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Kerala, a Southern state of India, is often noted for its successes in development, achieving quality of life measures similar to those in Western countries, in spite of its economic problems and much lower per capita income.

It has received attention from numerous development economists, including Amartya Sen,W who makes comparisons between China's achievement of social and public health goals (including low birthrate) through coercion, and Kerala's slightly better achievements through education and empowerment.

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