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In the 1950s, the state of Kerala had one of the fastest growing populations in India. However, by the late 1980s, the state
achieved replacement fertility, meaning that children were born at a rate to replace the people who died. Kerala also has the
highest life expectancy at birth in all of India, at 75 years, the lowest birth and death rates, and the lowest childhood
mortality rate.
Much of the success of Kerala is attributable to its very high literacy rate and health care access, which are heavily prioritized
by the Kerala state government despite the state's relative poverty.
What were three distinct advantages of Keralan culture that helped spread education and health care?
Wealth and status were passed down to daughters rather than sons.
The state had the highest life expectancy at birth in India.
The state had an above average concentration of missionary schools catering to people of all faiths.
There was a low rate of emigration of young people from the area.
There was no real divide between urban and rural populations in access to public services.
The state instituted a highly incentivized sterilization program.
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