Roles played by Locally Elected Representatives in Facilitating Multi‑Sectoral Action for Health: Evidence from Kerala, India
By: Devaki Nambiar, Jaison Joseph, Hari Sankar D and Gloria Benny
References
- Al‑Mandhari A, El‑Adawy M, Khan W, Ghaffar A. Health for all by all‑pursuing multi‑sectoral action on health for SDGs in the WHO Eastern Mediterranean Region. Global Health. 2019;15(1):64.
- World Health Organization. Promote Health Keep the World Safe Serve the Vulnerable [Internet]. Published May 2018. Accessed September 15, 2022. (The Thirteenth General Programme of Work, 2019–2023). Report No.: WHO/PRP/18.1.
https://iris.who.int/bitstream/handle/10665/324775/WHO-PRP-18.1-eng.pdf?sequence=1 . - Salunke S, Lal DK. Multisectoral approach for promoting public health. Indian J Public Health. 2017;61(3):163–168.
- United Nations. Transforming Our World: The 2030 Agenda for Sustainable Development [Internet]. Published September 2015. Accessed September 15, 2022.
https://stg-wedocs.unep.org/bitstream/handle/20.500.11822/11125/unepswiosm1inf7sdg.pdf?sequence=1 . - Stevens C, Kanie N. The transformative potential of the Sustainable Development Goals (SDGs). Int Environ Agreements [Internet]. Published April 13, 2016. Accessed September 15, 2022.
https://link.springer.com/article/10.1007/s10784-016-9324-y . - Sacks E, Morrow M, Story WT, et al. Beyond the building blocks: Integrating community roles into health systems frameworks to achieve health for all. BMJ Glob Health. 2019;3(
Suppl 3 ):e001384. - Aftab W, Siddiqui FJ, Tasic H, Perveen S, Siddiqi S, Bhutta ZA. Implementation of health and health‑related sustainable development goals: Progress, challenges and opportunities – a systematic literature review. BMJ Glob Health. 2020;5(8):e002273.
- Bisaga I, Parikh P, Tomei J, To LS. Mapping synergies and trade‑offs between energy and the sustainable development goals: A case study of off‑grid solar energy in Rwanda. Energy Policy. 2021;149:112028.
- Chowdhury ME. Policy research institutions and the health SDGs: Building momentum in South Asia ‑ Bangladesh study. Published July 9, 2018. Accessed September 15, 2022.
https://idl-bnc-idrc.dspacedirect.org/handle/10625/57094 . - Maisam Najafizada SA. Policy Research Institutions and Health Sustainable Development Goals: Building Momentum in South Asia [Internet]. Memorial University of Newfoundland, Canada; Published August 2017. Accessed February 9, 2023.
https://idl-bnc-idrc.dspacedirect.org/bitstreams/d4792052-b946-4a82-a1a3-4626c6a1beec/download . - Tangcharoensathien V, Srisookwatana O, Pinprateep P, Posayanonda T, Patcharanarumol W. Multisectoral actions for health: Challenges and opportunities in complex policy environments. Int J Health Policy Manag. 2017;6(7):359–363.
- Nyagero J, Lakew D, Gituku E, Claris J, Mutua M. Africa Health Agenda International Conference 2019 [Internet]. Amref Health Africa. Published March 2019. Accessed September 15, 2022.
https://repository.amref.ac.ke/handle/123456789/594 . - Mekonnen W. Scoping Study of National Level Institutional Arrangements for Health Related SDGs Implementation and Monitoring in Ethiopia. 2017;41.
- Sikipa G. “How are countries prepared to roll out and domesticate Health SDGs” – Zimbabwe Report [Internet]. African Centre for Global Health and Social Transformation Database; 2017. n.d. Accessed February 9, 2023.
https://achestdatabase.achest.org/publications/research-reports-24 . - Global Health Centre, International Development Research Centre. Tanzania and the Sustainable Development Goals: Has Tanzania prepared to roll‑out and domesticate the health SDGs? [Internet]. Tanzania; Published January 9, 2017. Accessed September 15, 2022.
http://ghptt.graduateinstitute.ch/sites/default/files/Tanzania%20SDG%20Health%20Report.pdf . - United Nations Department of Economic and Social Affairs. Voluntary National Reviews [Internet]. Division for Sustainable Development; 2017. n.d. Accessed September 15, 2022. (High‑Level Political Forum on Sustainable Development).
https://sustainabledevelopment.un.org/content/documents/16665Compilation_of_Executive_Summaries_2017_VNRs.pdf . - Razzaq S, Chaudhry K, Tabassum R, Kanwal N. Policy research institutions and the health SDGs: Building momentum in South Asia ‑ Pakistan country study. Published August 2018. Accessed September 15, 2022.
https://idl-bnc-idrc.dspacedirect.org/handle/10625/57095 . - Peykari N, Hashemi H, Dinarvand R, et al. National action plan for non‑communicable diseases prevention and control in Iran: a response to emerging epidemic. J Diabetes Metab Disord. 2017;16:3.
