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An assessment of the public healthcare infrastructure deficiency in a district of Bihar state of India
  1. Sagarika Kamath1,
  2. Rajesh Kamath2,
  3. Brayal D’Souza2
  1. 1 School of Management, Manipal University, Manipal, Karnataka, India
  2. 2 Prasanna School of Public Health, Manipal University, Manipal, Karnataka, India
  1. Correspondence to Dr Rajesh Kamath, Department of Public Health, Manipal University, Room No. 12, Second Floor, Old Tapmi Building, Manipal, Karnataka 576104, India; rajeshkamath82{at}

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The state of Bihar in India, if it were an independent country, would have been the 12th most populous country in the world with a population of 119 million. It ranks at the bottom of the list of Indian states on the Human Development Index. Bihar state has 38 districts. The corresponding author worked in Supaul district between 2011 and 2013 in polio eradication. The inadequacy of the healthcare infrastructure was glaring. None of the 200 Community Health Centres (CHC) in Bihar meets the guidelines of the Indian Public Health Standards (IPHS). Supaul district had a population of 2 229 076 as of the 2011 census.1 About 95.26% of the population resides in rural areas.1 Therefore, the rural population of Supaul as per the 2011 census would be 2 123 518.

Table 1 shows the IPHS recommended centre:rural population ratios,2–4 the expected number of centres for the rural population of Supaul district, the actual number of centres on the ground (as per the website of the district …

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  • Contributors SK and RK conceptualised the article, including its scope and contents. RK and BD wrote the article. BD and SK proof read and fine tuned the article. RK is the guarantor for the article.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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