Transport and Communication is an important aspect of the environment (Built in Environment). 36.75% of the railway routes, 26.76% of the National High Ways, 39.18% of the length of State High Ways, 21.58% of the main district roads, 23.26% of the other district roads, 24.1% of the classified village roads and 25.3% of the rural roads of Orissa state are located in Kosal region. Thus 25.47% of the total roads of Orissa are in this region, but most of these are so badly maintained that they more hinder than aid progress.
Health Services 22.65% of the hospitals, 14.39% of the dispensaries, 27.37% of the Public Health centers of Orissa are there in this Kosal region. Other provisions like additional Primary Health Centers, Medical Aid Centers, Subsidiary Health Centers, Community Health Centers and Mobile Health Units are also available is below standard. The sick who recover are more due to their luck than due to the health services.