Addressing the COVID-19 pandemic - Main report Lessons and good practices from Indian states: Round 4

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Addressing the COVID-19 pandemic - Main report Lessons and good practices from Indian states: Round 4
Main report

Addressing the COVID-19 pandemic
Lessons and good practices from Indian states: Round 4
July, 2020
Addressing the COVID-19 pandemic - Main report Lessons and good practices from Indian states: Round 4
This report is divided into the following five parts:

     Dummy Text 1    Background and approach
     Size-14 Bold)

                2    Key observations and recommendations based on the COVID-19
                     Readiness and Response assessment

                3    Lessons and good practices from Indian states

                     Insights from MSC’s evaluation of the Indian government’s response to COVID-19
                4    and states analysis based on the COVID-19 Readiness and Response framework

                5    Use of emerging technologies in COVID-19 management

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Addressing the COVID-19 pandemic - Main report Lessons and good practices from Indian states: Round 4
Background and approach
Addressing the COVID-19 pandemic - Main report Lessons and good practices from Indian states: Round 4
Background and context of the study
             Context and key objectives
                MSC is conducting a comprehensive assessment to understand the preparedness and responsiveness of Indian states to the COVID-19 pandemic.
                The study assesses the response of states and the on-ground impact of social assistance programs and other measures taken to address the
                COVID-19 crisis.
                The study highlights good practices adopted by the states to create a cross-learning platform. This will enable the states to learn from each
                other.
             Approach
             MSC adopted the multi-phase approach discussed below to attain the key objectives of the study:
                 Phase 1 (April, 2020–June, 2020): In this phase, MSC produced three reports on the assessment of states using the COVID-19 Readiness and
                 Response Index. The assessment was based on the announcements of the central and state governments to manage the COVID crisis.

                 Phase 2 (May, 2020–July, 2020): This phase includes a validation of the response of the states to the pandemic. This is done by gathering on-
We are at        ground evidence through telephonic surveys on the impact of different social assistance programs and other measures of the central and
this stage       state governments. It also incorporates other elements such as economic recovery once the lockdown is lifted. This is the fourth report and
                 includes 17 States and 1 Union Territory.

                 Phase 3 (August, 2020-March, 2021): This phase would include mixed-method research to gather on-ground evidence of the impact of
                 different social assistance programs of the central and state governments.

             Key components
                                                                                                                                     Integration of on-ground
               Continuous evolution of              A dashboard to track the                             A cross-learning platform
                                                                                                                                     evidence with state
               the COVID-19 Readiness               performance of states                                to share good practices
                                                                                                                                     performance, dashboard,
               and Response Index and               and visualize key                                    among states to address
                                                                                                                                     and the cross-learning
               state assessments                    indicators                                           the COVID-19 pandemic
                                                                                                                                     platform

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A comprehensive assessment has been conducted to understand the preparedness and
responsiveness of Indian states to address the COVID-19 pandemic based on four key pillars

       Robustness of the essentials chain                                                                                                       Assistance to the poor and vulnerable

       Assesses factors such as ease of access to                                                                                               Assesses the in-kind and cash support
       essential services (utilities, financial                                                                                                 provided to the poor, women, vulnerable
       services) and essential items (grocery,                                                                                                  and disadvantaged groups, and migrant
       fruits & vegetables, and dairy)                                                                                                          workers

                                                                                             Assessment
                                                                                             framework

        Economic recovery                                                                                                                       Health readiness
        Assesses initiatives by the states to boost                                                                                             Assesses the availability of healthcare
        their local economies, such as fiscal                                                                                                   infrastructure, testing coverage, COVID-
        stimulus, reforms, employment support,                                                                                                  19 management, and government
        and targeted outreach                                                                                                                   initiatives to curb the transmission of
                                                                                                                                                COVID-19

    Note : Please refer to the appendix for details on the sub-pillars within each pillar

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Key observations and
recommendations based on the
COVID-19 Readiness and Response
framework
Key observations
Most states continue their efforts to balance economic recovery with health readiness and provide support to the
vulnerable. However, the states are yet to initiate power sector and ULB reforms to avail enhanced borrowing limits

            A majority of the states took concrete steps towards economic recovery. They provided or facilitated subsidized loans to

    01      MSMEs, implemented reforms towards “ease of doing business”, allowed farmers to sell crops to private players, and
            provided employment to migrant workers through MGNREGA.

            Though the states continue to provide cash-transfers to the needy, these transfers have become more targeted at

    02      specific occupational groups affected by the lockdown. Cash assistance has been extended to auto-rickshaw and taxi
            drivers, barbers, washermen, cinema workers, street vendors, construction workers, etc.

            More than a month after the announcement of the Pradhan Mantri Garib Kalyan Yojana (PMGKY), only 41% of the

    03      beneficiaries were aware of the benefits under this package. Among PDS beneficiaries, 68% of households claimed to have
            received free ration under PMGKY during the lockdown.

            Many states have started or are already conducting door-to-door screening to identify at-risk patients and check for
    04      community transmission. States have also taken proactive initiatives to promote the use of Ayurvedic and home-based
            remedies to boost the immunity of front-line workers and the general population.

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Key recommendations
The central and state governments can jointly implement the suggestions provided below.

         Transition to a smart DBT architecture                                                                  Outreach and training of village officials
    1    Awareness and communication appear to one of the biggest                                  4             Continuous engagement and training of gram panchayats
         challenges in DBT. The priority should be an integrated smart                                           and community leaders could be effective to safeguard
         DBT architecture to create transparency across the fund flow                                            rural India. The training can include ways and approaches
         process that includes ministries, PFMS, banks, and end-point                                            to curb the spread of COVID-19 and the generation of
         channels. This should be coupled with a grievance resolution                                            awareness of various government programs and their
         mechanism that allows beneficiaries to check their status for                                           benefits. The National Institute of Rural Development could
         free through multiple channels including the web, mobiles, a                                            be engaged for this task.
         helpline, * 99#, or USSD.

