A 2015 government survey found there were 25,000 transgender people in Kerala
LGBT campaigners urged state governments on Monday to "learn a lesson" from Kerala after authorities in the southern state said they would cover the cost of gender reassignment surgeries.
Kerala's chief minister said his government would pay Rs 2 lakh to allow people to have the procedure, the second state to do so after neighbouring Tamil Nadu.
"If more money is required, it will be made available," Jaffar Malik, director of the state's social justice department, told the Thomson Reuters Foundation on Monday.
Maya Urmi Aher, a transgender woman and rights activist, called it a "welcome step". "Other states must learn a lesson from Kerala," she said.
"Being a community that is so stigmatised and discriminated against, most do not have an education or jobs, meaning they do not have much money."
Kerala has assigned three hospitals for gender reassignment surgery and said it would also pay for people to have the procedure outside the state and reimburse those who had already done so.
A 2015 government survey found there were about 25,000 transgender people in Kerala and more than 80 per cent wished to undergo the surgery but needed financial help.
Faisul Fasu, also a transgender activist in Kerala, said money was often the biggest obstacle to surgery, adding, "this will encourage those who are planning to go for sex reassignment surgery".
India is estimated to have about 2 million transgender people, who are often confined to the margins of society.
In 2014, the Supreme Court ruled that they had equal rights under the law, and granted legal status to the "third gender", giving them the right to marry and inherit property.
Yet abuse and exploitation remain rife. Many have no formal education and are denied jobs, forcing them into sex work, begging or dancing at weddings to make ends meet.
Kerala has put in place measures to improve access to education and jobs. Last month, it announced it would reserve places in higher education for transgender students.
© Thomson Reuters 2018