New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the...

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Transcript of New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the...

Page 1: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report
Page 2: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC

Lead authors: Sangeet Jain

Oommen C. Kurian

Research Assistance: Anushka Shah

Shreya Behal

Meghna Chadha

Sadhika Sasiprabhu

Design: Rahil Miya Shaikh

Sahil Kedia

Creative inputs: Dr Annapurna Mitra, Kriti Kapur

With special thanks to Sridhar Halali, University of Cambridge for his time and invaluable

contribution to the report.

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© 2020 Observer Research Foundation All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means without permission in writing from ORF.

Attribution Sangeet Jain and Oommen C. Kurian, State of the States: Two Months of the Pandemic, Observer Research Foundation, May 2020.

The Observer Research Foundation 20 Rouse Avenue, Institutional Area New Delhi, India 110002. [email protected] www.orfonline.org

ORF provides non-partisan, independent analyses and inputs on matters of security, strategy, economy, development, energy and global governance to diverse decision-makers (governments, business communities, academia and civil society). ORF’s mandate is to conduct in-depth research, provide inclusive platforms, and invest in tomorrow’s thought leaders today.

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Introduction 01

Methods 03

Section 1: North India 07

ChandigarhDelhi Haryana Himachal PradeshJammu and KashmirLadakh Punjab

Rajasthan

0809101112131415

Section 2: Central India 16

ChhattisgarhMadhya PradeshUttarakhandUttar Pradesh

17181920

Section 3: West India 21

Dadra and Nagar Haveli Daman and Diu Goa GujaratMaharashtra

2223242526

CONTENTS

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Section 4: East India 27

BiharJharkhand OdishaWest Bengal

28293031

Section 5: North-East India 32

Arunachal Pradesh AssamManipur Meghalaya Mizoram NagalandSikkim Tripura

3334353637383940

Section 6: South India 41

Andaman and Nicobar Islands Andhra Pradesh Karnataka Kerala Lakshadweep IslandsPuducherryTamil Nadu Telangana

4243444546474849

Conclusion 50

Annexe (Data sources and limitations) 55

Bibliography 57

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INTRODUCTION

The World Health Organization declared COVID-19 a global pandemic on 11 March 2020. Two months on, no country in

the world has clear daily numbers on how many people are truly infected with the coronavirus or how many have died because of it.

The available numbers—particularly recorded cases—remain gross underestimates, including in India. However, India has not yet seen widespread transmission. At over 80,000 cases and around 2,700 deaths, even after accounting for the low number of tests per million people, India’s numbers remain much lower than what many experts had predicted at the beginning of the outbreak.

India is not an outlier. The world is struggling to understand why the spread and devastation of the COVID-19 virus has been less than anticipated in many large countries. Of the ten most populous countries, which make up 60 percent of the world population, only three—the US,

Brazil and Russia—have total confirmed cases per million people higher than the global average. When it comes to deaths per million people, eight out of ten most populous countries (barring the US and Brazil) have an average lower than the global average.

The pandemic is still in the early stages and, like what happened with Brazil, a surge is expected in many large countries, including India, as restrictions imposed by the lockdowns are eased. However, even when more intensive transmission of the virus may be inevitable, the current spread among the Indian population seems limited within certain states like Maharashtra and Gujarat, where positive cases per tests conducted remain high and climbing.

Given this context, this report presents the state-level situation—tracking the broad risks that the population is faced with, the overall preparedness of the health system, the spread of the virus over the last two months in terms of morbidity and mortality, the expansion of testing and the

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response on several fronts by the state governments.

The severe paucity of data within India’s health sector makes a systematic analysis of issues like private sector delivery capacity and non-communicable diseases extremely difficult. This preliminary report shall attempt to side-step this limitation by focusing on government data sets, and specific age groups for whom population level estimates are available.

India has, as of now, one of the lowest population-adjusted infection rates and death rates. India was one of the earliest countries to impose a national economic lockdown. The federal system has held strong and the states, even those ruled by parties other than the one at the Centre, have largely supported and implemented

the strict containment measures. This report provides a snapshot of how prepared and responsive the states have been, and how the pandemic has progressed over the first two months of the lockdown.

The main challenge for India at present is to keep deaths at a low level as the virus spreads. This means protecting high-risk populations as economic activity is restored bit by bit. It will entail ensuring that green zones are indeed green by deploying broader testing strategies, and ensuring voluntary compliance of physical distancing measures. Managing low-income urban settlements with high population densities will be a particularly difficult challenge. It will be the Observer Research Foundation’s endeavour to track these measures at the state level as India moves forward.

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METHODS

In the best of times, India is a country whose vast size and diversity pose formidable governance challenges. These are most certainly not the best

of times. Faced with the gargantuan task of tackling a public health crisis even as the economy is paralysed, India’s quasi-federal structure has produced a swift, coordinated response by the Centre and the states, with the states at the frontline.

This report has attempted to capture the nuances of the preparedness and response of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report is 11 March (when the World Health Organization declared the COVID-19 outbreak a “global pandemic”) to 11 May. A state-level analysis has been undertaken for a variety of reasons. Health is a state subject, and healthcare delivery and financing is dominated by state governments. Public healthcare capacity

and capabilities vary vastly across states. India’s states are also geographically and demographically diverse, with some like Uttar Pradesh having a massive population and high population density and others like Manipur and Goa having small, manageable populations and low densities. The burden has fallen on each individual state to manage it’s response to the pandemic, albeit within the constraints of national policy. This is especially so after India went into lockdown on 24 March and effectively left each state to its own devices (as inter-state travel came to a sudden halt).1

The states and union territories have been profiled in a manner that allows a preliminary insight into the unique vulnerabilities of each state to the pandemic, assess the superiority and promptness of their response to the crisis, and judge their relative performance. The report has employed a colour-coded

1 Rajagopalan, S. and Choutagunta, A., 2020. Assessing Healthcare Capacity in India.

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mechanism for every indicator to rank state vulnerability—the top 1/3rd most-vulnerable for that particular indicator are coded red, the middle 1/3rd are coded orange, and the bottom 1/3rd coded green (least vulnerable).

BASELINE INDICATORSCOVID-19 is not a disease that affects everyone equally; some are more susceptible than others and so demographics matter. According to the Centers for Disease Control, people aged 65 and above are at a high risk from the novel coronavirus.2 Population densities also matter as living in close contact renders people more susceptible to contagion. Those with existing co-morbidities are more vulnerable. A state’s vulnerability is determined by the demographic profile, population density and noncommunicable diseases (NCD) burden of its residents.

Each state’s profile contains a demographic pyramid, created using the latest data available. For most states, data was sourced from the latest Sample Registration System Report (SRS) Report 2017-18, published by the Ministry of Home Affairs. For the smaller states and union territories, data from the Census Report (2011) has been used. The assessment of co-morbidity burdens was a challenge. India has severe deficiencies regarding data on NCDs. This report is therefore compelled to rely on the best possible data available—official statistics from the National Health Family

Survey Report 2015-16, which captures self-reported health problems for the age group of 15-49 across states for the major ailments (diabetes, heart disease, asthma and cancer). It is imperative to identify high-density areas that could potentially be hotbeds of infection, and therefore population densities per square kilometre were sourced from the National Health Profile 2019 published by the Central Bureau of Health Intelligence.

The Niti Aayog Health Index 2019—a weighted composite index measuring state health outcomes, governance and key inputs and processes across 23 indicators—has been used to gauge states’ baseline health indicators. This index is the most comprehensive assessment of state performance on public health, and its rank assessments have been used as a proxy for the state’s overall performance on health. The pandemic has laid bare inequalities and left certain sections of the population more vulnerable than others. Access to clean water and sanitation, the degree of poverty and hunger and the robustness of institutions are all factors that determine how severely the pandemic will affect populations. The SDG India Index 2019-20 was constructed to indicate where a state/union territory stood on all the Sustainable Development Goals, and is therefore the best possible proxy available to gauge a state’s performance on all these crucial parameters.