    2     Integrate the state’s apps with Aarogya Setu                                             5             Recognize the role of ASHA and ANM workers
          Mobile apps of different states could be hosted within the                                             Given their crucial role in health systems and reduced
          Aarogya Setu app. The latest trends in mobile app                                                      income during this period, a cash transfer program,
          deployment such as micro-services and decentralized                                                    similar to the one implemented in Karnataka, could be
          bundling can be harnessed to address the impending                                                     rolled out for ASHAs and ANMs. This could also boost their
          issues such as duplicity of efforts, data privacy, and                                                 morale and public recognition and ensure the cadre built
          confusion among users.                                                                                 over the past so many years does not disintegrate.

    3    Offer refurbished plants to foreign firms                                                 6             Pay special attention to divyang or the disabled
         Recognizing the difficulty of foreign manufacturing firms to                                            A dedicated helpline and initiative to manufacture and
         shift to India, the states could offer immediate access to                                              distribute transparent masks, like in Tamil Nadu, could be
         land and refurbished plants. Customized incentives can also                                             launched at the national level. The local authorities
         be offered to facilitate a smooth transition. This is                                                   could also be sensitized to help disabled people access
         currently being planned in Uttar Pradesh.                                                               essential items and services.

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Lessons and good practices from
Indian states based on the COVID-
19 Readiness and Response
framework
Robustness of the essentials chain: Key lessons and good practices from states

Combining safety                       Tariff rebates for                                   Innovative home                      Financial services
and accessibility                      weaker sections                                      delivery models                      in remote areas

 Gujarat, Kerala                       Punjab, Gujarat                                     Odisha, Andhra Pradesh, Bihar         Uttar Pradesh, Odisha

 The use of digital payments is        The Punjab State Electricity                        The women self-help groups (SHGs)     India Post partnered with local
 mandatory for all home                Regulatory Commission has                           under “Mission Shakti” in Odisha      administrations in Uttar Pradesh
 deliveries in Ahmedabad. The          reduced the tariff for domestic                     operated dry ration and vegetable     to organize camps to disburse
 Ahmedabad Municipal Corporation       consumers with loads of up to 50                    shops and mobile vans to provide      cash through the Aadhaar-enabled
 sensitized the shop owners who        KW. The tariff is slashed by 50                     essential items to lakhs of           payment system (AePS) in remote
 sell essential items to use digital   paise/unit for the consumption of                   households affected by the            areas in 20 districts.
 payment platforms such as             up to 100 units and by 25                           lockdown.
 Uniifed Payments Interface (UPI).     paise/unit for consumption                                                                The district administration of
                                       between 101 to 300 units. The                       The Government of Andhra Pradesh      Kendrapada (Odisha) facilitated
 The Kerala State Electricity          tariff rebate will be applicable                    has partnered with e-commerce         the roll-out of dedicated mobile
 Board (KSEB) has created a            from 1st June, 2020 to 31st March,                  players Zomato and Swiggy for         ATM operated by the HDFC Bank to
 consumer-number-based                 2021.                                               home delivery of fruits and           provide cash withdrawal services
 timetable to avoid over-                                                                  vegetables from the Rythu             in rural parts of the district.
 crowding while making payments        As part of the Gujarat                              Bazaars. This initiative also helps
 at the KSEB counters.                 Atmanirbhar package, the state                      farmers sell their produce in a       Many states launched similar
                                       government has announced rebate                     timely manner.                        mobile ATM initiatives in
                                       on the first 100 units for                                                                coordination with the local
                                       domestic electricity consumers                      The Fishery Directorate of the        administration.
                                       who use less than 200 units per                     Government of Bihar has launched
                                       month.                                              a mobile app for home delivery of
                                                                                           fish within the state.

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Assistance to the poor and vulnerable: Key lessons and good practices from states (1/2)

Easy access to ration                  Targeted cash                                         Easy movement of                     Proactive support
for the excluded                       transfers                                             migrant workers                      to women

HR, UP, Rajasthan, Kerala              AP, Karnataka, TN, Assam                             Uttar Pradesh, AP                     TN, Telangana, J&K

Haryana launched a “distress           Andhra Pradesh and Karnataka                         Uttar Pradesh appointed nodal         Tamil Nadu and Telangana
ration token” facility to provide      are providing cash assistance of                     officers to proactively               allocated dedicated vehicles and
ration to poor households that do      INR 10,000 and 5,000,                                coordinate with multiple states       ambulances for the transportation
not have ration cards. These           respectively, to barbers,                            and register migrants entering        of pregnant women. ASHA and
tokens can be issued by the local      washermen, and auto and taxi                         and leaving the state at the “Jan     ANM workers in Telangana are
committees during household            drivers.                                             Sunvayi” portal for better            keeping a track of expectant
surveys or through a call on the                                                            allocation and distribution of        mothers and their delivery dates.
helpline.                              The Government of Tamil Nadu                         tickets.
                                       extended relief assistance of INR                                                          The UT of Jammu and Kashmir has
Uttar Pradesh has been proactive       1000-2000 to hairdressers,                           Many states, including Haryana        a 24X7 helpline to provide end-
in issuing ration cards to migrant     weavers, platform vendors, cine-                     and Rajasthan, launched similar       to-end assistance to pregnant
workers. Rajasthan is also             workers, and ration-card holders                     portals and helplines to enable the   women.
proactive in providing ration to       during the lockdown.                                 movement of migrant workers.
migrant workers.                                                                                                                  Many states have launched a
                                       Assam has made a one-time                            Andhra Pradesh set-up food            dedicated helplines to curb
Kerala has started a facility of “e-   payment of INR 25,000 to                             counters at every 50 km on            domestic violence.
ration cards” that can be issued       residents who are suffering from                     highways to provide food and
by Akshaya centers (CSCs).             critical diseases and are                            water to migrants.
                                       stranded in other states.

