Kerala’s New Ministry Aims to Keep Elderly from Growing Old Alone


In the southern state of Kerala, a 70‑year‑old man named TO Dominic spends his mornings on the phone with his sons who live in Karnataka and the Middle East. The duo left home for better job prospects, leaving Dominic and his wife, MJ Martha, to handle their own caregiving.


Such stories are common in Kerala, the fastest ageing state in India, where migration and shrinking birth rates have left many seniors living alone. Last month, the government announced a new department dedicated to elderly welfare – a first in the country.



  • Target “age‑ing in place,” keeping seniors in their homes and communities.

  • Expand community and home‑based care, and introduce “social prescribing” – activities that foster social connection.

  • Launch certified caregiver training, build a professional workforce, and create elderly parks and day‑care centres.


The Department, led by Dr Rathan Kelkar, emphasises that ageing touches healthcare, housing, transport, governance, technology, employment, safety, finance and community life. It will be coordinated through a statewide survey to craft a long‑term silver‑economy roadmap.


Despite a budget of 100 million rupees ($1.05 million) for welfare this year – described by some as symbolic – the Ministry hopes to build coordination, pilot projects and robust data systems.


Experts warn that alone, these steps may not suffice; the market for senior care needs regulation and quality standards. Private providers, like Athulya Seniorcare, argue that uniform standards are lacking.


For seniors like Dominic and Martha, the present reality is dependence on neighbours and sporadic visits. They need a call that can translate into physical help. Whether the new department can bridge this gap remains to be seen, but it represents a significant policy shift in a country where families are split by oceans and time zones.