Description: This paper examines health migration in rural Jharkhand, focusing on the structural factors driving migration in search of better healthcare. Using the Participatory Rural Appraisal (PRA) method, the study collects qualitative and quantitative data from various districts in Jharkhand, including focus group discussions, interviews, and community mapping. Findings reveal significant health care access disparities, influenced by poor infrastructure, limited medical personnel, and socio-cultural barriers. The paper advocates for community-driven healthcare solutions, emphasizing structural changes and regional collaboration. It argues for policies integrating structural competency into healthcare systems to address these disparities and reduce health-induced migration. Explanation: This paper aligns with the conference theme of "Innovative Pathways to Thriving Communities" by exploring how community-driven healthcare interventions can address disparities in rural Jharkhand, a region with significant health-induced migration. The study emphasizes the importance of people-driven solutions, highlighting the role of local communities in identifying and addressing healthcare challenges through Participatory Rural Appraisal (PRA). By focusing on the regional collaboration between communities, local governments, and healthcare systems, the research proposes that leveraging shared resources and knowledge can foster sustainable healthcare practices. Additionally, the paper touches on place-based collaboration by advocating for localized, culturally-sensitive healthcare models that reduce the need for migration and promote equitable access to services. Through these approaches, the research connects to broader community development goals, proposing an integrated, collaborative framework that enhances both healthcare delivery and community resilience, thus contributing to the creation of thriving,