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Assistance to the poor and vulnerable: Key lessons and good practices from states (2/2)

Caring for the elderly               Helping hand to                                         Being sensitive to                   Recognizing the
& chronic patients                   disabled & destitute                                    children’s needs                     transgender

Kerala, Rajasthan, Telangana         Tamil Nadu, Uttar Pradesh                              Delhi, Tamil Nadu, Odisha             J&K, Tamil Nadu, Karnataka

Under Kerala’s “Prasanthi”           The state of Tamil Nadu is                             The Department of Women and           Jammu and Kashmir included
program, the elderly who live        distributing transparent face                          Child Development, the                transgenders in the Integrated
alone can call and request for       masks for people with hearing                          Government of Delhi provided          Social Security Scheme. This will
essential medicines, food,           impairments. It is planned that                        milk packets, nutritious biscuits,    help resolve around 2,000 pending
treatment, and counseling.           nearly 81,000 masks will be                            and food supplements to               pension cases of transgenders
                                     distributed to 13,500 people with                      children.                             within the state.
Rajasthan has extended the           impaired hearing and speech
availability of prescription-based   difficulty as well as their parents,                   The Government of Tamil Nadu          The Tamil Nadu government is
medicines to senior citizens and     family members, caregivers, etc.                       distributed rehabilitation kits and   providing essential commodities to
chronic patients until July 31,                                                             special nutrition kits to children    transgender citizens who do not
2020.                                Uttar Pradesh is providing cash                        with autism who are attending         possess the family card (needed to
                                     assistance of INR 1000 to the                          early intervention services. The      get ration).
Telangana has added 17 more          destitute and arranging for their                      kits would help parents manage
palliative health and home care      treatment.                                             these children at home.               The Karnataka government, under
vehicles to provide door-step                                                                                                     the Mythri Yojana, provides cash
services to immobile patients in                                                            Odisha’s “Bharosa” helpline helps     assistance of INR 600 per month
16 more districts.                                                                          students cope with stress amid        to trans women above the age of
                                                                                            COVID-19.                             25.

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Health readiness: Key lessons and good practices from states (1/2)

Pool and mobile                                       Expansion of random                                           Door-to-door                                  Strong focus on
testing                                               testing & fever clinics                                       screening                                     contact tracing

 UP, Punjab, TN, Delhi                                Kerala, Bihar, MP                                           Karnataka, Assam, Others                        Karnataka, Kerala

 Uttar Pradesh was the first state                    The Kerala government has started                           Karnataka conducted a statewide                 Karnataka has trained more than
 to start pool testing. It has also                   sentinel surveillance or random                             door-to-door survey to check for                10,000 field staff to conduct
 extended its testing coverage                        testing to detect community                                 community transmission. This                    comprehensive contact tracing.
 through the installation of                          transmission. Samples are collected                         helped identify households with                 The state has widened the
 TrueNAT* machines in every                           from high-risk groups, such as                              high-risk individuals, such as the              definition of “contact” to include
 district.                                            healthcare professionals and other                          elderly, people with co-                        high-risk and low-risk contacts of
                                                      individuals with high social exposure                       morbidities, pregnant women, and                patients with COVID-19. Karnataka
 Many other states, such as Kerala,                   which include delivery persons and                          lactating mothers.                              also has a contact tracing mobile
 Tamil Nadu, Andhra Pradesh,                          police officers, etc.                                                                                       app and web application that
 Assam, and Karnataka, among                                                                                      Assam conducted a door-to-door                  supports on-ground contact tracing.
 others, have also started pool                       Bihar conducted random testing on                           surveillance exercise to check for
 testing.                                             migrant workers who returned to                             community transmission and                      Kerala has adopted a
                                                      the state to check the extent of                            identify cases of fever, influenza,             comprehensive contact tracing
 Punjab and Tamil Nadu have                           COVID-19 transmission.                                      and respiratory infections in the               strategy based on flow charts, in-
 launched mobile testing labs to                                                                                  community.                                      depth interviews, and effective
 collect swab samples from rural                      Madhya Pradesh runs fever clinics in                                                                        outreach through the field teams.
 and remote areas.                                    every district to conduct community                         Other states, such as Punjab, Delhi,            The state uses both the Aarogya
                                                      screening and identify people with                          Rajasthan, and Odisha have also                 Setu app and its mobile application
 Delhi has deployed mobile                            the symptoms of COVID-19.                                   initiated door-to-door screening to             for contact tracing.
 testing vans to collect samples                      Karnataka and Maharashtra are also                          check for community transmission.
 in Central Delhi district.                           running fever clinics.
* TrueNAT systems are originally used for TB testing. After successful validation, ICMR has allowed its usage for screening and confirmation of COVID-19 cases.

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Health readiness: Key lessons and good practices from states (2/2)

Creativity in public                  Engaging panchayats                                   Boosting the                          Other notable
awareness                             and local committees                                  immunity                              interventions

 Maharashtra, WB, J&K                 UP, Telangana, AP, Karnataka                        Rajasthan, UP, Punjab, TN               Multiple states

 An innovative community              The Uttar Pradesh government                        Rajasthan distributed a decoction       The Karnataka government
 awareness program is underway        created local surveillance                          of ashwagandha and giloy to about       announced a cash assistance of INR
 in Maharashtra. Under this           committees in all villages and                      20 lakh (2 million) citizens to boost   3,000 to all ASHA workers.
 program, pre-recorded                cities for community surveillance                   their immunity.
 announcements are made               and monitoring of home                                                                      Tamil Nadu created human milk
 through auto-rickshaws and           quarantine of migrant workers.                      Uttar Pradesh launched a mobile         banks to help infants separated
 tempos. Artists have recorded        The committee comprises                             app called “Ayush Kavach” to            from their mothers who tested
 songs in local languages to make     panchayat officials, ASHA workers,                  spread awareness on enhancing           positive for COVID-19. This will
 the announcements more               and ward councilors, among                          immunity through homemade               help improve nutrition in the first
 effective.                           others.                                             products. The app also facilitates      few weeks of the infants’ birth.
                                                                                          live yoga sessions.
 The local district administrations   The state governments of                                                                    Many states, such as Kerala, West
 of West Bengal use folk songs        Telangana, Andhra Pradesh, and                      The Punjab government distributed       Bengal, Jammu and Kashmir,
 and street plays to increase the     Karnataka partnered with the                        Ayurveda medicines to boost the         Madhya Pradesh, and Bihar offer
 awareness of COVID-19.               National Institute of Rural                         immunity of frontline workers.          counseling and psychological help
                                      Development and UNICEF to train                                                             through helplines.
 Jammu and Kashmir launched a         rural community leaders on                          The Tamil Nadu government also
 tele session program called          controlling the spread of COVID-                    distributed a herbal concoction
 Sukoon on YouTube to spread          19 in villages.                                     called “Kabasura Kudineer” to
 information on COVID-19 and                                                              families located in containment
 help people handle stress.                                                               zones.

