Public health challenges in Kerala and Sri Lanka

Despite their relatively modest economies, some of the basic population health indicators of Kerala and Sri Lanka are similar to that of the developed nations. Following a review of recent evidence on infectious diseases, non-communicable diseases, mental health and suicides, and maternal mortality, this paper argues that there are challenges arising from declining investments in the public health sector (and increasing privatisation) and inadequate attention to the social determinants of health. It also lists suggestions for policy and a research agenda to further health equity.