Supaul
Supaul is a district in the Mithila region of Bihar, India, with its administrative headquarters in Supaul town. Formed on 14 March 1991 by partitioning the neighboring Saharsa district, it occupies an area of 2,420 square kilometers along the fertile alluvial plains of the Koshi River and its tributaries, bounded by Nepal to the north, Saharsa to the south, Araria to the east, and Madhubani to the west.[1][2] As per the 2011 census, Supaul had a population of 2,229,076, with over 95% residing in rural areas and density reaching 919 persons per square kilometer; the economy remains predominantly agricultural, reliant on crops supported by the region's loamy soils, though recurrent flooding from the Koshi—known as the "Sorrow of Bihar"—poses chronic challenges to livelihoods and infrastructure.[3][4] Historically part of ancient Mithilanchal, referenced in Vedic texts as Matasya Kshetra and linked to early democratic polities like Angutaran during the Buddhist era, Supaul exemplifies the north Bihar plain's vulnerability to riverine dynamics, where annual inundations affect vast tracts of farmland and displace communities despite embankment efforts.[2] While lacking major industrial development, the district's significance lies in its role within the Koshi division, contributing to Bihar's agrarian output amid ongoing debates over flood mitigation strategies that prioritize structural interventions over ecological adaptations.[4]
History
Ancient and Medieval Periods
The region comprising modern Supaul district was part of the ancient Mithilanchal, or Mithila, dating to the Vedic period circa 1500–500 BCE, with references in Hindu scriptures identifying it as Matsya Kshetra due to its abundant fisheries and riverine ecology.[2] This area formed a portion of the Videha kingdom, centered in Mithila and extending across northeastern Bihar—including Supaul—and adjacent Nepalese territories, ruled by the Janaka dynasty as described in texts like the Ramayana.[5][6] In the subsequent Buddhist era (circa 6th–4th centuries BCE), the Supaul vicinity included two early republican polities, Angutaran and Apadnigam, among the oldest documented democratic confederacies in the region east of the Vajji confederacy.[2] The broader Videha territory, incorporating Supaul, later integrated into imperial frameworks such as the Nanda (4th century BCE) and Maurya (322–185 BCE) empires, which administered much of northern India through centralized control over eastern Bihar's fertile alluvial plains.[7] During the medieval period, from the 8th to 12th centuries CE, the area fell under the Pala Empire (750–1174 CE), whose rulers, originating from local chieftains in Bihar and Bengal, promoted Mahayana Buddhism and constructed viharas across the province, though specific Pala-era monuments in Supaul remain unexcavated.[8] After the Palas' decline, the Karnata dynasty (1097–1324 CE) governed Mithila, including Supaul, from their capital at Simraungadh, fostering Maithili literature, temple architecture, and regional autonomy amid invasions from the Delhi Sultanate.[9] This era marked a transition to localized Hindu kingdoms, with the Karnatas emphasizing cultural patronage over expansive conquests.[10] Archaeological evidence for these periods in Supaul is limited, primarily inferred from regional stratigraphy and textual accounts rather than district-specific digs.[11]Modern Formation and Developments
Supaul district was carved out from the erstwhile Saharsa district on 14 March 1991, marking its establishment as a separate administrative unit in Bihar.[1][12] This bifurcation addressed the growing administrative demands of the densely populated Kosi river basin region, which had previously been subsumed under Saharsa's jurisdiction since the district's own formation in the post-independence era.[1] The creation aligned with Bihar's broader policy of decentralizing governance to enhance local administration and development in flood-prone areas.[12] Post-formation, the district's administrative framework evolved to include four sub-divisions—Supaul, Birpur, Pipra, and Triveniganj—and eleven community development blocks: Supaul, Kishanpur, Saraigarh Bhaptiyahi, Pipra, Raghopur, Chhatapur, Nirmali, Bhaptiahi, Shoalhaba, Kadahan, Basantpur, and Marouna.[13] Each block is overseen by a circle officer, ensuring coordinated implementation of rural development schemes amid recurrent hydrological challenges.[13] This structure has facilitated targeted interventions in agriculture and flood mitigation, though the region's integration into Bihar's Kosi division underscores ongoing dependencies on state-level resource allocation.[12] Key infrastructural developments since 1991 include the expansion of irrigation networks linked to the Kosi Project, initiated earlier but augmented for district-specific needs, and the establishment of Supaul as the municipal headquarters with basic urban amenities.[2][12] Administrative stability has been punctuated by periodic bureaucratic reshuffles, such as the 2025 transfers affecting district-level postings, reflecting Bihar's centralized governance model.[14] These changes aim to bolster efficiency in revenue collection and disaster response, critical given the district's vulnerability to annual flooding from the Kosi and its tributaries.[12]Geography
Location and Topography
Supaul district is situated in the northeastern part of Bihar state, India, sharing its northern boundary with Nepal. To the east lies Araria district, while Madhepura and Saharsa districts border it to the south, and Madhubani district to the west. The district headquarters is located at Supaul town, and the total area spans 2,425 square kilometers.[2][15] The topography of Supaul consists of a flat alluvial plain typical of the Indo-Gangetic region, with elevations ranging from 55 to 68 meters above sea level and an average of 34 meters. The terrain features sandy soils that vary from acidic to basic in nature, supporting intensive agriculture but rendering the area vulnerable to riverine flooding from the Kosi River system.[16][17][3]Rivers and Hydrology
