Community voices in attaining health and wellness: Narratives from Assam

Abstract

Background: A healthy community is often seen to be the outcome of an effective and accessible health
service delivery model, but factors like informed community, equal and adequate access to services as well as
social and economic context, significantly contribute to this goal. An explorative research study is conducted
across 15 locations in Assam, to capture the need-based narratives of the communities on the subject of health
and wellness. Objective: The objective of the study is to understand community experiences and expectations
within the context of the social determinants of health. Methodology: The study is qualitative in nature and
uses Focused Group Discussions and Key Informant Interviews on a sample size of 294 respondents. The
holistic viewing of health and wellness, encompassing social, cultural, economic, and environmental factors
through active community engagement, not only helps to contextualize the issues of health as faced by the
communities but also to bridge the gap of access and outreach, thereby fostering health equity. Discussion:

Issues stemming from gender, livelihood, and economic disparity largely shape the health-seeking behaviours
of individuals and can drive or constrict them from attaining desired levels of well-being. Conclusion: With
the idea of universal health coverage as promoted by Govt. of India’s Ayushman Bharat Initiative; an
opportunity thus opens up to incorporate these voices from the ground in developing targeted policy
interventions.