“…the districts of Angul, Bargarh, Balesore, Cuttack, Deogarh, Bhadrak, Jajpur, Ganjam, Khordha, Dhenkanal, Jharsuguda, Puri, Sambalpur, Jagatsingpur, Keonjhar, Sundergarh, Kendrapara, Mayurbhanj and Nayagarh). The 11 KBK + south districts are largely populous with indigenous communities (namely 'adivasis' and/ or tribal), interior of the district is mountainous, have historically deprived economy and poor health indicators, poor access to transport facilities that hinders health care delivery and extremely food insecure than non KBK + districts 19 . The availability of nurses in the state is also very low.…”