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Economic recovery: Key lessons and good practices from states (1/3)

Comprehensive                           Attracting foreign                                   Enacting the Doing                     Integrated services
packages for MSMEs                      investments                                          Business reforms                       for the industry

 Kerala, Andhra Pradesh                 TN, Maharashtra, UP
                                                                                           MP, UP, Punjab, Karnataka,               Haryana, UP, Kerala
 The Government of Kerala               Tamil Nadu signed MoUs with 17
 launched a special package worth       foreign companies with                             The Madhya Pradesh government            The Haryana government launched
 an INR 3,434 crore (INR 34.34          investments worth INR 15,128                       decided to issue registrations or        a Haryana Udhyam Memorandum
 billion) for MSMEs. The package,       crore (INR 151.28 billion) to                      licenses under different labor laws      Portal (HUM) to provide unique
 called “Vyasasaya Bhadratha,”          manufacture heavy vehicles,                        in a single day through an online        identification (UID) to all
 covers interest subvention on          electronics, footwear, energy,                     system. A provision to maintain a        enterprises and grant all
 term loans and working capital         medical equipment, etc.                            single register under the labor          permissions and services in an
 loans, waiver of rental and facility                                                      laws and self-certification for filing   integrated manner.
 charges, etc.                          Maharashtra signed MoUs with 12                    returns has been proposed.
                                        Indian and foreign firms with                                                               The Government of Uttar Pradesh
 Andhra Pradesh came up with an         investments worth INR 16,000                       Uttar Pradesh set up a nodal agency      integrated the services of the
 INR 1,110 crore (INR 11.10             crore (INR 160 billion) in IT and                  called “Invest UP” to clear all          State Industrial Development
 billion) “ReSTART” policy to           IT-enabled services, automobiles,                  investment proposals in 15 days.         Authority with the “Nivesh Mitra”
 provide support to MSMEs. The          oil and gas, chemicals, and FMCG                                                            portal. This would enable
 policy includes the release of         sectors.                                           The Punjab government decided to         additional one-stop accessibility of
 pending incentives, waiver of fixed                                                       grant Consent to Establish (CTE) or      services to all entrepreneurs.
 demand charges, and working            Uttar Pradesh proactively                          Consent to Operate (CTO) to green
 capital loans.                         reached out to foreign                             category industries in a single day,     The Department for Promotion of
                                        companies. It is currently in                      based on self-certification.             Industry and Internal Trade in
 Many other states offer short-term     discussion with a South Korean                                                              Kerala set up a control room to
 loans at lower interest rates along    electronics major to set up a                                                               monitor and address issues that
 with moratoriums on existing           plant worth more than INR 5,000                                                             the industry faces.
 loans.                                 crore (INR 50 billion) in the state.

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Economic recovery: Key lessons and good practices from states (2/3)                                                                                                       40

Employment for                          Promotion of self-                                   Support for urban                       Sustaining self-help
migrant workers                         employment                                           poor and weavers                        groups (SHGs)

 Uttar Pradesh, Others                  Haryana, Gujarat                                   Kerala, Odisha                            AP, West Bengal, TN

 Uttar Pradesh is mapping the skills    The Haryana government will                        Odisha launched an INR 100 crore          The Government of Andhra
 of its almost 32 lakh (~3.2 million)   facilitate loans of up to INR                      (INR 1 billion) urban wage                Pradesh announced interest-free
 migrant workers. The state has         15,000 through small business                      employment initiative. This would         loans worth INR 1,400 crore (INR
 launched a Labour (Employment          banks. Around 3 lakh (300,000)                     provide livelihood opportunities to the   14 billion) to the 8.78 lakh
 Exchange and Job) Commission for       poor who want to start their own                   urban poor by engaging them in            (878,000) SHGs that operate in the
 migrant workers to promote             businesses will benefit from                       various urban infrastructure building     state.
 employment at the local level.         these loans and the state                          initiatives.
 Uttar Pradesh has also signed MoUs     government will an interest rate                                                             The West Bengal government has
 with four industrial bodies to         subsidy of 2% on these loans.                      The Kerala government sanctioned          decided to double the coverage of
 employ around 11 lakh (1.1                                                                INR 41 crore (INR 410 million) to         SHGs to nearly 10 lakh (1 million)
 million) migrant workers.              The Gujarat government is                          “Ayyankali Urban Employment               in FY 21. The loan target to SHG
                                        offering an interest rate subsidy                  Guarantee Scheme (AUEGS)”. The            groups has been increased to INR
 Madhya Pradesh, Rajasthan, and         of 4% for loans up to INR 2.5 lakh                 program provides 100 days of              15,000 Crores (INR 150 billion) in
 Odisha have also launched portals      (INR 250,000) for business and                     employment to an urban household          FY 21.
 and mobile apps to connect             shop owners.                                       whose adult members volunteer to
 migrant workers to employers.                                                             perform unskilled manual work.            The Government of Tamil Nadu has
                                                                                                                                     decided to offer short-term loans
 West Bengal, Telangana, and                                                               The Odisha government is providing        with a duration of approximately
 Assam plan to start skilling                                                              interest-free loans to the Odisha         one year to members of SHG at an
 programs for migrant workers.                                                             State Handloom Weavers                    interest of 10.4%.
                                                                                           Cooperative Society and others for
                                                                                           the procuring goods from weavers.

