Jayamma is a 40-year-old housemaid in Hyderabad who lives with her 10-year-old grandson. She earns Rs. 2,000 per month and spends Rs. 600 on rent and Rs. 120 on electricity bills. She obtains rice and kerosene through the public distribution system but the quality is poor. She sometimes sells the rice and buys better quality rice instead. She travels to her village to obtain kerosene since it is not available in Hyderabad through the public distribution system. She suffers from blood pressure and sugar issues and manages them through medication obtained from her village or local pharmacists. She goes to the government hospital 12 km away for major illnesses and previously spent Rs.