2 https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html

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PREPAREDNESSState preparedness in terms of healthcare capacity is a crucial bulwark against the virus.3 This report has analysed three parameters of state preparedness—public health investment, hospital capacity and availability of healthcare workers. Capacities are built up over time. However, in lieu of a longitudinal analysis, the report snapshots state healthcare capacities before the virus hit by using the most recent data available. But official figures on private healthcare in India are not available. This is particularly unfortunate since the private sector is by far the larger healthcare provider in India. Official figures, underestimating India’s overall capacity but still relevant to gauge public institutional capacity and the priority accorded to healthcare by states, have been recorded. This snapshot serves as a quantitative and not qualitative assessment of capacity, it is crucial to keep in mind that quality also varies widely across states.4

State expenditure on health as a ratio to aggregate expenditure is a measure to evaluate the priority accorded by individual states to health in their overall budget commitment. State expenditures are colour-coded and presented in comparison to the national proportion of expenditure on health figure (4.9). The latest revised estimates (2018-19) from the Reserve Bank of India have been employed. Notably, any

analysis of state investment must keep in mind that state expenditure is predicated on state GDPs per capita which differ vastly across states.

Data on the number of government hospital beds per 10,000 persons—a proxy for health infrastructure—has been drawn from the National Health Profile 2019. Here, government hospitals include central, state and local government bodies, also primary health centres.

The data on healthcare workers varies vastly across government agencies. The SDG India Index has produced an indicator capturing healthcare worker availability per 10,000 persons (a total pf physicians, nurses and midwives), and this report has used the assigned state scores for this indicator as a measure of healthcare worker availability across states.

RESPONSEState responses to the pandemic have been the final determinant of their performance in tackling the outbreak and the lockdown. The report captures state response on three fronts—public health, economic and technological.

The public health response is captured in two graphs. The clinical management graph demonstrates the weekly progression of active, recovered and deceased cases

3 Saikia and Subramanian, “One month of lockdown: Why Indian states have dramatically divergent Covid-19trajectories”. Scroll, 24 April 2020.4 Rajagopalan, S. and Choutagunta, A., 2020. Assessing Healthcare Capacity in India.

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from 16 April to 11 May. The testing graph demonstrates the pace and magnitude of testing conducted by states from 6 April to 11 May (the reference period was re-adjusted here due to data constraints).

State economic response is a nuanced indicator, differing widely among states. The report has therefore undertaken a quantitative assessment of economic relief - with the size of the relief package depicting amounts allocated under the State Disaster Response Mitigation Fund, sourced from the Ministry of Home Affairs, as well as a qualitative assessment - covering economic relief provided to migrants, initiatives to secure supply of essential commodities and other notable

steps (such as assistance provided by the Chief Minister’s Relief Fund).

The tech response box is a qualitative indicator, introduced in the report to capture the innovative use of technology employed by states to tackle the outbreak. Some states have been particularly innovative and also safeguarded privacy, while others have performed poorly.

Every attempt has been made to ensure that the data employed is sourced from official figures released by the Indian government or mainstream news publications. An account of data sources and specific data deficiencies/limitations can be found in the Annexe (see page 55).

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NORTH INDIA

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CHANDIGARH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.4% ASTHMA - 0 %

HEART DISEASE - 0.6% HEART DISEASE - 1.8%

CANCER - 0.1% CANCER - 0%

DIABETES - 2.3% DIABETES - 1.6%

TECH RESPONSEThe administration has launched the ‘CVD Tracker', which uses geo-fencing to restrict movement of those placed under quarantine. The authorities are alerted in case of any breaches, including if the phone is switched off. A 24x7 control room has been set up to monitor the app.

PREPAREDNESS

Beds Per

INVESTMENT

33.34 10,000

HEALTHCAREWORKERS

MIGRANT WORKERS Helpline and website set up for

migrant workers and others stranded outside Chandigarh. After individuals register via helpline or website, safe transportation will be arranged to bring them back to the UT.

SUPPLY OF ESSENTIAL COMMODITIES

Three months' worth of food grain (15 kg wheat, 3 kg pulses) home delivered in one go to registered beneficiaries of priority households and Antyodaya Anna Yojana households covered under direct benefits transfer scheme for food grains, as per the National Food Security Act provisions. LPG cylinders home delivered as well.

0

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1 7

RANK AMONG

1 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

25.26%

68.36%

6.35%

9258per sq km

(Total physicians, nurses and midwives per 10,000)

SDG Index Score

500

1000

1500

2000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

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per

mill

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cond

ucte

d w

eekl

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umul

ativ

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SECT

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1: N

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DIA

08

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DELHI

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.4% ASTHMA - 0.2%

HEART DISEASE - 1.4% HEART DISEASE - 0.4%

CANCER - 0% CANCER - 0%

DIABETES - 2.3% DIABETES - 1.5%

TECH RESPONSEThe administration launched the new ‘Assess Karo Na’ app to facilitate door-to-door surveys in COVID-19 containment zones. The data is uploaded immediately and analysed in real time to speed up decision-making. This will help control centres make quick decisions regarding availability of ambulances, medical equipment and personnel in the area. The Delhi government has also allowed E-passes for essential service providers to be issued through WhatsApp.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

11.9

14.92 10,000

HEALTHCAREWORKERS

MIGRANT WORKERS 2700+ buildings, including schools, converted

into temporary housing shelters for migrants.

OTHER NOTABLE STEPS Rs. 5000 one-off payment

to auto, bus, taxi and cycle-rickshaw drivers.

SUPPLY OF ESSENTIAL COMMODITIES

Free ration provided to 30 lakh people without ration cards, in addition to the 71 lakh beneficiaries of the Public Distribution System. Kits containing essentials like soap and salt distributed with the ration. 2000 food coupons distributed in each constituency by MLAs and MPs.

98SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

5 7

RANK AMONG

5 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

24.4%

69.0%

6.6%

11320per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

1000

2000

3000

4000

5000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

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cond

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0

2000

4000

6000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active73

5031

2129

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HARYANA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.4% ASTHMA - 0.3%

HEART DISEASE - 1.1% HEART DISEASE - 0.5%

CANCER - 0.2% CANCER - 0.1%

DIABETES - 1.1% DIABETES - 0.5%

TECH RESPONSE

As soon as the lockdown begun, Haryanalaunched a digital platform to register volunteers, which has been the backbone of its efforts

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

4.1

4.1 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores) MIGRANT WORKERS

Government provided 825 buses to transport stranded migrant workers back to their villages.

SUPPLY OF ESSENTIAL COMMODITIES

Biometric authentication at ration shops discontinued. Free ration to all BPL families

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 665

164

491

State Allocation

National Allocation

58SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1221

RANK AMONG

1828

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

26.7%

65.9%

7.4%

573per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

500

1000

1500

2000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

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0

200

400

600

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

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f cas

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Deaths Recovered Active

336

383

11

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HIMACHAL PRADESH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1% ASTHMA - 0.5 %

HEART DISEASE - 0.9% HEART DISEASE - 0.5%

CANCER - 0.1% CANCER - 0.3%

DIABETES - 1.6% DIABETES - 1.1%

TECH RESPONSEThe government developed the Corona Mukt Himachal App to track the movement of people under quarantine. The app uses questionnaires and tracks location coordinates to monitor breaches. Applications of e-pass and transport passes can also be made on the app.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

6.3

16.95 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Organised transport of

stranded migrant workers to Jammu and Kashmir

Himachal Pradesh High Court orders state to provide free ration and medical care to stranded migrant workers. The state must file a report of its measures to address the grievances of migrant workers.

SUPPLY OF ESSENTIAL COMMODITIES

Food grains prioritised based on need. Panchayati Raj institutions involved in delivering essentials to rural areas.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 454

State Allocation

National Allocation

100

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

621

RANK AMONG

228

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

22.4%

66.5%

11.1%

123per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score0

500

1000

1500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

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45

409

0

10

20

30

40

50

60

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

3

20

36

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JAMMU AND KASHMIR

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 0.9% ASTHMA - 1.3%

HEART DISEASE - 4.5% HEART DISEASE - 2.4%

CANCER - 0.1% CANCER - 0%

DIABETES - 1.9% DIABETES - 3%

TECH RESPONSE

Srinagar unveiled plans to undertake GIS mapping to monitor all cases—those suspected, those under surveillance and those under quarantine or isolated.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

5.2

5.35 10,000

HEALTHCAREWORKERS

MIGRANT WORKERS Facilitating bringing back stranded

migrant workers and students; 300+ students returned home safely from Kota, Rajasthan. Relief camps providing food and shelted to migrant workersset up.

SUPPLY OF ESSENTIAL COMMODITIES

Select shops providing essential good open, and doorstep delivery of essentials allowed.

