Addressing the COVID-19 pandemic - Main report Lessons and good practices from Indian states: Round 4
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Main report Addressing the COVID-19 pandemic Lessons and good practices from Indian states: Round 4 July, 2020
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 2 All rights reserved. This document is proprietary and confidential.
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 4 All rights reserved. This document is proprietary and confidential.
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 5 All rights reserved. This document is proprietary and confidential.
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. 7 All rights reserved. This document is proprietary and confidential.
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. 8 All rights reserved. This document is proprietary and confidential.
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. 10 All rights reserved. This document is proprietary and confidential.
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. 11 All rights reserved. This document is proprietary and confidential.
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. 12 All rights reserved. This document is proprietary and confidential.
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. 13 All rights reserved. This document is proprietary and confidential.
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. 14 All rights reserved. This document is proprietary and confidential.
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. 15 All rights reserved. This document is proprietary and confidential.
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. 16 All rights reserved. This document is proprietary and confidential.
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.
MSC is recognized as the world’s local expert in economic, social, and financial inclusion Some of our partners and clients International financial, 180+ staff in 11 Projects in ~65 social & economic inclusion offices around the developing countries consulting firm with 20+ world years of experience Our impact so far 550+ >850 clients publications Assisted development of digital Implemented G2P services used by 875 million+ people >850 DFS projects Developed 275+ FI products Trained 9,000+ and channels now used by leading FI specialists globally 55 million+ people 35 All rights reserved. This document is proprietary and confidential.
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