- Mondal S, Van Belle S. India’s NCD strategy in the SDG era: Are there early signs of a paradigm shift? Global Health. 2018;14(1):39.
- United Nations. World Public Sector Report 2018 [Internet]. Department of Economic and Social Affairs; Published 2018. Accessed September 15, 2022.
https://desapublications.un.org/file/589/download . - Edward M, Heniedy AM, Saminu A, et al. Climate change and contagion: The emerging threat of zoonotic diseases in Africa. Infect Ecol Epidemiol. 2025;15(1):2441534.
- Saba Villarroel PM, Gumpangseth N, Songhong T, et al. Emerging and re‑emerging zoonotic viral diseases in Southeast Asia: One Health challenge. Front Public Health. 2023;11:1141483.
- Boston J, Gill D. Joint or Shared Accountability: Issues and Options. 2011;38.
- Najafizada SAM. Policy research institutions and the health SDGs: Building momentum in South Asia ‑ country report, Afghanistan. August 2017. Accessed September 15, 2022.
https://idl-bnc-idrc.dspacedirect.org/handle/10625/57091 . - Institute for Management Studies. Policy Research Institutions and the Health Related SDGs: Building Momentum in South Asia [Internet]. Published 2018. Accessed September 15, 2022.
https://idl-bnc-idrc.dspacedirect.org/bitstream/handle/10625/57092/IDL-57092.pdf . - Ministry of Health and Family Welfare, Government of India. National Multisectoral Action Plan for Prevention and Control of Non‑Communicable Diseases [Internet]. Published October 2017. Accessed September 15, 2022.
https://www.knowledge-action-portal.com/en/content/india-national-multisectoral-action-plan-nmap-prevention-and-control-common-ncds-2017-22#:~:text=National%20Multisectoral%20Action%20Plan%20for,Strategy%20document . - Ministry of Education, Government of India. About the PM Poshan Mission. n.d. Accessed September 15, 2022. Pradhan Mantri Poshan Shakti Nirman (PM POSHAN) in India.
https://pmposhan.education.gov.in/ . - Ministry of Rural Development. The Mahatma Gandhi National Rural Employment Guarantee Act 2005 [Internet]. 2005.
https://nrega.nic.in/Circular_Archive/archive/RTP2016_English.pdf . - National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India. Red Ribbon Express [Internet]. Published September 6, 2017. Accessed September 15, 2022.
http://naco.gov.in/red-ribbon-express . - Aarogyakeralam National Health Mission. School Health Programme [Internet]. Published 2020. Accessed September 15, 2022.
https://arogyakeralam.gov.in/2020/03/27/school-health-programme/ . - Sharma AL. Mainstreaming of Resource Convergence in Policymaking, Programme Design and Execution [Internet]. United Nations Development Programme; 2013.
http://www.nrcddp.org/file_upload/mainstreaming%20of%20resource%20convergence%20in%20policy%20making%20programm.pdf . - Ministry of Health and Family Welfare, Government of India. Healthcare in India [Internet]. Press Information Bureau; Published November 25, 2016. Accessed September 15, 2022.
https://pib.gov.in/newsite/PrintRelease.aspx?relid=154292 . - Gupta MD. Kerala tops NITI Aayog Health Index 4th time in a row, UP stays last despite improving most. The Print [Internet]. December 27, 2021. Accessed September 15, 2022.
https://theprint.in/health/kerala-tops-niti-aayog-health-index-4th-time-in-a-row-up-stays-last-despite-improving-most/789230/ . - Nabae K. The Health Care System in Kerala ‑ Its Past Accomplishments and New Challenges. J Natl Inst Public Health. June 27, 2003;52(2):6.