35

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

721

RANK AMONG

8 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.7%

69.1%

9.3%

124per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score

0

1000

2000

3000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

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per

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cond

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0

200

400

600

800

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

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Deaths Recovered Active10

442

427

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LADAKH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

*J&K figures used

*J&K figures used

*J&K figures used

*J&K figures used

Self-reported diseases among those aged 15-49.*Jammu and Kashmir data used as Ladakh data not separately available

PUBLIC HEALTH RESPONSE

ASTHMA - 0.9% ASTHMA - 1.3%

HEART DISEASE - 4.5% HEART DISEASE - 2.4%

CANCER - 0.1% CANCER - 0%

DIABETES - 1.9% DIABETES - 3%

TECH RESPONSEThe administration has used social media platforms to create awareness. Health advisors have released multimedia content in local languages to provide information on social distancing and Covid-19 symptoms. Local panchayats have created community WhatsApp groups to disseminate information.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

5.2

5.35 10,000

HEALTHCAREWORKERS

MIGRANT WORKERS Ladhakh BJP unit chief Chering

Dorjay resigned on 4 May, blaming administrative inaction in failing to evacuate or provide assistance to 2000+people stuck in different parts of India.

OTHER NOTABLE STEPS

Previously without a COVID-19 laboratory, one was set up at the end of April to ensure timely and cost-effective sample testing.

SUPPLY OF ESSENTIAL COMMODITIESEssential rations airlifted to Ladakh Valley and distribution services to remote areas are in place.

35

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

721

RANK AMONG

9 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.7%

69.1%

9.3%

124per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score

0

2000

4000

6000

8000

10000

12000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

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Deaths Recovered Active

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PUNJAB

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.3% ASTHMA - 0.5%

HEART DISEASE - 1.5% HEART DISEASE - 0.6%

CANCER - 0.1% CANCER - 0%

DIABETES - 1.7% DIABETES - 1.4%

TECH RESPONSEPunjab is using cellphone data, including call records and GPS, to enforce the lockdown, ensure home delivery of groceries and for contact tracing. The state has partnered with OLA and is using their tech to track over 1.7 million farmers’ produce and vehicle movement in vegetable markets to ensure social distancing protocols are maintained. It comes with a feature that can verify via a selfie whether people are wearing masks. The tech platform is also helping the state issue travel passes digitally.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

3.6

6.74 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Provisions for food and shelter

made for migrant workers. Industry, including brick kiln, and agriculture sector to absorb migrant workers with adequate safety measures and provisions.

SUPPLY OF ESSENTIAL COMMODITIES

Biometric authentication of National Food Security Act beneficiaries through ePOS devices at Fair Price Shops during wheat distribution suspended until May 3.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 660

165

495

State Allocation

National Allocation

100

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

521

RANK AMONG

1228

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.2%

68.7%

10.2%

551per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score0

500

1000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

500

1000

1500

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active31

1678

168SE

CTIO

N 1

: NO

RTH

IND

IA

14

Page 20: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

RAJASTHAN

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 0.9% ASTHMA - 0.7%

HEART DISEASE - 0.6% HEART DISEASE - 0.4%

CANCER - 0.1% CANCER - 0%

DIABETES - 0.6% DIABETES - 0.9%

TECH RESPONSETo continue providing health services despite social distancing, the State Government haspartnered with the Health-tech startup MedCords to facilitate medicine delivery and provide onlineconsultations. The apps is an integration of Aayu and Sehat Sathi apps and hopes to reach 68 million people in Rajasthan

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5.7

6.01 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Facilitating getting migrant workers home;

workers to register via e-mitra online portal, mobile app, kiosk or helpline number.

SUPPLY OF ESSENTIAL COMMODITIES Biometric authentication replaced with OTP

process for distributing rations via PDS. Door-step delivery of rations. Rajasthan Pharmacy Council set up a drug supply control room for unhindered supply of medicines and facilitating home delivery of medicines.

OTHER NOTABLE STEPSEstablished Rajasthan Corona Sahayata Yojana for one-time cash transfer to construction workers, people deprived of livelihoods, needy eligible families from different categories, frontline workers’ families through the Anugrah Rashi Bhugtan initiative.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1975

494

1481

State Allocation

National Allocation

100SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1621

RANK AMONG

2028

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

29.5%

63.1%

7.3%

200per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

500

1000

1500

2000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

1000

2000

3000

4000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

113

1551

2324

SECT

ION

1: N

OR

TH IN

DIA

15

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CENTRAL INDIA

Page 22: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

CHHATTISGARH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 0.9% ASTHMA - 0.4%

HEART DISEASE - 0.6% HEART DISEASE - 0.5%

CANCER - 0.1% CANCER - 0%

DIABETES - 0.5% DIABETES - 0.8%

TECH RESPONSEThe Chhatisgarh Infotech Promotion Society has adopted an integrated IT platform for smoother inter-departmental coordination. All entries regarding home quarantine, contact tracing, sample collection and isolation centres are recorded in one place by the field staff directly. The auto alert system ensures smooth data exchange.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5.4

3.29 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS State sanctioned Rs. 3.8 crore to set

up relief camps, with mandated yoga and counseling sessions. Interim shelters are involved in making masks and soaps

SUPPLY OF ESSENTIAL COMMODITIES

Subsidised rice, sugar and salt provided for two months to all ration card holders.

OTHER NOTABLE STEPSRaw food distributed to beneficiaries of the Mid-Day Meal Scheme.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 576

144

432

State Allocation

National Allocation

34SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1321

RANK AMONG

2128

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

28.7%

64.3%

7.1%

189per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

10

20

30

40

50

60

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

53

6

200

400

600

800

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

SECT

ION

2: C

ENTR

AL

IND

IA

17

Page 23: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

MADHYA PRADESH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.9% ASTHMA - 1.1 %

HEART DISEASE - 1.8% HEART DISEASE - 1.1%

CANCER - 0.2% CANCER - 0.2%

DIABETES - 1.2% DIABETES - 0.9%

TECH RESPONSESmart city Bhopal has converted its Integrated Command and Control Centre into a data war room.. The seamless flow of information helps the different departments work in unison. The war room also houses a call centre to address all concerns.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

4.1

3.78 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Monetary relief of Rs. 1000 to all

unorganised sector workers. Over Rs. 88 crore has already been transferred

SUPPLY OF ESSENTIAL COMMODITIES

Free ration available to all

OTHER NOTABLE STEPSEssential Services Maintenance Act 1979 invokes, which prohibits anyone employed in essential services from refusing to work.

Certain Scheduled Tribes would receive Rs 2000 per family.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 2427

607

1820

State Allocation

National Allocation

74SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1821

RANK AMONG

1528

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

30%

62.8%

7.2%

236per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

200

400

600

800

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

1000

2000

3000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

221

1817

1747

SECT

ION

2: C

ENTR

AL

IND

IA

18

Page 24: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

UTTAR PRADESH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.2% ASTHMA - 1 %

HEART DISEASE - 1.4% HEART DISEASE - 0.6%

CANCER - 0.1% CANCER - 0.1%

DIABETES - 1% DIABETES - 1.1%

TECH RESPONSEThe state administration is providing food to all with the help of two platforms—Annapurna and Supply Mitra.  The former gives location of free cooked items and food packets, while the latter is used to facilitate home delivery of groceries and other daily essential items, by providing the operating details of the traders and delivery boys involved.The E-Doctor Seva, a public-private partnership initiative in Agra, offers tele-video consultation facility.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

4.6

3.33 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Facilitating bringing back migrant

workers home; providing them with shelter and rations. Rs. 1000/month direct cash support to 20.4 lakh registered construction workers, 15 lakh street vendors and other unregistered workers.

SUPPLY OF ESSENTIAL COMMODITIES

Universal access to the Public Distribution System from April 17 to June 30, irrespective of availability of ration card and Aadhaar card. Free ration to 1.65 crore registered construction workers and daily wage labourers in April.

OTHER NOTABLE STEPSThe state had no laboratory to test the Sars-CoV-2 pathogen when the first positive case was reported. It now has 10.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 2578

645

1933

State Allocation

National Allocation

29SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

2121

RANK AMONG

2428

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

29.5%

63.6%

6.9%

829per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

100

200

300

400

500

600

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

1000

2000

3000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

80

1735

1758

SECT

ION

2: C

ENTR

AL

IND

IA

19

Page 25: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

UTTARAKHAND

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1% ASTHMA - 0.8 %

HEART DISEASE - 0.9% HEART DISEASE - 1.3%

CANCER - 0.1% CANCER - 0%

DIABETES - 1.4% DIABETES - 0.6%

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5.2

7.68 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Relief camps set up and food provided

to migrant workers, and other poor and needy.

