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Medicine played a major role in missionary work in Travancore, and in the informal partnership between the missionaries and the state.  Both shared the view that dispensing western medicine constitutes charity work.  From their Hindu perspective as well as their modernizing stance the Maharajas and the Travancore government had an idea of a charitable state and made great efforts to introduce western medicine.  In this the missionaries were seen to be valuable allies rather than competing adversaries. 

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Seena, D. A. L. (2019). Medical Missionaries in Travancore ,The Charitable State. History Research Journal, 5(6), 2442-2448. Retrieved from