Covid-19, The local and the global: Lessons from Kerala

Choolayil, Anoop C.; Putran, Laxmi

doi:10.1177/0262728020966102

Cited by 10 publications

(13 citation statements)

References 6 publications

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“…The South Indian state of Kerala has long been regarded as one of the best performers in India when it comes to healthcare, with indices at par with those of some advanced economies, largely as a result of steady investment in education and healthcare infrastructure by various governments over time (Kutty, 2000; Madore et al, 2018, cited in Choolayil & Putran, 2021). Kerala has frequently been celebrated over the last 50 years as a development model by scholars across the world for its exemplary achievements in human development and poverty reduction despite relatively low growth in respect of Gross Domestic Product (Heller et al, 2007).…”

Section: Kerala: Basic Advantagesmentioning

confidence: 99%

“…Kerala has frequently been celebrated over the last 50 years as a development model by scholars across the world for its exemplary achievements in human development and poverty reduction despite relatively low growth in respect of Gross Domestic Product (Heller et al, 2007). It has some unique advantages such as high rate of literacy, good health infrastructure, vibrant local government and active civil society with reference to women’s groups (Kutty, 2000; Madore et al, 2018, cited in Choolayil & Putran, 2021). The state has repeatedly been recognised as leading the nation in terms of healthcare indices by NITI Aayog, the planning and policy think tank of India (Paliwal, 2019).…”

Section: Kerala: Basic Advantagesmentioning

confidence: 99%

“…The local bodies had trained a good number of volunteers who were very useful in reaching out to the home-quarantined people who needed services at their doorstep. The study done by Choolayil and Putran (2021) had mentioned about their role in Kassargar district where large number of people quarantined themselves at home. These trained volunteers became a key force helping the administrative system in reaching out to home-quarantined people who were short of resources, especially in places like Kasaragod, where many people were quarantined under lockdown after the identification of local transmission.…”

Section: Role Of the Village-level Governmentmentioning

confidence: 99%

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Public Service Delivery in Turbulent Times Where Convergence Matters: Lessons from the Management of Covid-19 in Kerala

Datta

2022

Indian Journal of Public Administration

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In turbulent times, the state is charged with three-fold core responsibilities, namely, to reduce or arrest the impact of the crisis on the lives and property of the citizens, to ensure effective and quicker service delivery, and to maintain stateÐsociety relations. In this article, an attempt has been made to analyse how the government of Kerala, which is regarded as one of the best performing states in India, fought the battle of the first wave of Covid-19 in rural areas. An attempt is made to capture and examine the role of the local government institutions and civil society groups, more particularly Kudumbashree groups and to explore how the state government coordinated and facilitated the work of the different state and non-state actors for the convergence of the services delivered by them and for the maintenance of conducive stateÐsociety relations.

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Section: Kerala: Basic Advantagesmentioning

confidence: 99%

Section: Kerala: Basic Advantagesmentioning

confidence: 99%

Section: Role Of the Village-level Governmentmentioning

confidence: 99%

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Public Service Delivery in Turbulent Times Where Convergence Matters: Lessons from the Management of Covid-19 in Kerala

Datta

2022

Indian Journal of Public Administration

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“…3 The state of Kerala has witnessed a long lag phase after the first reported case of COVID 19 on Jan 30 4 till the phase of community spread and has managed to delay the peak of the pandemic by successful implementation of various control measures. In each phase starting from the reporting of the first case in India, our hospital along with other hospitals in the state have taken appropriate control measures to fight against the pandemic 5 . It is important to have knowledge about the effectiveness of the steps taken, in planning the future strategies for disease control.…”

Section: Introductionmentioning

confidence: 99%

Serosurveillance of SARS CoV 2 among the healthcare workers of a tertiary care teaching institution in Central Kerala during the post lockdown phase

Rafi

Tomy

Thomas

et al. 2021

Preprint

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BackgroundKerala was the first state to have the confirmed case of COVID-19 in the country and it was first confirmed in Thrissur district on 30 January2020.Our institute being in the heart of the city had to take adequate measures to mitigate the spread and treat the required patients by keeping its staff safe & Healthy. The hallmark of COVID 19 infection is high infectivity, pre-symptomatic transmission and asymptomatic prevalence which could result in high cumulative numbers of infections, hospitalizations, and deaths. Kerala was the first state to confirm community transmission in July 2020.Health care workers being in the forefront in the war against COVID19 are very prone in acquiring the infection and are possible to be asymptomatic sources for cluster formation. Knowing the development of immunity as shown by the presence of anti COV2 antibodies in the population contributes to the epidemiological understanding of the disease. The intent of the study is to do an antibody testing in our hospital to find the serosurveillance of SARS CoV 2 among the healthcare workers in our hospital.AimTo estimate the seropositivity of SARS CoV 2 among the healthcare workers at Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, six months after revoking the lockdownMethodologyA cross sectional study among the health care workers of the medical college. Multistage Sampling was done with the hospital block as the first stage and departments as the second stage. In the final stage of sampling the test individuals were selected on a first come first served basis after the antibody test availability was declared open and free for all staff. A consent form and a Google form were given to all staff who volunteered for participating in the study. Each consented participant recruited into the investigation completed a questionnaire which covers details regarding demographics, exposure history, Residence & travel. Blood sample was collected and Anti-SARS COV2 IgG antibody testing which targets the Spike Protein 1(SP1) was done using the VITROS chemiluminescence platform (Orthoclinical diagnostics, USA). Sampling & testing ranged over a time frame from September 5th to December 15th, 2020ResultsJubilee Mission Medical College has 2785 working staff at the time of study. A total of 420 staff consented and their samples were tested. 37 staff members tested positive for COVID-19 antibody, yielding an overall prevalence of 8.75% (95% CI, 6.23–11.86). 86.5 % (32/37) of them were having a history of COVID-19 Antigen / RT PCR Positivity. We identified a statistically significant linear trend (p value =0.00001), between seropositivity and the degree of severity of COVID 19. Among the various factors which increase the risk of seroconversion, history of undergoing quarantine (p value < 0.001), contact with a confirmed case (p value = 0.002), contact with a caregiver for COVID 19 (p value =0.001) and history of Upper respiratory symptoms (p value =0.001), were found to be significantly associated with positive serology.ConclusionsThe overall seropositivity in the current study was found to be 8.75% which is comparable to seroprevalence studies conducted in the United States and Wuhan in China. The pattern of seropositivity across the different category of health workers observed in the present study showed a higher prevalence among nurses. This result is also in agreement with a recent published report from united states. Various measures advised by the national and state health authorities were adequately adhered to. Keeping track of the pattern of development of immunity in the community is part of understanding the illness and forecasting the spread. For the tested HCW, it will boost up morale by ending uncertainty. For the hospital administration it will help in decision making about relative focusing of interventions on patients in general and HCWs. By knowing the immunity status of HCWs, the Institution will be able to contribute authentically to the development of intervention strategies and guidelines from time to time, besides following the available guidelines. Being an educational institution, it is obligatory to train all the elements of care delivery to the future generation of health care workers. Getting experienced from a small but relevant sample was expected to facilitate larger community study envisaged in peripheral areas Jubilee served

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“…The ongoing COVID scenario identifies in various ways, spearheading new private–public partnerships, that state-centric analysis or business-focused scrutiny have tended to overlook and sideline such evidence of a ‘third sector’. This fills rather crucial gaps and cracks between the big formal structures and local, informal management processes of conflicts and bottlenecks to secure a ‘good life’, even safety and survival, for more people (Choolayil & Putran, 2021), with wide-ranging political implications, too.…”

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confidence: 99%