- Primary Health Care Performance Initiative. Kerala, India: Decentralized governance and community engagement strengthen primary care [Internet]. n.d. Accessed September 15, 2022.
https://improvingphc.org/promising-practices/kerala . - National Health Mission. National Rural Health Mission Institutional Setup at the State Level [Internet]. Published 2007. Accessed September 15, 2022.
http://www.nhm.gov.in/index1.php?lang=1&level=3&sublinkid=1137&lid=143 . - Government of Kerala. Local Governments and Decentralized Planning in Kerala [Internet]. State Planning Board; Published 2012. Accessed September 15, 2022. (Economic Review).
https://spb.kerala.gov.in/economic-review/ER2012/Chapter8/chapter08.html . - Joseph G. Kerala LSGs play pivotal role in the battle against COVID‑19: RBI report. Kerala Econ 2020;1(3):15–18. Accessed September 15, 2022.
https://www.gift.res.in/wp-content/uploads/2024/06/Kerala_LSGs_play_pivotal_role_in_the_battle_against_COVID_-19_-_RBI_report_George_Joseph.pdf . - Kerala Institute of Local Administration. The Kerala Panchayat Raj Act & Rules [Internet]. Kerala Institute of Local Administration; Published 1995. Accessed September 15, 2022.
https://dspace.kila.ac.in/items/88d88035-abe4-49d4-8235-2bc627695f2b . - Local Self Government Department, Government of Kerala. The State of Decentralised Solid Waste Management in Kerala [Internet]. Published 2021. Accessed September 15, 2022.
https://lsgkerala.gov.in/system/files/2022-04/Report-2021.pdf . - Government of Kerala. Government Order, Public Services, 12th Report of the Kerala Administrative Reforms Committee on Health Service Delivery [Internet]. Personnel and Administrative Reforms (AR) Department. Published October 6, 2003. Accessed February 9, 2023.
http://pard.kerala.gov.in/pard_webservice/go/G.O.(Ms)32_2003_P&ARD_16_06_10_2003.pdf . - Kerala Social Security Mission. Schemes: Kerala Social Security Mission [Internet]. Published 2008. Accessed February 9, 2023.
https://socialsecuritymission.gov.in/schemes/ . - Philip RR, Philip S, Tripathy JP, Manima A, Venables E. Twenty years of home‑based palliative care in Malappuram, Kerala, India: A descriptive study of patients and their care‑givers. BMC Palliat Care. 2018;17(1):26.
- Parthasarathy SK, Pal P, Bhattacharya S, Nandi S, Bhatla N, Kashyap A. Kudumbashree State Poverty Eradication Mission: A Model Documentation Report on Addressing Intimate Partner Violence (IPV) in India. ICRW; 2018:58.
- SC Development Department, Government of Kerala. Schemes [Internet]. Published 2019. Accessed February 9, 2023.
https://scdd.kerala.gov.in/index.php/schemes . - Scheduled Tribes Development Department. Healthcare Schemes [Internet]. Published 2022. Accessed February 9, 2023.
https://www.stdd.kerala.gov.in/index.php/comprehensivetribalhealth-care . - SCDD. Welcome to Scheduled Caste Development Department. Schemes [Internet]. n.d. Accessed June 10, 2022.
https://scdd.kerala.gov.in/index.php/schemes . - Nambiar D, Sankar H, Negi J, Nair A, Sadanandan R. Field‑testing of primary health‑care indicators, India. Bull World Health Organ. 2020;98(11):747–753.
- Ssennyonjo A, Belle SV, Titeca K, Criel B, Ssengooba F. Multisectoral action for health in low‑income and middle‑income settings: How can insights from social science theories inform intragovernmental coordination efforts? BMJ Glob Health. 2021;6(5):e004064.
- Nambiar D, Muralidharan A, Garg S, Daruwalla N, Ganesan P. Analysing implementer narratives on addressing health inequity through convergent action on the social determinants of health in India. Int J Equity Health. 2015;14(1):133.
http://www.equityhealthj.com/content/14/1/133 . - Aarogyakeralam National Health Mission. National Health Mission Government of Kerala. Published 2020. Accessed October 16, 2022. Aardram.
https://arogyakeralam.gov.in/2020/04/01/aardram/ . - Khayatzadeh‑Mahani A, Ruckert A, Labonté R. Obesity prevention: Co‑framing for intersectoral ‘buy‑in’. Crit Public Health. 2018;28(1):4–11.
- Nirmal Ghosh OS, Kiran LVS, Saji PR, et al. Ayush Public Health Interventions by Local Self Government Institutions Kerala. Published February 2019.
- National Health Mission. Panchayati Raj Institutions & Health & Family Welfare Programmes an Executive Summary [Internet]. n.d. Accessed October 17, 2022.
https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=1080&lid=146 . - Krishnan GA, Nair AK. Primary health‑care innovations with superior allusion to family health centers. Indian J Community Med. 2021;46(1):149–152.
