This report studies the effect of the COVID-19 pandemic on key elements of the health system framework across the Indian states of Uttar Pradesh, Bihar, and Odisha. These elements include community demand—health-seeking behavior and access to healthcare; provision of health services—human resource, infrastructure, and logistics; and community health workers—ASHAs. The report highlights insights from the supply and demand sides and provides key recommendations to better prepare the healthcare system of India to tackle shocks like the COVID-19 pandemic.


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