Health and Livelihood Challenges of Fisherfolk in Kerala

This study examines the extent and determinants of health shocks among fisherfolk households in Kerala, a community highly vulnerable to health and livelihood risks. Using primary data from 390 households across Malappuram, Alappuzha, and Thiruvananthapuram districts, a multidimensional Health Shock Index (HSI) was constructed incorporating seven indicators of health incidence, severity, hospitalization, accessibility, expenditure, and post-illness work ability. The results reveal that health shocks are widespread but vary significantly across regions, gender, and education levels. Trivandrum recorded the highest incidence of severe health shocks, while households with higher education and female heads experienced lower vulnerability. The study highlights the pressing need for targeted health and social protection measures to reduce disparities and strengthen the resilience of fisherfolk communities in Kerala.