SUPPLY OF ESSENTIAL COMMODITIES

Select shops providing essential goods and most other stores open in 9 of 13 districts. Doorstep delivery of essentials allowed. Raids conducted at mandis and provision shops to check for illegal profiteering.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1041

State Allocation

National Allocation

33SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1721

RANK AMONG

1128

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

29.6%

61.8%

8.6%

189per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

104

937

200

400

600

800

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

20

40

60

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active1

21

46

SECT

ION

2: C

ENTR

AL

IND

IA

20

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WEST INDIA

Page 27: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

DADRA AND NAGAR HAVELI

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.6% ASTHMA - 0.5%

HEART DISEASE - 0.5% HEART DISEASE - 0%

CANCER - 0% CANCER - 0%

DIABETES - 0.8% DIABETES - 1%

TECH RESPONSEThe administration launched the “Corona Tracer” app. The app provides local updates, serves as a self-assessment tool and can be used to alert authorities in case of emergencies. Applications for E-Pass permissions can also be made via the app.

PREPAREDNESS

Beds Per

INVESTMENT

16.33 10,000

SUPPLY OF ESSENTIAL COMMODITIES

The authorities have created a comprehensive directory that lists out the contact information of all operating essential services zone-wise. In addition to home delivery of groceries and medication, breakdown assistance for household equipment (electrical, plumbing) is also provided. Cash delivery and door-to-door ATM facilities are also provided.

OTHER NOTABLE STEPS

The UT was integrated into the One-Nation, One-Ration national scheme on 1 May. The scheme allows beneficiaries to avail benefits across the country using one ration card.

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

2 7

RANK AMONG

3 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

31.37%

64.46%

4.04%

700 per sq km

0.0

0.2

0.4

0.6

0.8

1.0

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

1

SECT

ION

3: W

EST

IND

IA

22

Page 28: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

DAMAN AND DIU

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 0.8% ASTHMA - 0.1%

HEART DISEASE - 0.3% HEART DISEASE - 0%

CANCER - 0.1% CANCER - 0%

DIABETES - 0.5% DIABETES - 0%

TECH RESPONSEThe administration launched the 'Corona Tracer' App. The app provides local updates, serves as a self-assessment tool and can be used to alert authorities in case of emergencies. Applications for E-pass permissions can also be made via the app.

PREPAREDNESS

Beds Per

INVESTMENT

10.9 10,000

SUPPLY OF ESSENTIAL COMMODITIES

The authorities have created a comprehensive directory that lists out the contact information of all operating essential services zone-wise. In addition to home delivery of groceries and medication, breakdown assistance for household equipment (electrical, plumbing) is also provided. Cash delivery and door-to-door ATM facilities are also provided.

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

7 7

RANK AMONG

7 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

22.61%

72.58%

4.66%

2191 per sq km

−0.04

−0.02

0.00

0.02

0.04

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

OTHER NOTABLE STEPS The UT was integrated into the

One-Nation, One-Ration national scheme on 1 May. The scheme allows beneficiaries to avail benefits across the country using one ration card.

SECT

ION

3: W

EST

IND

IA23

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GOA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1% ASTHMA - 0.5%

HEART DISEASE - 0.2% HEART DISEASE - 0.3%

CANCER - 0% CANCER - 0.2%

DIABETES - 3.8% DIABETES - 3%

TECH RESPONSEGoa was the first state to introduce a self-assessment app called 'Test Yourself’ that helps users self-diagnose COVID-19 symptoms. The app includes real-time updates on cases, measures and preventions.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

6.1

19.52 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores) MIGRANT WORKERS

Migrant workers housed in government facilities with essential supplies and counseling sessions to counter rise in mental illness.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 15

3

12

State Allocation

National Allocation

54SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

48

RANK AMONG

728

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.82%

66.83%

11.2%

394per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

1000

2000

3000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

2

4

6

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

7

SECT

ION

3: W

EST

IND

IA

24

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GUJARAT

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.3% ASTHMA - 0.9 %

HEART DISEASE - 0.3% HEART DISEASE - 0.5%

CANCER - 0.1% CANCER - 0.1%

DIABETES - 1.2% DIABETES - 1.1%

TECH RESPONSEThe state is using a GIS-based mobile application to monitor the movement of those advised to quarantine at home.Similar to the Centre’s Quarantine Alert System, it alerts authorities if the person being monitored leaves quarantine.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

5.5

3.16 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Migrants housed in temporary shelters.

Migrants having their own vehicles can apply for permission from the district collector and if approved, travel back to their hometowns.

SUPPLY OF ESSENTIAL COMMODITIES

Rs. 1000 transferred to families with ration cards and one month's supply of food grain provided for free.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1765

441

1324

State Allocation

National Allocation

96

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

421

RANK AMONG

928

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

25.5%

66.1%

8.4%

308 per sq km308 per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score0

500

1000

1500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

2000

4000

6000

8000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

513

2780

5249

SECT

ION

3: W

EST

IND

IA25

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MAHARASHTRA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.9% ASTHMA - 1.2%

HEART DISEASE - 0.6% HEART DISEASE - 0.5%

CANCER - 0.1% CANCER - 0.1%

DIABETES - 1.4% DIABETES - 1.1%

TECH RESPONSEThe Mahakavach app utilises both contact-tracing and quarantine-tracking features. The app restricts home quarantine to a digitally-mapped area, a technique called geo-fencing. The authorities are alerted in case the phone leaves this digitally-mapped boundary. People are required to provide regular selfie attendance, which is further crosschecked by facial recognition and maps to detect live images.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

4.3

4.26 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS 1.3 lakh stranded sugarcane workers

allowed conditional intra-state travel. Rs. 2000 one-off monetary relief provided to migrant workers.

OTHER NOTABLE STEPS State notification to defer rent

collection for three months. No eviction will be allowed due to non-payment of rent during this period.

SUPPLY OF ESSENTIAL COMMODITIES Subsidised ration available to saffron

(APL) ration card holders

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 4296

1074

3222

State Allocation

National Allocation

95

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

321

RANK AMONG

1028

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

24.5%

66.4%

9.1%

365per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score

500

1000

1500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

5000

10000

15000

20000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

868

17747

4786SE

CTIO

N 3

: WES

T IN

DIA

26

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EAST INDIA

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BIHAR

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.8% ASTHMA - 1.4 %

HEART DISEASE - 2.3% HEART DISEASE - 1.5%

CANCER - 0.6% CANCER - 0.1%

DIABETES - 1.6% DIABETES - 1.3%

TECH RESPONSE

The government is using geo-fencing and geo-tagging technologies to identify stranded migrants and disburse emergency monetary relief to them.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

4.2

0.98 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Rs. 1000 provided as monetary relief

and the state runs 10 food centres in Delhi to support stranded workers

SUPPLY OF ESSENTIAL COMMODITIES

Free ration for one month to ration card holders, Rs. 1000 one-off payment for families without ration cards.

OTHER NOTABLE STEPSDirect benefits transfer to beneficiaries of the Mid-Day Meal Scheme. Corona Sahayata App for those stranded outside Bihar

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1888

472

1416

State Allocation

National Allocation

40

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

2021

RANK AMONG

2828

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

34.8%

58.8%

6.4%

1106per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score50

100

150

200

250

300

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

200

400

600

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active6

377

366

SECT

ION

4: E

AST

IND

IA

28

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JHARKHAND

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 0.7% ASTHMA - 1.4%

HEART DISEASE - 0.7% HEART DISEASE - 1.7%

CANCER - 0% CANCER - 1.4%

DIABETES - 0.7% DIABETES - 2.1%

TECH RESPONSEThe police is using drones, CCTV cameras and automatic number plate recognition for surveillance and to enforce the lockdown in the containment and buffer zones. The government is also experimenting with a Co-Bot (collaborative robot) to transfer medicine and food from one bed to another, without needing health workers to attend to COVID-19 patients and risk infection.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5

2.89 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores) MIGRANT WORKERS

Launched the Chief Minister’s Special Assistance Scheme, a mobile app to help register stranded workers. Rs. 1000 provided as monetary relief.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 757

189

568

State Allocation

National Allocation

8SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1421

RANK AMONG

2728

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

30.2%

63.2%

6.6%

414per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

100

200

300

400

500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

50

100

150

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active3

80

78

SECT

ION

4: E

AST

IND

IA29

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ODISHA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 2.5% ASTHMA - 2.2%

HEART DISEASE - 1.1% HEART DISEASE - 1%

CANCER - 0.1% CANCER - 0.2%

DIABETES - 1.5% DIABETES - 2.9%

TECH RESPONSEThe public can find information about the Coronavirus and report violations of social distancing measures on the ‘COVID-19 Odisha’ app.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5.1

4.08 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS

Facilitated return of migrant workers stranded in Gujarat and other parts of the country. Set up a 30-line help centre for stranded workers.Formally launched a portal for registration of stranded workers to monitor COVID-19 spread.

