Kerala is one of the leading Indian states for the training and ‘export’ of nurses for the international market and Kerala is distinct from many other states in India because it has a long tradition of female education, nurse training and migration rooted in the state’s history of Christianity. Since the 1970s most Christian women from Kerala were trained as nurses to migrate to the GCC and OECD nations. Although the migrations of people to the UK from Punjab region of India may be traced to 1857, the migrations from Kerala especially from the Syro-Malabar Church started when the UK government facilitated the recruitment of health care professionals from India since 2000. Since then, the faithful from Syro-Malabar Church which is one of the most vibrant churches in the world, depended on visiting priests from Kerala and supplying priests from Rome and other European centres of Ecclesiastical studies for spiritual needs and liturgy in their own Rite and language.
The Church of Catholic Thomas Christians which was brought under Padroado (Portugal) in 1600 and later Propaganda Fide (Rome) was given a solemn burial on September 1, 1886 when the ancient See the Archdiocese of Crangannore (Kodumgalloor) was suppressed by Rome and its title was given to Damao by the apostolic letter Humanae Salutis. From 1886 the destiny of Thomas Christians began to be decided by the Indian Latin hierarchy. Sensing the danger of unrest among the Thomas Christians going out of control, the Bangalore meeting of the Latin bishops and archbishops held on 25 January 1887 favoured the decision of the Propaganda to erect two vicariates on the south and north of Periyar (Aluva River) as natural boundary and suggested Trichur and Kottayam for the residence of the Vicars apostolic of northern and southern vicariates respectively. They, however, did not favour erecting vicariates according to caste.