PurposeThis paper presents an analytic report, with precise scientific rigor, the positive impact of the government’s welfare schemes and the areas that need urgent public policy intervention.Design/methodology/approachUddanam, Srikakulam in Andhra Pradesh, a conglomeration of an apportioned group of villages, grapples with a severe and mysterious kidney disease epidemic since the 1980s, affecting agricultural communities. The region, which was once fondly called “Udyanam,” translated as “Garden,” for its richness in greenery and cashew and coconut trees, has now become “Uddanam,” the land of death and despair. The residents of the region suffer with high rates of kidney failure and associated health complications for factors including environmental toxins and poor water quality. Despite several efforts by governments, the impact of governmental policy on improving the conditions has been non-significant. The problem has been taken into sincere and serious consideration by the present Government of Andhra Pradesh which introduced ground-breaking welfare initiatives to impede the prevalence of the disease and the deaths among patients. This paper presents an analytic report, with precise scientific rigor, the positive impact of the government’s welfare schemes, and the areas that need urgent public policy intervention.FindingsThis paper is the first to identify that out of the total of 942 CKD patients interviewed uniformly at random from the Uddanam mandals, a majority of 86.06%, who belong to advanced stages, receive advanced governmental (free) medical care, and soon succumb to the disease, and a minority of 13.94%, who belong to early stages of the disease, do not benefit directly from government welfare schemes, and hence perpetually proceed to advanced stages.Research limitations/implicationsThe qualitative study conducted in this paper is not fully exhaustive; however, the samples are taken uniformly at random from the entire region of influence, which renders the results credible.Practical implicationsThe key findings of this paper will provide a scientific basis for governmental and private health institutions to focus for providing sophisticated medical care for early state CKD patients to further mitigate the mortality rate due to the disease in Uddanam.Social implicationsThis paper shall create a positive social impact of the CKD handling measures taken by governmental and private agencies, and will bring to light the most impending issues that need immediate address, which are of great concern to the international community and media.Originality/valueThis paper is original and the contributions and findings presented herein have not been presented by anyone elsewhere. This paper is also the first to cojoin the impact of medical treatment for CKD at Uddanam and the use of digital technology, e.g. online consultation, online reports, etc.
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