SUPPLY OF ESSENTIAL COMMODITIES

National Food Security Act and State Food Security Scheme invoked to distribute rice, wheat, S.K. oil from April 1 to May 15.

OTHER NOTABLE STEPSAnnounced special financial benefits for all social security beneficiaries; released three months’ salary to all COVID-19 healthcare workers.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 2139

535

1604

State Allocation

National Allocation

91SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1921

RANK AMONG

1628

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

24.4%

65.8%

9.9%

270per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

500

1000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

100

200

300

400

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active3

326

85SE

CTIO

N 4

: EA

ST IN

DIA

30

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WEST BENGAL

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3.3% ASTHMA - 1.8%

HEART DISEASE - 2% HEART DISEASE - 1.6%

CANCER - 0.1% CANCER - 0.1%

DIABETES - 1.7% DIABETES - 1.6%

TECH RESPONSEThe state government has launched an app, Sandhane, to identify and treat patients in remote and rural areas. Sandhane will be used by ASHA health workers to record data of people in villages who show COVID-19 symptoms.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

*(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

4.6

8.04 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Temporary shelters created and food

provided to migrant workers, and other poor and needy.

OTHER NOTABLE STEPS West Bengal State Emergency Relief

Fund created on 23 March and state-wide austerity measures announced on 2 April .

SUPPLY OF ESSENTIAL COMMODITIES

Free entitlement of wheat and rice to beneficiaries under food subsidy schemes through PDS from 1 April to 30 September (6 months).

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1348

337

1011

State Allocation

National Allocation

60SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1121

RANK AMONG

1428

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

23.0%

68.2%

8.7%

1028per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

100

200

300

400

500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

500

1000

1500

2000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

190

1374

499

SECT

ION

4: E

AST

IND

IA31

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NORTH-EAST INDIA

Nagaland

Page 38: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

ARUNACHAL PRADESH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.2% ASTHMA - 0.3 %

HEART DISEASE - 1.4% HEART DISEASE - 0.8%

CANCER - 0.1% CANCER - 0.2%

DIABETES - 1.2% DIABETES - 1.2%

TECH RESPONSEThe state government has introduced apps like ‘U Tell Us’ and ‘Dukan Dada’ to supply groceries and essentials to citizens and limit outdoor exposure. The app delivers essentials 24x7.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

6.6

15.73 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Online registration forms used to

provide immediate monetary relief (Rs. 3500) to stranded individuals from Arunachal Pradesh. 46 relief camps set up and 25,000+ workers provided with food.

SUPPLY OF ESSENTIAL COMMODITIES

Rs.1000 for 1,75,000+ BPL families. 44,000+ free LPG cylinders provided.

OTHER NOTABLE STEPSRs. 3000 paid over three months to senior citizens, needy widows and disabled residents.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 278

28

250

State Allocation

National Allocation

53

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

78

RANK AMONG

2628

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

35.66%

59.63%

4.6%

17per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score 0

500

1000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0.0

0.2

0.4

0.6

0.8

1.0

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

1

SECT

ION

5: N

OR

TH-E

AST

IND

IA33

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ASSAM

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 0.9% ASTHMA - 0.7 %

HEART DISEASE - 1.3% HEART DISEASE - 0.8%

CANCER - 0.1% CANCER - 0%

DIABETES - 1% DIABETES - 1.1%

TECH RESPONSEThe state launched the COVAAS app to address all COVID-19 related issues. It posts regular updates and provides volunteering and helpline information.Applications for E-passes and request for help in case of emergencies can be made through the app.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

6.9

4.96 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Government authorised three-day

window for ‘conditional movement’ to help stranded intra-state workers.

The ‘Assam Cares’ Initiative provides Rs. 2000 as monetary relief. 86,000 workers have already been paid.

SUPPLY OF ESSENTIAL COMMODITIES

Free rice to 58 lakh families (ration card holders).Rs. 1000 one-time transfer to families without a ration card.

OTHER NOTABLE STEPS40 lakh students provided with raw food materials in place of the mid-day meal scheme. US$1000 provided to Assamese people stranded abroad

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 858

86

772

State Allocation

National Allocation

50

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1521

RANK AMONG

2328

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

28.1%

65.3%

6.6%

398per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score100

200

300

400

500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

20

40

60

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

1

40

24

SECT

ION

5: N

OR

TH-E

AST

IND

IA

34

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MANIPUR

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.6% ASTHMA - 0.5 %

HEART DISEASE - 3.1% HEART DISEASE - 1%

CANCER - 0.1% CANCER - 0.1%

DIABETES - 0.9% DIABETES - 1.3%

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

4.9

4.74 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Financial aid of Rs. 2000 from CM’s

Relief Fund transferred to the bank accounts of those stranded outside the state.

SUPPLY OF ESSENTIAL COMMODITIES

Select grocery stores providing essential goods are open, with doorstep delivery of essential goods in all districts.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 47

State Allocation

National Allocation

97

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

28

RANK AMONG

1328

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

30.18%

62.6%

7%

128per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score

5

42

0

100

200

300

400

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0.0

0.5

1.0

1.5

2.0

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

2

SECT

ION

5: N

OR

TH-E

AST

IND

IA35

Page 41: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

MEGHALAYA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3% ASTHMA - 0.7%

HEART DISEASE - 3.8% HEART DISEASE - 1.9%

CANCER - 0.4% CANCER - 0.1%

DIABETES - 1.1% DIABETES - 4.6%

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

6.9

13.6 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS

Distribution of Rs. 3000 one-time financial assistance for 10,287 citizens stranded outside the state is underway.

OTHER NOTABLE STEPS Benefits provisioned under other schemes,

including PM Kisan (Rs. 2000 to 87,187 farmers), PM Jan Dhan Yojana (Rs. 1500 to 3,01,428 women), and to building and construction workers, unorganised sector workers. Provision kits for quarantined households.

SUPPLY OF ESSENTIAL COMMODITIES Food grain distribution to 21,45,145

National Food Security Act and 7,72,694 non-National Food Security Act beneficiaries for April is done, and is ongoing for May.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 73

6

66

State Allocation

National Allocation

61

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

3 8

RANK AMONG

2528

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

39.7%

55.4%

4.69%

132per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score

0

200

400

600

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

5

10

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

1

2

10

SECT

ION

5: N

OR

TH-E

AST

IND

IA

36

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MIZORAM

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.8% ASTHMA - 1.2%

HEART DISEASE - 3.6% HEART DISEASE - 2.5%

CANCER - 0.3% CANCER - 0.2%

DIABETES - 1.2% DIABETES - 1%

TECH RESPONSE

The government has launched the mCOVID-19 app, which provides national and global updates on the deadly virus in Mizo language.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

6.2

16.56 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Mizoram's Home Department has

ordered district-level task forces on COVID-19 to monitor relief measures for stranded migrant workers, and provide them with food and shelter.

OTHER NOTABLE STEPSThe CM's Relief Fund has sanctioned, a total of Rs. 62,08,500 across 10 districts for onward distribution to COVID-19 workers.

