World Bank's Rs 2,458 crore to boost state's health standards; 1.1 crore, including elderly, to benefit

THIRUVANANTHAPURAM: The World Bank has approved a Rs 2,458 crore loan for the state’s Health System Improvement Program, which aims to enhance the health and longevity of the elderly and other vulnerable groups. The project seeks to reduce mortality rates and enhance the overall well-being of about 1.1 crore senior citizens and high-risk individuals in the state.

Over the past two decades, Kerala has achieved significant progress in key health indicators- the neonatal mortality rate (3.4 per 1,000), infant mortality rate (4.4 per 1,000), under-five mortality rate (5.2 per 1,000), and maternal mortality rate (19 per 100,000). However, deaths due to lifestyle diseases such as high blood pressure, diabetes, cancer, and obesity are on the rise. The new program aims to tackle these growing challenges.

Currently, over 20% of Kerala’s population is aged 60 or above.

The World Bank approved the project, which was submitted a year ago, recognising Kerala’s strong record in literacy, public health awareness, and decentralised governance- key factors behind its healthcare achievements. The loan has a 25-year repayment period, including a five-year grace period.

Focus on lifestyle diseases
More than 90% of registered blood pressure and diabetes patients will be monitored through a personal electronic tracking system to ensure consistent treatment. The program will also deliver home-based healthcare for bedridden and vulnerable individuals. Screening for cervical and breast cancer among women will be increased by 60%, and a standard antibiotic use protocol will be implemented in coordination with local bodies to prevent misuse. The plan also includes measures to control the spread of infectious diseases.

Funding for trauma care and climate-resilient health systems

• With over 4,000 road accident deaths reported annually in Kerala, part of the funds can be used to improve emergency trauma care facilities.
• The project will also help build a more climate-resilient healthcare system capable of handling extreme weather events.
• Primary Health Centres in Wayanad, Kozhikode, Kasaragod, Palakkad, and Alappuzha will be upgraded and strengthened to prevent diseases caused by heatwaves and floods.