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Abstract：
India and its constituent states are committed to achieving universal health coverage (UHC) as a part of the Sustainable Development Goals (SDGs) 2030 by strengthening primary healthcare (PHC). The National Health Mission (NHM) has been a landmark effort at health systems strengthening, aiming to reboot both the architecture and service delivery. Manipur ranks fourth out of the eight states in the North East Region in the National Institution for Transforming India (NITI) Aayog\'s ranking for SDGs. The available evidence, drawing upon secondary datasets and available primary data, aims to unpack the progress made in health systems strengthening to interpret the journey toward achieving UHCs and SDGs. The progress made and the gaps in terms of human resources, infrastructure, service utilization, and reduction of out-of-pocket expenditure are interpreted in terms of critical social determinants such as geographic and ethnic divides. Newer policies, such as the Act East Policy and medical tourism, are examined in the context of current disparities and the potential to accelerate the journey towards achieving SDGs.
摘要：
印度及其组成国家致力于通过加强初级卫生保健（PHC）实现全民健康覆盖（UHC），作为2030年可持续发展目标（SDGs）的一部分。国家卫生使命（NHM）一直是加强卫生系统的标志性努力，旨在重新启动架构和服务交付。在印度转型国家机构（NITI）Aayog的可持续发展目标排名中，曼尼普尔邦在东北地区的八个州中排名第四。现有的证据,利用次要数据集和可用的主要数据，旨在揭示在加强卫生系统方面取得的进展，以解释实现UHC和可持续发展目标的旅程。取得的进展和人力资源方面的差距,基础设施,服务利用率，从关键的社会决定因素，如地理和种族分歧来解释自付支出的减少。较新的政策，如东方政策和医疗旅游，在当前差距和加速实现可持续发展目标的潜力的背景下进行了研究。
