Studying Kerala's combination of Government support and civic involvement in end-of-life care, a number of similar models are being tried out in Ethiopia, Bangladesh, Seychelles and even in Switzerland. "Kerala provides a useful lesson for other countries, particularly as ageing population puts increasing pressures on existing healthcare services," said the report. While countries such as Taiwan and Hungary have managed to get on the top 15 of the index, one possible reason cited for the poor show by India and China is their large population, with the care coverage reaching only a fraction of those in need.