The Primary Health Centre is the first rural facility with a Medical Officer; the CHC adds 30 beds and four specialists.
In Kottayam, 38.7% of women are anaemic, better than the typical district. 23.4% of children under five are stunted, better than the typical district. 12.2% of women have low BMI, better than the typical district. The PHC and CHC are the first point of clinical care against all three.
77% of registered enterprises are in services while 23% are in manufacturing. Only 8% of employment is in small and medium enterprises. 88% of school-age children are enrolled in higher secondary school (classes 9–12).
In Kottayam, which ranks 3 of 15 in Kerala for youth opportunity, the overall opportunity score is 58.1 out of 100. It runs ahead of the national picture on households in the poorest wealth group at 0.6%.