The Kosi River, originating in the Himalayas at elevations exceeding 7,000 meters above mean sea level, serves as the primary hydrological feature of Supaul district after traversing Nepal and entering Bihar near Hanuman Nagar. This transboundary river drains the southern slopes of the Himalayas and flows eastward through the western portions of Supaul, shaping local surface and subsurface water dynamics with its seasonal discharge variations tied to monsoon precipitation in its 74,030 square kilometer catchment.[18][3] Hydrologically, the Kosi exhibits high sediment transport, depositing around 120 million cubic meters of silt annually onto its bed, which raises channel elevations and promotes overbank spilling during peak flows exceeding 1 million cubic meters per second in monsoons. This aggradation contributes to the river's instability, including historical avulsions—such as the 2008 shift that inundated over 4,000 square kilometers across north Bihar—and recurrent breaches of embankments built since the 1950s, affecting six of Supaul's eleven blocks in flood-prone zones.[19][20] Groundwater in Supaul, hosted in Quaternary alluvial aquifers overlying geological features like the Purnea depression and Monghyr-Saharsa ridge, correlates directly with Kosi stage levels, with pre-monsoon depths averaging 5-10 meters below ground in western areas and rising post-flood due to recharge. The district's semi-confined aquifers support irrigation potential without overexploitation, though arsenic contamination exceeding 10 micrograms per liter has been detected in parts of the Kosi basin, linked to reductive dissolution in anoxic sediments.[3][21][22]Climate and Natural Hazards
Climatic Patterns
Supaul district, located in northern Bihar, exhibits a humid subtropical monsoon climate, marked by distinct seasonal variations including hot summers, heavy monsoon precipitation, and mild winters. The region falls under the influence of the Bay of Bengal branch of the southwest monsoon, resulting in high humidity and frequent rainfall during June to September. Winters are relatively dry and cooler, with occasional fog, while pre-monsoon periods feature rising temperatures and thunderstorms.[23] Annual precipitation averages 1,373 mm, with approximately 84% (1,147 mm) concentrated in the monsoon season from June to September; July alone contributes about 381 mm. The district records around 57 rainy days per year, reflecting the intense but seasonal nature of rainfall, which supports agriculture but contributes to flood vulnerability. Heaviest single-day rainfall events, such as 405 mm recorded in September 1986, underscore the potential for extreme downpours.[23] Temperatures peak during the summer months of March to May, with mean maxima ranging from 35.1°C to 40.5°C in May, the hottest period; minima during this time hover around 21–26°C. Monsoon conditions moderate daytime highs to about 32.5°C in July, though nights remain warm at 24.2°C amid high humidity levels of 70–89%. Winters from December to February bring the lowest temperatures, with January means of 22.4–24.6°C maxima and 7.8–11.9°C minima, occasionally dipping to 0–4°C during cold waves; fog is common in northern districts like Supaul during this season.[23] Humidity is lowest in summer afternoons (25–60%), facilitating heat discomfort, but rises sharply in the monsoon to 70–89%, often exceeding 85% and exacerbating muggy conditions. Winds are generally light to moderate, shifting to easterly during monsoon and westerly or southwesterly in winter, with occasional dust storms in late summer. Cloud cover is minimal outside the monsoon, when overcast skies prevail.[23]Floods and Disaster Management
Supaul district is highly vulnerable to annual flooding from the Kosi River, which originates in Nepal and carries heavy silt loads that elevate the riverbed and exacerbate overflows, earning it the moniker "Sorrow of Bihar."[19] The district's low-lying topography and location between the eastern and western Kosi embankments amplify risks, with floods affecting up to 80% of its area in severe events.[4] Historical records indicate recurrent inundation since at least 1934, but the 2008 Kosi flood stands as the most catastrophic, triggered by an embankment breach near Kusaha on August 18, displacing over one million people in Supaul alone and causing widespread destruction of homes, crops, and infrastructure across 3,785 square kilometers.[24] More recent incidents include the September 2024 Kosi surge, releasing 661,000 cusecs from Birpur Barrage and inundating island villages between embankments, followed by an October 2025 swell that flooded 105 villages and stranded residents due to delayed evacuations.[25] Flood impacts in Supaul include significant human and economic losses, with the 2008 event alone resulting in over 500 deaths statewide and crop failures affecting 70% of agricultural land in the district, leading to long-term migration and livelihood disruptions.[24] Between 2008 and 2017, the Kosi basin recorded seven major floods with over 100 fatalities each, underscoring the river's volatility from Nepal-sourced monsoons and seismic activity.[26] Silt deposition, estimated at 120 million cubic meters annually, undermines embankment integrity, causing breaches that isolate communities and hinder access to aid.