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Economic recovery: Key lessons and good practices from states (3/3)                                                                                                   40

Reforms in the                          Income support to                                    Promotion of the                    Increase in wages
agriculture sector                      farmers                                              allied sectors                      under MGNREGA

 MP, UP, Gujarat                        Haryana, Karnataka, WB                               Odisha, J&K,                        Tamil Nadu, Odisha

 Madhya Pradesh was the first           Haryana has decided to provide an                    The government of Odisha            The Government of Tamil Nadu
 state to amend the Mandi Act           incentive of INR 7,000 per acre                      announced the setup of 2,000        increased the wages provided
 during the lockdown. This              to farmers for the cultivation of                    hectares of new fish ponds,         under MGNREGA to INR 256 per
 allowed farmers to sell their          non-paddy crops to address the                       4,500 broiler farms, and 750        day.
 produce to private traders from        shortage of labor and the                            layer farms in the cage system
 their homes.                           groundwater crisis. The incentive                    to support the fisheries and        The district administration of
                                        will be provided in two                              animal husbandry sectors.           Keonjhar district in Odisha
 As per the amended act, private        installments.                                                                            increased the wages under
 godowns and cold storages can                                                               The UT of Jammu and Kashmir         MGRENGA to INR 298 per day. The
 operate as sub-markets and             The Karnataka government is                          announced a subsidy package         additional burden will be met
 farmers can also directly sell their   providing cash assistance of INR                     worth INR 50 crore (INR 500         through the District Mineral Fund.
 crops to food processors,              5,000 to maize farmers.                              million) to establish broiler or
 exporters, and others to realize                                                            layer farms and for allied          New enrollments for work under
 the maximum price.                     The West Bengal government has                       activities to support the poultry   MGNREGA have increased
                                        increased the coverage of Kisan                      sector.                             significantly in Uttar Pradesh,
 The states of Uttar Pradesh and        Credit Card (KCC) to 46 lakh (4.6                                                        Madhya Pradesh, Odisha, and
 Gujarat have also introduced the       million) farmers. The state has                                                          Rajasthan, among others.
 agriculture marketing reforms          also increased the quantum of
 mentioned above.                       loans for Kharif crops to INR
                                        10,000 crore (INR 100 billion).

17                                                        All rights reserved. This document is proprietary and confidential.
Insights from MSC’s evaluation of
the Indian government’s response to
COVID-19 and states analysis based
on the COVID-19 Readiness and
Response framework
The southern states of Karnataka, Andhra Pradesh, and Telangana were front-runners in
utilizing multiple channels to facilitate the home delivery of grocery items

                    % of respondents who received home delivery of grocery*
                                                                                                                                                                                                                                   States adopted numerous channels, such as mobile vans
                                                                                                                                                                                                                                   for the delivery of fruits and vegetables as well as
100%
                                                                                                                                                                                                                                   helplines, mobile apps, and dashboards to facilitate
80%
                                                                                                                                                                                                                                   home delivery of groceries.
60%

40%                                                                                                                                                                                                                                In the tele-survey, a few respondents observed a
                                                                                                                                                                                                                                   marginal inflation in the prices of essential items.
20%

  0%
                                                                                                                                                                                                                                     Status of home delivery of vegetables in 18 states*
                     Andhra Pradesh

                                                                                                                                                                          Maharashtra
                                                                                                                                          Rajasthan

                                                                                                                                                                                        Kerala

                                                                                                                                                                                                                 Haryana
                                                                            Gujarat
                                                                                      Punjab

                                                                                                       Tamil Nadu

                                                                                                                                                                                                 Uttar Pradesh

                                                                                                                                                                                                                           Delhi
                                                                                               Bihar
                                                           Madhya Pradesh

                                                                                                                                  Assam
                                                  Odisha
                                      Telangana

                                                                                                                    West Bengal
        Karnataka

                                                                                                                                                      Jammu and Kashmir
                                                                                                                                                                                                                                             Number of states             % of respondents who
                                                                                                                                                                                                                                                                          receive the home
                                                                                                                                                                                                                                                                3         delivery of vegetables

                                                                                                                                                                                                                                        6                                         40-50%
                                                                                                                                                                                                                                                                                  30-40%
                                                                                                                                                                                                                                                                                  20-30%
 In Karnataka, community interventions, such as assisted home-delivery by                                                                                                                                                                                           5
                                                                                                                                                                                                                                                                                  10-20%
 panchayat officials and local workers, combined with dedicated mobile
                                                                                                                                                                                                                                                                                  0-10%
 apps ‘such as ‘Homeline’ ensured the wider delivery of essential items.
                                                                                                                                                                                                                                             3
                                                                                                                                                                                                                                                        1
 * Based on MSC’s evaluation of Indian government’s response to COVID-19. The tele survey was conducted between May 1-10, 2020

19                                                                                                                                                         All rights reserved. This document is proprietary and confidential.
Banks were the preferred channel, especially for lower-income groups. Trust in banks and
beneficiaries needing to seek help in enquiring about status of cash transfers are likely reasons

            Cash withdrawal preferences of the respondents during the lockdown*

                   100%                                                                                                                                      Bank Branch                ATM     Bank Agent/Common Service Centre agent

                   80%
% of respondents

                   60%

                   40%

                   20%

                    0%
                          Jammu & Kashmir

                                                                                                                                                                                    Haryana

                                                                                                                                                                                                                                     Delhi
                                                                             Punjab

                                                                                                                                                                                                                         Rajasthan
                                                                                                                                                           Bihar
                                                                                                                                               Gujarat
                                                                                                    West Bengal

                                                                                                                                  Kerala

                                                                                                                                                                                                                                             Karnataka
                                                                                                                                                                                              Odisha
                                                            Andhra Pradesh

                                                                                                                                                                       Assam

                                                                                                                                                                                                                                                         Tamil Nadu
                                                                                                                      Telangana
                                                                                      Maharashtra
                                            Uttar Pradesh

                                                                                                                                                                                                        Madhya Pradesh
                      In Karnataka, respondents in the                                                                In Tamil Nadu, respondents in the                                                The tele survey data* indicated
                      tele survey (qualitative) said that                                                             tele survey (qualitative) pointed                                                that cash withdrawal from Indian
                      the banks sent Micro-ATMs to the                                                                that they preferred bank agents as                                               Post Payments Bank/ Post Office
                      villages to withdraw cash.                                                                      the banks are located far away.                                                  was only 2%-3%.

