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Research Paper | Public Health | India | Volume 12 Issue 4, April 2023 | Rating: 5.3 / 10
Health Systems Strengthening for Manipur, India: A Critical Examination of Gaps and Contradictions
Veda Yumnam
Abstract: Fifteen years later, grounded evidence from Manipur, a state in the North-east region of India, indicates that infrastructure and human resources continue to languish and the state has one of the highest out of pocket expenditures in the country, fuelled by inter-state medical tourism. Even as these weaknesses remain entrenched, the state is now gearing up for medial tourism from Myanmar and neighbouring states from the region. Background: The National Health Mission (NHM) was intended to strengthen health systems, making it more responsive to the needs of rural and urban communities in India. Material and Methods: The secondary sources that were reviewed include data sources such as the National Sample Survey and newspaper archives to capture both quantitive data and local contexts. Primary data was collected using in-depth and semi-structured interviews to examine the utilisation of services amongst the users and providers of two districts viz. Churachandpur and Thoubal. Results: Considerable deficits in human resources and infrastructure even after one-and-a-half decades of the NHM are noted in the state of Manipur. Geographic challenges accentuate these inequities. Conclusion: Newer policy initiatives such as medical tourism expose the contradictions.
Keywords: Public Facilities, NHM, Healthcare, Health Disparities, Health Outcome
Edition: Volume 12 Issue 4, April 2023,
Pages: 246 - 250