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Leaving no one behind on the road to Universal Health Coverage: The Kerala story

Guest Edited by Devaki Nambiar (George Institute for Global Health, India), Rakhal Gaitonde (Achutha Menon Centre for Health System Sciences, India), Anish TS (Government Medical College Manjeri, India) and Hari Sankar (George Institute for Global Health, India)

The south Indian state of Kerala has long been considered a global exemplar of providing good health care at low cost to its people. The pursuit of equity, it can be said, has been a refrain in Kerala’s public policy for decades, but with myriad approaches (such as those linking equity to opportunity, while others frame it as an access issue), various intended and unintended effects, and shifts in health and welfare system properties and roles of a range of stakeholders in government, in local leadership and beyond. Drawing from a decade-long engagement in the state and a five-year study on health inequalities, this special issue takes equity as its starting point and seeks to feature perspectives, research, and on-the-ground reflections of those who have been part of this history. We aim to voice, encourage critical reflection on Kerala’s equity journey, and draw out lessons for other states in the Indian union as well as relevant contexts across the globe. This special issue features papers that describe health equity in the state. The papers are supported by the India Alliance grant held by one of the editors.

  1. The pandemic has put at risk the social and emotional development of children on account of the paucity of arenas for social interaction. This study from Kerala, India was conducted to assess the resilience fa...

    Authors: Jose Vincent, Resmi Madhusoodanan Santhakumari, Anjana Nalinakumari Kesavan Nair, Anisha Sharahudeen, Asvini K.P, Meenu Maheswari Suresh, Mathew J. Valamparampil, Gayathri A.V, Chintha Sujatha and Anish Thekkumkara Surendran
    Citation: International Journal for Equity in Health 2024 23:14
  2. Increasing financial risk protection is a key feature of Universal Health Coverage and the path towards health for all. Publicly Funded Health Insurance Schemes (PFHIS) have been considered as one of the pathw...

    Authors: Santosh Kumar Sharma, Jaison Joseph, Hari Sankar D and Devaki Nambiar
    Citation: International Journal for Equity in Health 2023 22:197
  3. Negotiating anti-Tuberculosis treatment is a complicated process comprising daily consumption of multiple medications at stipulated times and dosages, as well as periodic follow-ups and investigations, may not...

    Authors: B Aravind Chandru and Ravi Prasad Varma
    Citation: International Journal for Equity in Health 2023 22:176
  4. The Government of Kerala in 2017 launched the Aardram Mission with the aim to revamp public health delivery in the State. A key strategy under the mission was its focus on comprehensive primary health care to ...

    Authors: Sreenidhi Sreekumar
    Citation: International Journal for Equity in Health 2023 22:165