Kerala state in India has some unique social protection programs for senior citizens like Aaswasakiranam and Vayomithram combined with implementation of age-friendly governance through Local Self-Government Institutions. The various social security programs which have been decentralized – planned and executed at the local level through Local Self-Government Institutions and Kerala Social Security Mission are described in this chapter, while trying to understand to what extent these programs are useful for the public and which programs can be replicated to other states in the country. There are many centrally sponsored programs, which have been successfully implemented in Kerala. Some of these programs were slightly modified with new names, keeping in mind local realities. Since, the programs are mostly implemented through Local Self-Government Institutions, it ensures that the benefits reach the needy. Unfortunately, sustainability of such innovative programs is under strain because of the increasing financial constraints, which is aggravated after COVID-19. Further, the lack of periodic assessment of the process, efficiency, and outcome of these programs and schemes by an independent external agency is a major drawback.