   * Based on MSC’s evaluation of Indian government’s response to Covid-19. The tele survey was conducted between May 1-10, 2020

20                                                                                                                All rights reserved. This document is proprietary and confidential.
Most states have gone the extra mile to provide cash assistance to the poor and vulnerable,
especially the segments that have been traditionally excluded

                          State cash transfers1                                                                                        % of NSAP beneficiaries who received pensions2

                                                                                                100%
                                      6%
                                                   31%
                                                                                                  80%

                                                                                                  60%
                              63%

                                                                                                  40%
              Received cash transfer from the state govt.
              Not received any cash transfer from the state govt.
                                                                                                  20%
              Not aware

                                                                                                   0%
     Many states such as Haryana, Uttar Pradesh,

                                                                                                                                                                                                                         West Bengal

                                                                                                                                                                                                                                                                                                    Uttar Pradesh
                                                                                                                                                                                                                                       Maharashtra
                                                                                                                                                                       Delhi

                                                                                                                                                                                           Jammu and Kashmir

                                                                                                                                                                                                                                                                                                                    Haryana
                                                                                                                                                                               Rajasthan

                                                                                                                                                                                                                                                                  Punjab
                                                                                                                                                           Karnataka

                                                                                                                                                                                                               Gujarat
                                                                                                                                      Kerala
                                                                                                                             Odisha

                                                                                                                                                                                                                                                                                            Bihar
                                                                                                            Andhra Pradesh

                                                                                                                                                                                                                                                     Tamil Nadu

                                                                                                                                                                                                                                                                                                                              Assam
                                                                                                                                               Telangana

                                                                                                                                                                                                                                                                           Madhya Pradesh
     Rajasthan, Andhra Pradesh, and Tamil Nadu,
     among others, rolled out cash transfer programs
     for BPL households, workers in the unorganized
     sector, stranded migrant workers, etc.
1.    Based on MSC’s evaluation of the response of the Indian government to COVID-19. The tele survey was conducted between May 1-10, 2020.
2.    NSAP provides financial assistance in the form of pensions to widows, disabled, and the elderly. The data includes beneficiaries who received at least one pension under NSAP and were able to withdraw it.

 21                                                                               All rights reserved. This document is proprietary and confidential.
Kerala, Karnataka, and Punjab used strict preventive measures, such as contact tracing and isolation
effectively to keep COVID-19 positivity rate in tested samples below 2%. This was achieved despite
conducting less than the average number of tests among the selected states*
                                                                            Maharashtra needs to expand its testing
   30000
                                                                            coverage to lower the COVID-19 positivity rate                                                                                             Kerala’s proactive approach towards
                                                                                                                                                                                                    17.0%
                                           15.1%                            in tested samples. Eventually, it will also help                                                                                           contact tracing and quarantine helped it
                                                                            curb the number of new cases.                                                                                                              achieve a lower COVID-19 positivity rate in
   24000                                                                                                                                                                                                               the tested samples.
                                                                                                                                                                                                                                                                                                                                     12.4%

   18000

                                                                                                   Average tests per million = 7635                                                                                   8.3%
   12000
                                                                                         6.5%
                                                                                                                                                                                                                                                                                                                                                     5.2%
                                                                                                                             4.5%                                                                                                                                                                  4.1%
    6000                                                                                                                                                                                                                                                                   3.4%                                           3.1%
                                    1.9%                                                                    2.1%                                1.7%           2.0%            1.7%                                                   2.1%            1.7%
                                                                     1.2%
         0

                                                                                                                                                                                                                                             Kerala
                                                                                                Rajasthan

                                                                                                                   Haryana

                                                                                                                                                                                                                                                                                                                                 Telangana
                                                    Andhra Pradesh

                                                                                                                                                                                                                                                                                                          Uttar Pradesh
                                                                                                                                    Karnataka

                                                                                                                                                                                      Maharashtra
                                            Delhi

                                                                            Tamil Nadu

                                                                                                                                                                      Punjab

                                                                                                                                                                                                                                                                                                                                             Bihar
                                                                                                                                                                                                                                                                                  Madhya Pradesh
                                                                                                                                                       Assam

                                                                                                                                                                                                                             Odisha

                                                                                                                                                                                                                                                             West Bengal
                                                                                                                                                                                                            Gujarat
                Jammu and Kashmir

                                                                                                                                                                                 Total test done per million                                            COVID-19 Infections / tested sample (%)

 * Based on COVID-19 cases and tests done until June 16, 2020
More than 90% of beneficiaries under the Public Distribution System (PDS) received ration either
through their regular entitlement or both regular and PMGKY entitlement or only PMGKY entitlement

                                                       % of PDS beneficiaries who received both regular and PMGKY entitlement*
100%

     80%

     60%

     40%

     20%

     0%

                                                                                                          Kerala

                                                                                                                       Telangana
                       Andhra Pradesh

                                                                                                                                                                         Rajasthan
                                                                                                                                    Haryana
                                                                                             Assam
                                                                Karnataka

                                                                                                                                                                                                         Madhya Pradesh
            Delhi

                                        Bihar

                                                Uttar Pradesh

                                                                            Maharashtra

                                                                                                                                                 Tamil Nadu

                                                                                                                                                                                                                                                  Punjab
                                                                                                                                                                Odisha

                                                                                                                                                                                                                                    West Bengal
                                                                                                                                                                                                                          Gujarat
                                                                                                                                                                                     Jammu and Kashmir
* Based on MSC’s evaluation of the response of the Indian government to COVID-19. The tele survey was conducted between May 1-10, 2020

23                                                                                        All rights reserved. This document is proprietary and confidential.
Use of emerging technologies in
COVID-19 management
States continue to utilize emerging technologies to deploy innovative solutions to address the
COVID-19 pandemic

     Open-source architecture            Geotagging and GIS                                   Analytics and artificial intelligence     Tele-ICU

     Creation of an open-source public    Use of geotagging in the                              Partnership with SAS to deploy high-     Partnership with Cloud physician
     platform called the Corona Safe      delivery of pensions to bring                         end analytical tools in COVID-19         to deploy India’s indigenously
     Network. The software is designed    more transparency and avoid                           dashboards. This would help              developed 24*7 tele-ICU in the
     by innovators and volunteers         leakages. (Andhra Pradesh)                            implement epidemiological models to      Gulbarga Institute of Medical
     working to support the state                                                               predict the timing and magnitude of      Sciences (GIMS).
     government.                                                                                the infection and the resources
                                          Use of geospatial mapping to                                                                   The tele-ICU enables remote
                                                                                                required. (Odisha, Uttar Pradesh,
     The open-source platform has         provide information on                                                                         monitoring of patients through
                                                                                                Maharashtra, Rajasthan, Assam)
     been used to develop, test, and      containment zones, hotspots,                                                                   audiovisual tools and internet
     deploy multiple applications on      location of patients, primary                                                                  sensors.
     contact tracing, telemedicine,                                                             Partnership with IBM for the
                                          and secondary contacts,
     availability of hospital beds and                                                          deployment of a chatbot based on
                                          testing and collection
     quarantine facilities, and                                                                 artificial intelligence and natural
                                          centers, isolation centers,
     ambulance services, among                                                                  language processing to answer queries
                                          fever clinics, etc. (Karnataka)
     others. (Kerala)                                                                           on COVID-19 in multiple languages.
                                                                                                (Andhra Pradesh)