SUPPLY OF ESSENTIAL COMMODITIES Online app mPASS was set up to register vehicles transporting essential and non-essential commodities from within and outside the state. Helpline for farmers and mobile app (mCOVID-19) set up. The task force on agriculture distributed seeds to village-level task forces, who distributed among farmers in the state.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 52

State Allocation

National Allocation

100

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

18

RANK AMONG

2228

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

32.45%

61.24%

6.25%

52per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score60

80

100

120

140

160

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0.0

0.2

0.4

0.6

0.8

1.0

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

1

5

47

SECT

ION

5: N

OR

TH-E

AST

IND

IA37

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NAGALAND

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.3% ASTHMA - 2.2 %

HEART DISEASE - 2.5% HEART DISEASE - 0.6%

CANCER - 0.1% CANCER - 0%

DIABETES - 0.8% DIABETES - 1%

TECH RESPONSEThe State has launched a self-declaration nCOVID-19 app to curb community spread. All persons entering the state after 6 March must register on the app, following which their phone GPS is used to monitor their movement and any health changes.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5.6

8.59 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Essential food packages to daily wage

earners and migrant workers provided; 1.2 lakh helped. Announcement of a special package for distressed stranded citizens outside of Nagaland; 9800 verified applicants, Rs. 1.63 CR disbursed.

SUPPLY OF ESSENTIAL COMMODITIES

Select shops providing essentials and dhabas at strategic locations remained open. Doorstep delivery of food from restaurants/food outlets and of essential goods allowed.

OTHER NOTABLE STEPSRelief extended to families affected by thunderstorms. Social security schemes (mid-day meal, MGNREGA etc.) to resume.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 46

State Allocation

National Allocation

0SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

8 8

RANK AMONG

1928

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

34.32%

60.42%

5.2%

119per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

100

200

300

400

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

−0.04

−0.02

0.00

0.02

0.04

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

5

41

SECT

ION

5: N

OR

TH-E

AST

IND

IA

38

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SIKKIM

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1% ASTHMA - 0.9%

HEART DISEASE - 0.6% HEART DISEASE - 0%

CANCER - 0% CANCER - 0%

DIABETES - 1.6% DIABETES - 1.2%

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

*(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5.6

23.22 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Economic relief package, including free ration in

specific quantities (other than the PDS entitlement), to daily wagers, migrant labourers, casual workers.

SUPPLY OF ESSENTIAL COMMODITIES

Select shops providing essentials goods open. Door-step delivery of essentials, except cooked food, allowed.

OTHER NOTABLE STEPSFinancial relief of Rs. 30,000 offered to stranded patients of COVID-19, Rs. 5000 to stranded students, Rs. 5000 to Asha workers for work done during COVID-19, Rs. 300 additional incentive wage to workers at Temi tea estate, and to other poor and needy.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 56

6

50

State Allocation

National Allocation

53SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

5 8

RANK AMONG

828

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

27.17%

65.96%

6.68%

86per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

100

200

300

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

−0.04

−0.02

0.00

0.02

0.04

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

SECT

ION

5: N

OR

TH-E

AST

IND

IA39

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TRIPURA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3.5% ASTHMA - 0.4%

HEART DISEASE - 3.6% HEART DISEASE - 2.9%

CANCER - 0.1% CANCER - 0%

DIABETES - 1.4% DIABETES - 1.6%

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

6.3

10.91 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS

Relief camps providing food and shelter to migrant workers set up. Khowai district administration gave one-time payment of Rs 1000 to brick-kiln workers

OTHER NOTABLE STEPS

Provision of two months’ social pensions for April and May to 4 lakh people; Rs. 74 CR sanctioned. E-commerce companies allowed to operate following guidelines and with necessary permissions.

SUPPLY OF ESSENTIAL COMMODITIESFree rations for 15 days provided to 5.86 lakh families of Antyodaya Anna Yojana and priority beneficiaries. Up to 18 kg of rice and dal provided per family of 2.66 lakh primary students and 25 kg of rice and dal provided per family of 1.65 lakh upper primary students who receive mid-day meals.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 76

State Allocation

National Allocation

49SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

6 8

RANK AMONG

1728

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

27.71%

64.36%

7.88%

350per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

8

68

0

500

1000

1500

2000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

50

100

150

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

150

2

SECT

ION

5: N

OR

TH-E

AST

IND

IA

40

Page 46: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

SOUTH INDIA

SOUTH INDIA

Page 47: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

ANDAMAN AND NICOBAR ISLANDS

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 4.5% ASTHMA - 0.9 %

HEART DISEASE - 0.8% HEART DISEASE - 1.3%

CANCER - 0% CANCER - 1.6%

DIABETES - 4.6% DIABETES - 3.9%

PREPAREDNESS

Beds Per

INVESTMENT

25.6 10,000

MIGRANT WORKERS Arranged for special ships to ferry stranded migrant

workers, students, pilgrims and tourists.

All persons must compulsorily quarantine for 14 days and give an undertaking before boarding the ships Online registration for those who want to travel.. SUPPLY OF ESSENTIAL COMMODITIES

OTHER NOTABLE STEPS

Select grocery stores providing essential goods are open.

First in the country to be ‘pool testing’ samples of potential COVID-19 patients to reduce number of testing kits used.

Food Corporation of India has moved two vessels containing essential food supplies to the islands, more than double the monthly average vessel movement

6500 MT of food grain has been moved from Kakinada Port to Port Blair and different principle distribution centres on the islands, more than double the monthly average. 5500 MT have been distributed so far

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

67

RANK AMONG

69

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

24.35%

68.87%

6.68%

46 per sq km

0

2000

4000

6000

8000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

10

20

30

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

33

SECT

ION

6: S

OU

TH IN

DIA

42

Page 48: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

ANDHRA PRADESH

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3% ASTHMA - 1.6 %

HEART DISEASE - 1.4% HEART DISEASE - 1.4%

CANCER - 0.1% CANCER - 0.2%

DIABETES - 2.4% DIABETES - 3.2%

TECH RESPONSEState Disaster Management Authority has developed an app to track each person in home quarantine and for contact tracing (primary and secondary contacts) of all positive cases.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

4.6

4.38 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Special centres set up to provide

food and shelter to stranded migrant workers

Government coordinated a JointQuarantine operation with Karnataka to provide food and medical facilities to workerswaiting at the borders.

SUPPLY OF ESSENTIAL COMMODITIES

Free ration for one month to white ration card holders

One-time payment of Rs. 1000 for groceries.

Free ration to old-age homes and child care institutions. Doorstep delivery.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1491

372

1119

State Allocation

National Allocation

100

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

221

RANK AMONG

328

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

20.2%

70.3%

9.5%

308 per sq km308 per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score 0

1000

2000

3000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

500

1000

1500

2000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

45

998

975

SECT

ION

6: S

OU

TH IN

DIA

43

Page 49: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

KARNATAKA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 1.5% ASTHMA - 0.7%

HEART DISEASE - 0.8% HEART DISEASE - 0.7%

CANCER - 0.3% CANCER - 0.1%

DIABETES - 2.6% DIABETES - 2.6%

TECH RESPONSEThe government released the ‘Corona Watch’ app, which tracks the movement of positive patients and those under quarantine. The app maintains a two-week movement history, and records live coordinates and prevents manipulation by geo-tagging. People under observation need to submit a photo everyday to mark ‘virtual attendance’. The authorities can be notified about any breaches through the app. Information about nearest available medical facilities can also be found on the app.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

4.5

10.54 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Rs. 1000 one-off monetary relief

provided to migrant workers.

SUPPLY OF ESSENTIAL COMMODITIES

Usual OTP authentication process for collection of rations relaxed for one month. Excess stock of milk distributed to the needy.

OTHER NOTABLE STEPSHome delivery of mid-day meals to students for 21 days

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1054

263

791

State Allocation

National Allocation

100SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

821

RANK AMONG

628

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

23.7%

68.1%

8.2%

319per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

500

1000

1500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

200

400

600

800

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

31

405

426

SECT

ION

6: S

OU

TH IN

DIA

44

Page 50: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

KERALA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3.1% ASTHMA - 1%

HEART DISEASE - 1.3% HEART DISEASE - 1.3%

CANCER - 0.2% CANCER - 0.1%

DIABETES - 4.3% DIABETES - 4.3%

TECH RESPONSEThe government is collating data on known contacts of confirmed patients through GIS mapping and route charting (tracing and identifying on a live geo-map with the help of drones). The availability of laboratories and isolation wards in high-risk zones is also monitored.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

INVESTMENT

5.3

10.76 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS 18,000+ relief camps set up for

‘guest’ workers. Exclusive migrant-run community kitchens to provide native food for stranded migrants.

OTHER NOTABLE STEPS Rs 2000 crore invested in the

Kudumbashree (women empowerment) programme, including providing loans to women.

