Factors influencing health outcomes in Meghalaya include:

Socio-economic status
Access to healthcare facilities
Lifestyle and environment
All of the above

The correct answer is: d) All of the above

Socio-economic status, access to healthcare facilities, lifestyle and environment are all factors that influence health outcomes in Meghalaya.

Socio-economic status is a major determinant of health. People with lower socio-economic status are more likely to experience poor health outcomes, including higher rates of chronic diseases, injuries, and mental health problems. This is due to a number of factors, including lower access to quality healthcare, poorer quality of housing and nutrition, and higher levels of stress.

Access to healthcare facilities is another important factor influencing health outcomes. People who live in remote areas or who do not have health insurance are less likely to have access to quality healthcare. This can lead to delays in diagnosis and treatment, which can worsen health outcomes.

Lifestyle choices, such as diet, exercise, and smoking, also play a role in health outcomes. People who make unhealthy choices are more likely to experience poor health outcomes. For example, people who smoke are more likely to develop lung cancer and heart disease.

The environment can also have a significant impact on health outcomes. Exposure to pollution, toxins, and other environmental hazards can increase the risk of developing a variety of health problems. For example, people who live in areas with high levels of air pollution are more likely to develop respiratory problems.

In conclusion, a number of factors influence health outcomes in Meghalaya. These factors include socio-economic status, access to healthcare facilities, lifestyle choices, and the environment. It is important to address all of these factors in order to improve health outcomes in the state.