This paper explores healthcare disparities in rural and indigenous communities of Jharkhand, India, focusing on Giridih, Deoghar, and Pakur districts. Using the Participatory Rural Appraisal (PRA) method, it investigates structural factors such as inadequate sanitation, limited access to clean water, and cultural barriers that contribute to poor healthcare outcomes. The study emphasizes the importance of community-driven solutions and regional collaboration to address these disparities. By engaging local residents, the research advocates for place-based, inclusive healthcare interventions that empower marginalized communities and align with global health initiatives like the Sustainable Development Goals (SDGs). Explanation: This research examines the structural drivers of healthcare disparities within the rural and indigenous communities of Jharkhand, India, with a focus on Giridih, Deoghar, and Pakur districts. Despite global health initiatives like Health for All (HFA) and the Sustainable Development Goals (SDGs), health outcomes remain poor in these marginalized regions. The study employs the Participatory Rural Appraisal (PRA) methodology to understand the complex factors contributing to inequities in healthcare access, particularly issues related to sanitation, clean water, and health literacy. Aligned with the conference theme of "Innovative Pathways to Thriving Communities," this study emphasizes the importance of community-driven solutions and regional collaboration. By engaging local residents through focus group discussions, interviews, and community mapping, the research gathers both qualitative and quantitative data to explore the root causes of healthcare disparities. Preliminary findings reveal significant gaps in healthcare infrastructure and access, alongside cultural and linguistic barriers that further hinder effective service delivery. The study advocates for place-based solutions that involve local communities in healthcare planning and decision-making. These approaches, rooted in inclusivity, can address structural barriers to care while empowering marginalized communities. The research aligns with the conference's goal of fostering regional knowledge alliances and contributing to equitable healthcare development. By focusing on structural factors and promoting community engagement, this study offers valuable insights into how inclusive healthcare interventions can contribute to achieving the SDGs and addressing health disparities in Jharkhand.