SUPPLY OF ESSENTIAL COMMODITIES One month free ration provided to all,

followed by subsidised prices for essentials. Essential commodity kits delivered to 3.69 millions farmers.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 419

105

314

State Allocation

National Allocation

100

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

121

RANK AMONG

128

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.7%

65.3%

13%

860per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

(Total physicians, nurses and midwives per 10,000)

SDG Index Score400

600

800

1000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

100

200

300

400

500

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active4

27

489

SECT

ION

6: S

OU

TH IN

DIA

45

Page 51: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

LAKSHADWEEP

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3.1% ASTHMA - 1.2%

HEART DISEASE - 0.5% HEART DISEASE - 3%

CANCER - 0.1% CANCER - 0%

DIABETES - 3.8% DIABETES - 1.8%

PREPAREDNESS

Beds Per

INVESTMENT

42.12 10,000

SUPPLY OF ESSENTIAL COMMODITIES Select grocery stores providing

essential goods are open. Food Corporation of India has moved seven small vessels containing essential food supplies to the UT, which is more than double the monthly average movement of vessels. 1750 MT of food grains have been moved to the UT from Mangalore Port, 3x the monthly average of 600 MT. 1100 MT of food grains have been distributed so far.

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

3 7

RANK AMONG

4 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

25.53%

66.13%

8.2%

2149per sq km

−0.04

−0.02

0.00

0.02

0.04

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

SECT

ION

6: S

OU

TH IN

DIA

46

Page 52: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

PUDUCHERRY

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 2.2% ASTHMA - 2.8%

HEART DISEASE - 0.8% HEART DISEASE - 0.2%

CANCER - 0.1% CANCER - 0.2%

DIABETES - 2.9% DIABETES - 2.5%

PREPAREDNESSINVESTMENT

MIGRANT WORKERS Food camps, relief camps

and shelters set up for migrant workers, urban homeless, and other poor and needy.

SUPPLY OF ESSENTIAL COMMODITIES

Select shops providing essentialgoods open. Doorstep delivery of essential goods provided. Provision of COVID-19 relief of Rs. 2000 to all ration card holders.

HEALTH INDIA INDEX

SDG INDIAINDEX

4 7

RANK AMONG

2 9

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

23.91%

66.35%

9.64%

2547 per sq km

India public health expenditure as ratio to aggregate expenditure : 4.9

Beds Per

7.6

25.95 10,000

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

1000

2000

3000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

2

4

6

8

10

12

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active

3

9

SECT

ION

6: S

OU

TH IN

DIA

47

Page 53: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

TAMIL NADU

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3.6% ASTHMA - 3%

HEART DISEASE - 1.5% HEART DISEASE - 2.2%

CANCER - 0.4% CANCER - 1.8%

DIABETES - 3.7% DIABETES - 3.6%

TECH RESPONSEThe State government is further helping the reach of the Aarogya Setu app by making it available to those that don’t have smartphones through IVRS (Interactive Voice Response System). They are also using GIS mapping and drones to extract details from all districts to monitor the situation. Tamil Nadu is also piloting predictive government service backed by blockchain

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

*(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

5

10.14 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Guest Workers’ committee set up

by CM to look into issues affecting migrant workers. Provision of shelter, food and healthcare with daily checks conducted by local police.

SUPPLY OF ESSENTIAL COMMODITIESShops providing essential services, mobile vegetable markets, food delivery services and community kitchens open.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 1360

340

1020

State Allocation

National Allocation

100SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

921

RANK AMONG

428

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.0%

68.3%

10.7%

555per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

1000

2000

3000

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

2000

4000

6000

8000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active53

5898

2051

SECT

ION

6: S

OU

TH IN

DIA

48

Page 54: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

TELANGANA

RESPONSE

POPULATION DENSITY

India : 382 per sq km

Self-reported diseases among those aged 15-49.

PUBLIC HEALTH RESPONSE

ASTHMA - 3.5% ASTHMA - 1.5%

HEART DISEASE - 1.7% HEART DISEASE - 1.5%

CANCER - 0.1% CANCER - 0.1%

DIABETES - 2.2% DIABETES - 2.1%

TECH RESPONSEThe State is using geo-location technology to track over 25,000 people under home-quarantine. Additionally, TSCop is an app developed by the Telangana police to geo-tag houses of foreign returnees.

PREPAREDNESS

India public health expenditure as ratio to aggregate expenditure : 4.9

*(Total physicians, nurses and midwives per 10,000)

Beds Per

INVESTMENT

4.2

5.45 10,000

HEALTHCAREWORKERS

SIZE OF RELIEF PACKAGE (Rs. Crores)

MIGRANT WORKERS Temporary shelters set up for migrant

workers. Relief packages, comprising of Rs. 500/person and 12 kg of rice/atta, for each migrant worker. All workers, including contract and casual workers, required to be paid their wages.

SUPPLY OF ESSENTIAL COMMODITIESSelect grocery stores providing essential goods open; door-step delivery of essential goods.

ECONOMIC RESPONSE: FISCAL RELIEF

Total Allocation 599

150

449

State Allocation

National Allocation

22SDG Index Score

AVAILABILITY OF GOVERNMENT HOSPITAL BEDS

HEALTH INDIA INDEX

SDG INDIAINDEX

1021

RANK AMONG

528

RANK AMONG

0-14 YEARS

60 YEARS & ABOVE

15-59 YEARS

21.3%

70.4%

8.2%

308per sq km

STATE PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

0

100

200

300

400

500

06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

No.

of t

ests

per

mill

ion

cond

ucte

d w

eekl

y (c

umul

ativ

e)

0

500

1000

16 Mar 23 Mar 30 Mar 06 Apr 13 Apr 20 Apr 27 Apr 04 May 11 May

Num

ber o

f cas

es

Deaths Recovered Active30

444

801

SECT

ION

6: S

OU

TH IN

DIA

49

Page 55: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

CONCLUSION

As of 19 May, the number of positive cases in India has crossed 1,00,000, making it the country with the 11th

1 covid19india.org

highest number of COVID-19 cases, with a 12-day doubling rate.1

Source: https://ourworldindata.org/coronavirus-data

Page 56: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

Lockdowns are now being lifted across the country in a calibrated fashion, with each state deciding it’s own trajectory. This report has taken stock of state performance in the past two months of the pandemic, and conveys a snapshot of their positions, as they stand today.

The following graphical representations are an attempt to piece together the relevant key indicators, in a comparative matrix, for a clear consolidated picture to emerge as we conclude this report.

COVID-19 TRACKER

INDIA

MAHARASHTRADADRA AND NAGAR HAVELI

TAMIL NADU

KERALA

LAKSHWADEEP

UTTAR PRADESHRAJASTHAN

TELANGANA

KARNATAKAGOA

MADHYA PRADESHGUJARAT

JAMMU AND KASHMIR

HARYANA

WEST BENGAL

CHHATTISGARH

PUNJAB

BIHAR

CHANDIGARH

HIMACHAL PRADESH

ASSAM

LADAKH

ANDAMAN AND NICOBAR ISLANDS

UTTARAKHAND

ODISHA

PUDUCHERRY

JHARKHAND

MANIPUR

NAGALAND

MEGHALAYA

ARUNACHAL PRADESH

MIZORAM

TRIPURA

SIKKIM

ACTIVE DEATHS

25373 1248 ACTIVE DEATHS

0 0

ACTIVE DEATHS

0 0

ACTIVE DEATHS

31 0 ACTIVE DEATHS

679 37

ACTIVE DEATHS

130 4

ACTIVE DEATHS

0 0

ACTIVE DEATHS

7271 82

ACTIVE DEATHS

13 0

ACTIVE DEATHS

0 0

ACTIVE DEATHS

774 50

ACTIVE DEATHS

37 0

ACTIVE DEATHS

100 3

ACTIVE DEATHS

74 0

ACTIVE DEATHS

1556 244

ACTIVE DEATHS

0 0

ACTIVE DEATHS

0 1 ACTIVE DEATHS

5 0

ACTIVE DEATHS

0 0

ACTIVE DEATHS

0 0

ACTIVE DEATHS

67 4

ACTIVE DEATHS

0 0

ACTIVE DEATHS

43 1

ACTIVE DEATHS

140 2

ACTIVE DEATHS

39 3

ACTIVE DEATHS

19 0 ACTIVE DEATHS

666 14

ACTIVE DEATHS

947 9

ACTIVE DEATHS

1704 118

ACTIVE DEATHS

2548 253

ACTIVE DEATHS

481 4

ACTIVE DEATHS

556 34

ACTIVE DEATHS

6248 694

ACTIVE DEATHS

5409 160 ACTIVE DEATHS

2161 138

ACTIVE DEATHS

318 13

ACTIVE DEATHS

399 37

ANDHRA PRADESH

DELHI

DAMAN AND DIO

ACTIVE DEATHS

57769 3153

19 May, 2020Source : www.covid19india.org

8001 & Above

4001 - 6000

6001 - 8000

2001 - 4000

0 - 2000

CASES

ACTIVE CASES, RECOVERIES AND DEATHS IN INDIAN STATES

Source: https://www.covid19india.org

CO

NC

LUSI

ON

51

Page 57: New STATE OF THE STATES: TWO MONTHS OF THE PANDEMIC · 2020. 5. 20. · of India’s states, as the first two months of the pandemic end. The frame of analysis chosen for the report