- Kerala Institute of Local Administration. KILA Journal of Local Governance. 2018;5(1–2). Accessed November 16, 2022.
http://dspace.kila.ac.in/bitstream/123456789/505/1/KILA%20Journal%20of%20Local%20Governance%20Vol.5%2C%20No.1%262%2C%20January%20-%20December%202018.pdf . - Kerala Institute of Local Administration. Localizing SDGs in Kerala [Internet]. Published 2022. Accessed February 9, 2023.
https://www.kila.ac.in/localizing-sdgs-in-kerala/ . - Abbas SS, Shorten T, Rushton J. Meanings and mechanisms of One Health partnerships: Insights from a critical review of literature on cross‑government collaborations. Health Policy Plan. 2022;37(3):385–399.
- Gopalan SS, Bhatia R, Khetrapal S, Ra S. Addressing Nutrition Security in Urban India through Multisectoral Action. Asian Development Bank. February 2022.
https://www.adb.org/publications/nutrition-security-urban-india . - Jagnoor J, Kobusingye O, Scarr JP. Drowning prevention: Priorities to accelerate multisectoral action. Lancet. 2021;398(10300):564–566.
- Mondal S, Van Belle S, Bhojani U, Law S, Maioni A. Policy processes in multisectoral tobacco control in India: The role of institutional architecture, political engagement and legal interventions. Int J Health Policy Manag. 2022;11(9):1703–1714.
- Ramakrishnan A. Kerala Government’s Response to COVID‑19. PRS Legislative Research [Internet]. Published April 22, 2020. Accessed October 17, 2022.
https://prsindia.org/theprsblog/kerala-government%E2%80%99s-response-to-covid-19-january-30-2020-april-22-2020 . - Solomon N, K A G, Krishnan A, Cicily Joseph A, Dhanuraj D. Kerala Model of Response to COVID‑19 [Internet]. Centre for Public Policy Research (CPPR); Published August 2020. Accessed June 10, 2022.
https://www.cppr.in/wp-content/uploads/2020/10/KERALA-MODEL-OF-RESPONSE-TO-COVID-19.pdf . - World Health Organization. Responding to COVID‑19 ‑ Learnings from Kerala [Internet]. Published July 2, 2020. Accessed June 10, 2022.
https://www.who.int/india/news/feature-stories/detail/responding-to-covid-19---learnings-from-kerala . - Ministry of Panchayati Raj, Government of India. COVID‑19 in India, State/UT Level Initiatives at the Panchayat Level [Internet]. Published 2021. Accessed November 16, 2022.
https://www.panchayat.gov.in/documents/20126/0/COVID-State+initiatives+at+the+GP+Level+03042020.pdf/12505a82-3c8f-c75a-fdae-5cbddd0ae58c?t=1585975029688 . - Paul C. How Kerala managed to have zero COVID‑19 vaccine wastage. The Week [Internet]. Published May 9, 2021. Accessed November 16, 2022.
https://www.theweek.in/theweek/current/2021/04/29/how-kerala-managed-to-have-zero-covid-19-vaccine-wastage.html . - Sen S, Gautam P. Kerala Wins UN Award For “Outstanding Contribution” Towards Control of Non‑Communicable Diseases. The Logical Indian Crew [Internet]. Published September 25, 2020. Accessed July 29, 2022.
https://thelogicalindian.com/uplifting/kerala-un-award-23980 . - SCMS Cochin School of Business. The Impact of RSBY‑CHIS on Utilisation of Healthcare Services in Kerala [Internet]. Published July 31, 2019. Accessed May 24, 2022.
https://spb.kerala.gov.in/sites/default/files/inline-files/RSBYCHIS.pdf . - Kerala Social Security Mission, Government of Kerala. Samashwasam [Internet]. Published 2020. Accessed July 9, 2022.
https://socialsecuritymission.gov.in/2024/07/25/samaswasam/ . - Madhavan M, Ravindran RM, Shinu KS. Functioning of Arogyakiranam programme in Kerala: A qualitative study. J Family Med Prim Care. 2021;10(11):4117–4123.
- Sreekumar S, Mishra S. Between aspirations and realities of participation: Understanding the meanings of community participation in the context of Family Health Centre policy of Kerala. SSM Health Syst. 2024;3:100023.
- Narayana D. Local governance without capacity building: Ten years of Panchayati Raj. Econ Polit Wkly. 2005;40(26):2822–2832.
DOI: https://doi.org/10.5334/aogh.4716 | Journal eISSN: 2214-9996
Language: English
Submitted on: Feb 13, 2025
Accepted on: Jun 24, 2025
Published on: Jul 28, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
© 2025 Devaki Nambiar, Jaison Joseph, Hari Sankar D, Gloria Benny, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.