The Regional Sports Centre is an important centre of sporting activity in the city. Kochi is reportedly the 6th best city in India according to the livability index of 2011. With many advanced tertiary/quaternary care facilities, Kochi has one of the best healthcare facilities in India. It is the prime destination for people seeking advanced healthcare facilities from across Kerala. In recent times, it has attracted many patients from India, the Middle East, Africa, Europe and the United States looking for relatively inexpensive advanced medical care. Kochi is the only city from Kerala that have carried out successful heart transplantations. Amrita Institute of Medical Sciences and Research Centre, Sunrise Hospital, Specialist Hospital, Medical Trust Hospital, PVS Memorial Hospital, Renai Medicity, Lakeshore Hospital, Lisie Hospital, Aster Medcity, Rajagiri Institute of Medical Sciences are some of the advanced tertiary/quaternary healthcare facilities in Kochi. Other reputed institutions in the city include Ernakulam Medical Centre, KIMS Hospital, Gautham Hospital, Lourdes Hospital and Saraf Hospital. Some of the reputed fertility related treatment centres in India – like Vijaya Hospital, Bourn Hall Clinic and CIMAR – are located in Kochi. General Hospital, Ernakulam and Government Medical College, Ernakulam are the notable medical institutions in the government sector in Kochi. In August 2019, a home daycare program in the district, Arike has started for extending the service of the home palliative care. Nurses who have undergone training in palliative care will be reaching out to patients at home every day on two-wheelers. The service will be available to those who have registered with the General Hospital's home palliative care programme. The pattern of primary education is essentially the same all over the state. There are government owned schools and government aided schools, which are affiliated to the Kerala State Education Board. A few privately owned schools are also affiliated to the system. Most of the schools owned by private organisations or individuals are affiliated to the Central Board for Secondary Education (CBSE). Indian Certificate of Secondary Education (ICSE) have some schools affiliated to them as well. The state education board offers both Malayalam and English medium instruction, while the other boards offer English medium alone. There are a few schools that follow international curricula, such as IB and IGCSE. There 34 government schools, 67 private aided schools and 31 unaided schools affiliated to the Kerala State Education Board in the city and suburbs.