It means outside, outside an institution. It usually refers to activities that are carried out outside the premises of an institution, almost always of an educational nature.
Jorge Luis Tovar Díaz
It is known as outside the walls to that expanse of land located outside the perimeter of a walled city.
Gladys
Extramural activity that takes place outside of an institution in favour of a given population.Its antonym intramural.Example: Extramural health campaigns
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