Bihar was one of the moderate developing states in India before 2005. However, after 2005 Bihar emerged as one of the fastest growing states, but it has emerged as a tertiary sector income based economy, saddled with negative growth in the agriculture sector and high out-migration. The state is also devoid of the industry. It is broadly acknowledged that after 2005, construction became a top priority of the government instead of addressing the agricultural crisis and think about developing appropriate health infrastructure facilities. Centralised growth of few districts is another lopsided aspect of the present government in the state. Given this background, it is important to see emerging district-level disparities and hardships in Bihar.