code: 1111018995348

Ed.: Dr. Manju S. Nair

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ABOUT THE BOOK

The Indian state of Kerala has received considerable amount of attraction internationally owing to the remarkable achievements she has made in social sectors, particularly health sector with relatively lesser number of economic resources. Kerala's figures on life expectancy, male and female literacy, child mortality, crude death rate etc. are close to those of developed countries and Kerala's achievements in health, in spite of its economic backwardness has prompted many analysts to talk about a unique' Kerala Model of Health' providing 'good health at low cost' worth emulating by other developing parts of the world. However, over the last few years concerns were raised about the sustainability of Kerala model of health exemplified by the simultaneous presence of the diseases of poverty (infectious diseases) and diseases of affluence (life style diseases), decay in Public Health System, uncontrolled growth of private sector resulting in escalation of health care cost. Taking cue of these issues, the Government of Kerala has attempted to revamp the health sector through a plethora of intervention programmes to make healthcare in Kerala accessible, affordable and available to all sections of the population. The book on 'Revisiting the Kerala Model of Health' enquires upon the multiple facets of the Model, the challenges in terms of increasing morbidity and escalating expenditure, health status of the marginalized, interventions in terms of new initiatives at the governance and implementation levels, evaluation of attempts at providing food and nutrition security etc. The book will be of particular use to academicians, health workers and policy makers.

ABOUT THE EDITOR

Dr. Manju S. Nair is Professor of Economics and Honorary Director, Centre for Agroecology and Public Health, Department of Economics, University of Kerala and specialized in Agroecology, Public Health, Decentralized Governance and Public Policy. Presently she is also Dean, Faculty of Social Sciences, University of Kerala. Dr Nair has authored seven books, several policy documents and numerous paper. Currently she is undertaking collaborative studies with NABARD, Ministry of Food and Consumer Affairs, Government of India, Norwegian University of Life Sciences and European Union. She is a gold medalist for her graduation and post graduation from University of Kerala. With twenty five years of teaching and research experience she has produced nine Ph.Ds and twenty five M.Phil degrees.

CONTENTS

Foreword .......................................................................... 9

Acknowledgement .......................................................... 13

List of Tables .................................................................. 15

List of Figures ................................................................. 21

Part - I: Introduction

1. Introduction and Overview ...................................... 25
Manju S. Nair

2. The ‘Kerala Model’ in Health: A Review of its Current Status ..... 39
V. Raman Kutty

3. Kerala Model of Health – Features, Challenges and theNew Interventions ............................................................ 49
Manju S. Nair

4. Kerala’s Response to COVID-19 Pandemic: Lessons to Learn .... 69
Kavya Nair P.J. & Santhosh Kumar S.S.

                Part - II: Effectiveness of Intervention
                          Policies in Health Sector
5. Involvement of Civil Society and State in Health and Health Care
System in Wayanad with special focus on Sickle Cell Disease ....... 85
Anupama Augustine

6. Decentralised Health Care System at Grama Panchayath Level:
An Effectiveness Analysis ................................................. 111
K. Aruna Anand

7. Fair price Medical Shops in Kerala: An Exploratory Study ........ 133
Merin Joy

              Part III: Food ad Nutrition Security in Kerala

8. Nutritional Security through Community Kitchen: An Analysis
based on National Rural Livelihood Mission in Attappady, Kerala...157
Tanita Eloo Philip

9. National Food Security Act in Kerala: An Evaluation ............... 179
Ancy John

Part IV: Human Development status/Quality
of Life of the Marginalised

10. Development Status of Particularly Vulnerable Tribal Groups
other tribes in Kerala: A Comparison ....................................... 197
Manju S.Nair & Sajeev M.V.

11. Human Development Status of Fisher Folk in Kerala ............. 221
Shameer M.D.

12. Quality of Life of Females in Female Headed Tribal Households
in Kerala ......................................................................... 241
Megha Radhakrishnan

               Part V: Economic Burden of Diseases

13. Vector Borne Diseases in Kerala: An Analysis of Economic
Burden at Family level .......................................................... 273
K. Anitha

14. Extend and Depth of Catastrophic Health Care Expenditure
due to Non Communicable Diseases in Kerala .......................... 287
Manju S. Nair & Manjusha P.

15. Burden of Non-Communicable Diseases in Kerala: An Analysis
Based on Chronic Kidney Disease .......................................... 313
Seena K.M

List of Contributors ............................................................ 335

Index ................................................................................ 339


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