Ahmedabad: Even after two decades, acronym 'BIMARU' used to define underdevelopment and poor social indices in Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh seems to ring true as a recently published study by IIM Ahmedabad has picked holes in the health care facilities provided by the states.

The study by Indian Institute of Management (IIM) mainly discusses aspects of infrastructure, manpower and operational challenges faced in effective provisioning of specialist services through rural health facilities in these states.