      States such as Kerala have used open-source architecture to build healthcare applications on the principle of
                                             “Technology as a public good”

25                                                       All rights reserved. This document is proprietary and confidential.
State governments have used mobile apps and other IT applications widely as a public
engagement tool during the COVID-19 pandemic

 State       Application name    Category               Purpose                                                                         Downloads
 Andhra      COVID-19 Andhra     Informative            •   Provides information about the status of the district, mandal, or village   100k+
 Pradesh     Pradesh                                        as well as dos and don’ts, announcements, and media bulletins
 Assam       COVAAS              Informative            •   Brings together all initiatives of the state under a single platform        10k+
                                                        •   Provides information on donations, e-pass, volunteer, emergency support
 Bihar       No info available   N/A                    •   N/A                                                                         N/A

 Delhi       Delhi Corona        Informative            •   Provides information on donations, lockdown services, such as ration,       100k+
                                                            shelter, e-pass, etc.
 Gujarat     SMC COVID-19        Monitoring/Tracing     •   Initially launched by the Surat Municipal Corporation and later adopted     100k+
             tracker                                        by the entire state. Primarily used to track quarantined individuals
 Haryana     Jan Sahayak –       Informative            •   Provides services, such as telemedicine, movement passes, assistance in     10k+
             HelpMe App                                     procurement, delivery of dry ration and cooked food, education etc.
 Jammu and   No info available   N/A                    •   N/A                                                                         N/A
 Kashmir
 Karnataka   •   Corona Watch    Informative,           •   Provides information on the nearest hospitals, sample collection centers    100k+ (CW)
             •   Quarantine      Tracking/ Monitoring       and testing labs, and locations of the cases                                50k+ (QW)
                 Watch                                  •   Self-reporting by individuals quarantined at home and their families
                                                            (Quarantine Watch)
 Kerala      GoK Direct          Informative            •   General awareness, quarantine protocols, advice to citizens and NRIs        100k+
Around two-thirds of the various mobile apps and dashboards that the states use are to
disseminate information while the rest are used to monitor and track COVID-19 cases

 State           Application name       Category             Purpose                                                                       Downloads
 Madhya          Sarthak Lite           Informative          •   Provides information about the nearest treatment facility, collection     50k+
 Pradesh                                                         centre, or fever clinic as well as a health bulletin, etc.
 Maharashtra     Mahakavach             Tracing/Monitoring   •   A digital contact tracing app that helps citizens contribute and assist   50k+
                                                                 in tracing contacts with the potential risk of COVID-19
 Odisha          •   Odisha COVID       Informative,         •   Provides services like general information, e-pass application, and       50k+ (OCD)
                     Dashboard          Monitoring/Tracing       self-assessment (Odisha COVID-19 Dashboard)                               10k+ (CO)
                 •   COVID-19 Odisha                         •   Enables quarantine registration and quarantine reporting (COVID-19
                                                                 Odisha)
 Punjab          COVA                   Informative          •   Provides information on preventive care, travel instructions, self        1m+
                                                                 screening, general awareness, nearby hospitals and the helpline etc.
 Rajasthan       RajCovidInfo           Tracing/Monitoring   •   Provides COVID-19 guidelines and health advisory, location-based          100k+
                                                                 push alerts, list of hospitals, dos and don’ts, helpline etc.
 Tamil Nadu      COVID-19 Care Tamil    Informative          •   Provides real time COVID-19 outbreak info, statewide and district-        100k+
                 Nadu                                            wise spread, emergency contacts, containment zones etc.

 Telangana       T COVID'19             Informative          •   Provides information on government and private hospitals with             50k+
                                                                 isolation wards, labs, telemedicine, helpline, Annapurna food
                                                                 location, essential services, announcements, etc.
 West Bengal     COVID-19 West Bengal   Monitoring/Tracing   •   Monitors individuals in home isolation and quarantine                     100k+

 Uttar Pradesh   Ayush Kavach – COVID   Informative          •   Provides updates for a healthy lifestyle and measures to boost            1m+
                                                                 immunity, based on locally and easily available home remedies etc.
Appendices
For the fourth and current version of the study, we revamped the index to integrate the on-ground
 evidence and reflect the evolving response of the state governments to the COVID-19 pandemic

Pillars in phase 1
    (3 rounds)             Robustness of the              Vulnerability assistance                                      Health readiness               Industry and livelihood
                           sustenance chain                                                                                                                   support
                                                            Income support for poor                                   Medical infrastructure
                          Access to food                    Support for migrant                                       Availability of ventilators       Waiver of compliance
                          Access to fuel and utilities                                                                Availability of testing labs      requirements
                                                            workers, homeless, and
                          Access to essential goods                                                                   and kits                          Ease of working capital
 Sub-pillars                                                the destitute
                          Access to financial                                                                         COVID-19 cases/tested             requirements
 for the                                                    Support for the disabled,
                                                                                                                      sample + CFR                      Unorganized and organized
 initial study            instruments                       elderly, children, women,
                                                                                                                      Screening, contact tracing,       sector benefits
                                                            and trans people
                                                                                                                      surveillance, and IEC

 Pillars in                                              Assistance to the poor and
                     Robustness of the essentials                vulnerable                                             Health readiness                 Economic recovery
 phase 2
                               chain
                                                           Feeding the poor                                         Medical infrastructure             Impacted GDP
                         Ease of access to utilities                                                                Testing strategy                   Fiscal stimulus
                                                           Cash assistance to the poor
                         Ease of access to essential                                                                COVID-19 management                Reforms
                                                           Support to women and the
                         items                                                                                      Government initiatives and         Employment and livelihood
                                                           disadvantaged
                         Ease of access to financial                                                                IEC                                support
 Sub-pillars                                               Support for the movement of
                         services                                                                                                                      Public engagement and
 for the                                                   migrant labors
 current                 Public engagement and                                                                                                         communication
                                                           Public engagement and
 study                   communication
                                                           communication