Source: ORF Covid Tracker, Accessed at https://www.orfonline.org/covid19-tracker/

0.02.04.06.08.010.012.0

0

2000

4000

6000

8000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Delhi

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Jammu & Kashmir

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Andhra Pradesh

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Tamil Nadu

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Rajasthan

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Haryana

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Chandigarh

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Gujarat

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Himachal Pradesh

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Maharashtra

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Karnataka

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Odisha

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Punjab

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Kerala

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Madhya Pradesh

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Uttarakhand

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Jharkhand

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ayUttar Pradesh

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

West Bengal

0.02.04.06.08.010.012.0

0100020003000400050006000

22 A

pr

27 A

pr

2 M

ay

7 M

ay

12 M

ay

Bihar

% o

f inf

ectio

ns d

etec

ted

Test

s pe

r one

milli

on p

opul

atio

n

Tests per one million population % of infections detected

TESTING: POSITIVITY RATE OF INFECTIONS

POPULATION DENSITY PER STATE (PER SQ KM)

Population density(per sq km)

0 2000 4000 6000 8000 10000 12000

Andaman and Nicobar IslandsAndhra Pradesh

Arunachal PradeshAssam

BiharChandigarh

ChhattisgarhDadra and Nagar Haveli

Daman and Diu Delhi Goa

GujaratHaryana

Himachal PradeshJammu and Kashmir

Jharkhand Karnataka

KeralaLadakh* (*Old J&K data used)

LakshadweepMadhya Pradesh

MaharashtraManipur

MeghalayaMizoram

NagalandOdisha

Puducherry Punjab

RajasthanSikkim

Tamil NaduTelangana* (*Old Andhra Pradesh data used)

TripuraUttar PradeshUttarakhand West Bengal

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Andh

ra P

rade

sh

Mad

hya

Prad

esh

Biha

r

Meg

halay

a

Guja

rat

Odish

a

Utta

r Pra

desh

Jhar

khan

d

Sikk

im

Delh

i

Arun

acha

l Pra

desh

Mah

aras

htra

Chha

ttisg

arh

Mizo

ram

Hary

ana

Punj

ab

Utta

rakh

and

Karn

atak

a

Tam

il Na

du

Pudu

cher

ry

Assa

m

Man

ipur

Goa

Naga

land

Tripu

ra

Him

acha

l Pra

desh

Raja

stha

n

Wes

t Ben

gal

Kera

la

Tela

ngan

a

Jam

mu

and

Kash

mir

4.6

5.5

4.1

5.1

6.36.6

4.14.3

3.6

4.6

6.9

6.3

4.9

5.75.2

4.2

5.0

6.9

5.6

4.6

5.4

4.5

6.2

5.0

11.9

6.1

5.35.6

4.2

7.6

5.2

6

PUBLIC HEALTH EXPENDITURE AS RATIO TO AGGREGATE EXPENDITURE

12

9

6

3

0

Public health expenditure as ratio to aggregate expenditure

India Public Health

Expenditure

Andh

ra P

rade

sh

Mad

hya

Prad

esh

Biha

r

Meg

halay

a

Guja

rat

Odish

a

Utta

r Pra

desh

Jhar

khan

d

Sikk

im

Delh

i

Arun

acha

l Pra

desh

Mah

aras

htra

Chha

ttisg

arh

Mizo

ram

Hary

ana

Punj

ab

Utta

rakh

and

Karn

atak

a

Tam

il Na

du

Laks

hadw

eep

Assa

m

Man

ipur

Goa

Naga

land

Tripu

ra

Him

acha

l Pra

desh

Raja

stha

n

Wes

t Ben

gal

Anda

man

and

Nico

bar I

sland

sCh

andi

garh

Dam

an a

nd D

iu

Dadr

a an

d Na

gar H

avel

i

Kera

la

Tela

ngan

a

Pudu

cher

ry

Jam

mu

and

Kash

mir

Lada

kh*

(Old

num

bers

for J

&K u

sed)

45

40

35

30

25

20

15

10

5

0

Govt beds (per 10,000)

GOVERNMENT BEDS PER 10,000

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5000

4500

4000

3500

3000

2500

2000

1500

1000

500

0

National Allocation

State Allocation

Andh

ra P

rade

sh

Mad

hya

Prad

esh

Biha

r

Mizo

ram

Guja

rat

Odish

a

Utta

r Pra

desh

Jhar

khan

d

Sikk

im

Arun

acha

l Pra

desh

Mah

aras

htra

Chha

ttisg

arh

Man

ipur

Hary

ana

Punj

ab

Utta

rakh

and

Karn

atak

a

Tam

il Na

du

Assa

m

Meg

halay

a

Goa

Naga

land

Tripu

ra

Him

acha

l Pra

desh

Raja

stha

n

Wes

t Ben

gal

Kera

la

Tela

ngan

a

ECONOMIC RELIEF: NATIONAL & STATE ALLOCATIONS (IN CRORES)

Going forward, a superlative effort will be needed to heave India out of the abyss of the pandemic and back on track to achieve its goals. The COVID-19 crisis appears to be here for the long haul, and so countries must use the occasional respite from a spike in infection rates to amp up health infrastructure and personnel to be better

prepared each time. This effort will require confident intensive planning, which can only be enabled from far superior and comprehensive data. This has endeavoured to contribute to a better understanding of where India stands today to help it chart a path to a resilient tomorrow.

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ANNEXE

CATEGORY SOURCE DATA LIMITATIONS

Population pyramid Created using SRS Report, 2017-18, Ministry of Statistics

2017-18 data only available for big states.

Census data (2011), Ministry of Statistics

Age not stated : Arunachal (0.11%), Goa (0.14%), Manipur (0.27%), Meghalaya (0.19%), Mizoram (0.06%), Nagaland (0.07%), Sikkim (0.19%), Tripura (0.04%), Chandigarh (0.03%), D&N Haveli (0.11%), Daman & Diu (0.15%), Lakshadweep (0.18%), Puducherry (0.09%).

Ladakh: J&K numbers used as separate figures not available.

Population density National Health Profile, 2019.

Ladakh: J&K numbers used as separate figures not available.

Self-reported NCD’s NFHS Report 2015-16 Ladakh: J&K numbers used as separate figures not available.

Health India Index Niti Aayog Health Index, 2019

Ladakh: J&K rank used as separate rank not assigned

Public Health Expenditure as ratio to aggregate expenditure

RBI Publication: State Finances (2018-19 revised estimates used)

Data for Andaman and Nicobar Islands, Chandigarh, D&N Haveli, Daman & Diu and Lakshadweep not available.

Ladakh: J&K figures used as separate figures not available

DATA SOURCES AND LIMITATIONS

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Government beds per 10,000

National Health Profile, 2019.

Ladakh: J&K figures used as separate figures not available

Healthcare workers score SDG India Index 2019-20

Scores for A&N Islands, D&N Haveli, Daman & Diu, Lakshadweep and Puducherry not available.

Ladakh: J&K score used as separate score not assigned

Technological response Mainstream media Data for Manipur, Meghalaya, Sikkim, Tripura, Uttarakhand, A&N Islands, Lakshadweep and Puducherry was not available.

Economic response Relief package: Data sourced from SDRF/NDRF, Disaster Management Division, Ministry of Home Affairs, Government of India.

Not applicable to Union Territories

Migrant workers/supply of essential commodities/ other notable steps : Mainstream media

Data provided where available.

Clinical Management covid19india.org (API)

Testing covid19india.org (API) Data not available for Dadra and Nagar Haveli, Daman and Diu , Lakshadweep

AN

NEX

E

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