Paper short abstract:

This paper examines healthcare disparities and migration patterns in rural Jharkhand, focusing on marginalized tribal communities. Using PRA and mixed method, it identifies healthcare gaps and advocates for community-driven solutions to reduce migration and improve local health outcomes.

Paper long abstract:

This paper explores the structural health disparities in Jharkhand, India, particularly among indigenous and marginalized rural communities. Despite global health initiatives such as the Health for All (HFA) and Sustainable Development Goals (SDGs), regions like Giridih, Deoghar, and Plamu continue to face significant healthcare challenges. This research uses Participatory Rural Appraisal (PRA) and mixed method to engage community members in identifying the root causes of healthcare inequalities, focusing on factors like inadequate healthcare infrastructure, sanitation, access to clean water, and limited health literacy. The study also examines the impact of socio-cultural and linguistic barriers that hinder the effectiveness of healthcare programs in these regions. Through focus group discussions, in-depth interviews, and community mapping, the paper gathers both qualitative and quantitative data, providing a comprehensive view of local health needs and migration patterns driven by poor healthcare access. Pr