   Rationale         More attention on the ease of       Adequate focus on the poor                           Evolving priorities for COVID-         National and state focus to
   for revision        access to essential items              and vulnerable                                         19 management                      revive the economy

  29                                                        All rights reserved. This document is proprietary and confidential.
The COVID-19 Readiness and
Response assessment framework
Maximum
Pillar 1: Robustness of the essentials chain                                                                                                                          normalized        10
                                                                                                                                                                      score

                                                                                                                                   Ease of access to utilities
                                                                                                                            01     Covers the supply situation and ease of access to
                                                                                                                                   electricity and water utilities. It also looks at
     Assesses factors, such as the ease of access to essential                                                                     the financial exemptions and support provided
     services (utilities, financial services) and essential items                                                                  by states on electricity and water bills
     (grocery, fruits and vegetables, and dairy)

     MSC’s tele-survey weightage of 30% is given to two sub-
     pillars: a) Ease of access to essential items and b) Ease
     of access to financial services                                                                                                               Ease of access to essential items
                                                                                                                                            02     Covers access to grocery, fruits and
                                                                                                                                                   vegetables, dairy, and other essentials
     Public engagement and communication
     Covers channels and outreach efforts to      04                                                                                               across the state

     inform, educate, gather feedback, and
     resolve complaints related to essential
     items, utilities, and financial services

                          Ease of access to financial services
                          Covers the operational timings of bank
                          branches and any other physical and
                                                                      03
                          digital initiatives to improve the
                          accessibility to financial services

31                                                           All rights reserved. This document is proprietary and confidential.
Maximum
Pillar 2: Assistance to the poor and vulnerable                                                                                                                       normalized         30
                                                                                                                                                                      score

                                                                                                                           01       Feeding the poor
                                                                                                                                    Covers food-related support provided to vulnerable
                                                                                                                                    groups. This includes PDS distribution to both NFSA and
                                                                                                                                    non-NFSA beneficiaries, community kitchens, and other
     Assesses the in-kind and cash support provided to the poor,                                                                    initiatives such as distribution of food kits.
     women, vulnerable and disadvantaged groups, and migrant
     workers

     MSC’s tele survey weightage of 30% is given to three sub-                                                                                 02     Cash assistance to the poor
                                                                                                                                                      Covers all cash transfers by the
     pillars: a) Feeding the poor; b) Cash assistance to the poor;
                                                                                                                                                      state government to the registered
     and c) Support to women and the disadvantaged                                                                                                    BPL population, unregistered BPL
                                                                                                                                                      households, and occupational
                                                                                                                                                      groups, among others.
        Public engagement and communication
        Covers initiatives of the states to establish
                                                          05
        effective communication with the vulnerable
        population through various channels intended
        to help them enroll or avail the entitled
        benefits
                                                                                                                                        03     Support to women and the
                                                                                                                                               disadvantaged
                                                                                                                                               Covers the support and benefits provided
                    Support for the movement of migrant labors                04                                                               to women and disadvantaged groups,
                    Covers initiatives of the states to arrange free                                                                           such as the elderly, children, differently-
                    transport of migrant workers and in-transit                                                                                abled, and the trans population
                    support, such as food, shelter, etc.

32                                                            All rights reserved. This document is proprietary and confidential.
Maximum
Pillar 3: Health readiness                                                                                                                                            normalized       30
                                                                                                                                                                      score

                                                                                                                         01       Medical infrastructure
                                                                                                                                  Covers the per capita availability of doctors and
                                                                                                                                  per capita availability of isolation beds and
                                                                                                                                  ventilators in COVID-19 care centres and hospitals

     Assesses the availability of healthcare infrastructure, testing
     strategy, COVID-19 management, and government initiatives
     to curb the transmission of COVID-19

                                                                                                                                                   Testing strategy
                                                                                                                                           02      Covers COVID-19 tests (RT-PCR)
                                                                                                                                                   done per million and COVID-19
          Government Initiatives and IEC
          Covers the initiatives of the states on
                                                  04                                                                                               positivity rate of the tested
                                                                                                                                                   samples
          screening, contact tracing, surveillance,
          and IEC (aimed at increasing public
          awareness of COVID-19)

                                      COVID-19 management
                                      Covers the doubling rate       03
                                      and deaths per million

33                                                          All rights reserved. This document is proprietary and confidential.
Maximum
Pillar 4: Economic recovery                                                                                                                                        normalized            30
                                                                                                                                                                   score

                                                                                                                                  Impacted GDP
                                                                                                                          01      Taken as projected per capita GDP of Indian
                                                                                                                                  states for FY 21 released by the State Bank
                                                                                                                                  of India in the Ecowrap Issue No. 22, FY 21

     Assesses initiatives by the states to boost their local
     economies, such as fiscal stimulus, reforms, employment                                                                                  Fiscal stimulus
     support, and targeted outreach to the industry and the
                                                                                                                                       02     Covers public investments in
                                                                                                                                              infrastructure and other sectors as well
     workers                                                                                                                                  as capital subsidy and other direct
                                                                                                                                              financial support to the private sector
                                                                                                                                              (MSMEs, industry, startups)

       Public engagement and communication
       Covers the channels and outreach efforts of
                                                       05
       the states to address any concerns of                                                                                                   Reforms
       companies, workers, and employees and the                                                                                       03      Covers the implementation of reforms
       facilitation of access to government services                                                                                           linked with conditional assistance to
                                                                                                                                               states under the Atmanirbhar Bharat
                                                                                                                                               package
                     Employment support                                                                                                         One Ration One Card
                     Covers the support given by the states to                                                                                  Ease of doing business
                     MSMEs, the agriculture sector, among
                     others. Also covers employment support
                                                                  04                                                                            Power distribution (AT&C losses)
                                                                                                                                                Urban local body revenues
                     provided to migrant workers, the                                                                                          and any other reforms
                     organized labor force, SHGs, and self-
                     employed individuals, etc.

34                                                          All rights reserved. This document is proprietary and confidential.
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