Cross-Border Healthcare Challenges and Implications for Universal Health Coverage in Mizoram, India

Abstract

Universal Health Coverage (UHC) aims to ensure that all individuals have access to essential healthcare services without experiencing financial hardship. However, achieving UHC remains a significant challenge in geographically remote and border regions such as Mizoram, India. Mizoram shares international borders with Myanmar and Bangladesh, leading to cross-border migration and increased healthcare demands. This study examines the healthcare challenges associated with cross-border movement and their implications for achieving Universal Health Coverage in Mizoram. A qualitative research design was adopted using secondary data analysis from government reports, World Health Organization publications, and academic literature. Thematic analysis was used to identify key healthcare challenges affecting service accessibility and delivery. The findings reveal major challenges including healthcare infrastructure limitations, shortage of healthcare professionals, communication barriers due to linguistic differences, increased disease burden, and financial and administrative constraints. Cross-border populations often face difficulties in accessing healthcare services due to documentation issues and lack of policy clarity. Additionally, communication barriers between healthcare providers and patients contribute to misdiagnosis, poor treatment adherence, and reduced healthcare outcomes. These findings highlight the need for improved healthcare infrastructure, culturally sensitive healthcare delivery, cross-border health policies, and enhanced social work interventions. Strengthening healthcare systems in border regions is essential for achieving Universal Health Coverage and ensuring equitable healthcare access for all populations.