• Complex interplay of multiple factors​​

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• Infrastructure Inequities - While 60% of population lives in Rural areas, 75% of health infra is concentrated in Urban areas

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• HR Inequities: Trained medical professional looking for personal and professional improvement and hence move to urban areas  

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• Knowledge Inequities: Poor awareness, cultural mores, and trust issues leads to disregard for qualifications, training or knowledge of practitioners. Rely on reputation and hearsay.  

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• Socioeconomic compulsions: Poor paying capacity, dependence of women and elderly on the males to take them to towns leads to them resorting to traditional medicines or locally available cheap alternatives.  

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