[19] Disaster management efforts in Supaul rely on a mix of structural and non-structural measures coordinated by the Bihar State Disaster Management Authority (BSDMA) and district administration. Structural interventions include maintaining 3,500 kilometers of embankments along the Kosi, though frequent breaches highlight maintenance gaps and silt management failures.[27] The 2015 World Bank-funded Bihar Kosi Basin Development Project allocated $250 million for flood modeling, embankment strengthening, and agricultural resilience, aiming to reduce inundation risks through improved hydrology data and community infrastructure.[28] Non-structural strategies encompass early warning systems via the Central Water Commission, which issue alerts based on upstream gauges, and District Disaster Management Plans (DDMPs) that outline evacuation protocols and relief distribution.[4][29] Response operations involve deploying National Disaster Response Force (NDRF) teams with boats for rescues, establishing relief camps providing food and medical aid, and central government assistance, such as Rs 655 crore disbursed in 2024 for Bihar-wide floods.[30] From 2015 to 2024, Bihar evacuated 4.65 million people during floods, but Supaul residents report inadequate implementation, with warnings often ignored and inter-embankment populations left vulnerable due to limited boat access and poor coordination.[31] Community volunteer programs like Aapda Mitra train locals in first response, yet systemic challenges persist, including underfunded desilting and over-reliance on reactive relief rather than basin-wide restoration.[32] These efforts have mitigated some losses compared to pre-2008 baselines, but recurring floods indicate the need for upstream Nepal-India collaboration on sediment control and climate-adaptive planning.[18]Demographics
Population and Growth
As per the 2011 Census of India, Supaul district recorded a total population of 2,229,076, comprising 1,155,283 males and 1,073,793 females, yielding a sex ratio of 929 females per 1,000 males.[33] The district's population density stood at 919 persons per square kilometer, reflecting its predominantly rural character with only about 2.9% urbanization, as evidenced by Supaul town's population of 65,437.[33][34] The decadal population growth rate from 2001 to 2011 was 28.66%, higher than Bihar's state average of 25.42%, attributable to sustained high fertility rates in rural agrarian settings and limited out-migration relative to other districts.[33] This growth marked an increase from the 1,732,052 residents counted in 2001, underscoring a compound annual growth rate of approximately 2.57% over the decade.[33] No official post-2011 census data exists due to the deferral of India's 2021 enumeration, though provisional electoral projections for Bihar districts suggest continued elevated growth driven by demographic momentum.[35] Factors influencing growth include a child sex ratio of 906 girls per 1,000 boys under age six, indicating persistent gender imbalances that could temper long-term natural increase, alongside a literacy rate of 60.71% (male 73.84%, female 46.46%), which correlates with slower fertility declines compared to more urbanized regions.[33] Rural dominance, with 97.1% of the population in villages, sustains higher birth rates, though recurrent floods may indirectly affect net growth through displacement and economic pressures on family sizes.[33]Social Composition
Supaul district's population is characterized by a Hindu majority, comprising 81.20% or 1,809,936 individuals as per the 2011 Census of India.[33] Muslims form the largest minority group at 18.36% or 409,251 persons, reflecting the district's location in Bihar's Seemanchal region with historical migration patterns from neighboring areas.[33] Christians account for 0.17% (3,758), Sikhs 0.01% (271), and other religions or unspecified groups the remainder, with negligible presence of Buddhists or Jains reported.[33] Scheduled Castes (SC) represent 15.89% of the population, totaling approximately 354,000 individuals, primarily engaged in agricultural labor and facing socio-economic challenges common to Dalit communities in rural Bihar. Scheduled Tribes (ST) constitute a small fraction at 0.46%, or about 10,000 persons, mostly indigenous groups with limited land ownership and integration into mainstream economy. Detailed breakdowns beyond SC and ST categories, such as Other Backward Classes (OBC) or forward castes, are not officially enumerated at the district level in the 2011 census, though state-level surveys indicate OBCs and Extremely Backward Classes (EBCs) dominate Bihar's rural social structure, likely influencing Supaul's agrarian caste dynamics. The district's social fabric is rural-dominated, with only 4.74% urban population, exacerbating caste-based occupational segregation where upper castes historically control land while lower groups provide labor. Inter-caste tensions occasionally surface in local politics and resource allocation, though empirical data on violence rates remains district-specific and tied to broader Bihar patterns of reservation-driven mobilization.Economy
Agricultural Base
Agriculture in Supaul district relies on the fertile alluvial soils deposited by the Kosi and other rivers, enabling cultivation across approximately 70-80% of the district's 2,428 km² land area, though precise cultivable figures vary by season. The sector employs the majority of the workforce, with rice (paddy) as the dominant kharif crop, covering significant acreage due to the monsoon-dependent, flood-influenced hydrology that both enriches soil fertility and poses recurrent risks.[3] Irrigation infrastructure includes canal systems from the Kosi barrage and groundwater sources via tube wells, but much of the cropped area remains rainfed, limiting yields and exposing production to climatic variability.[36] In 2020-21, rice cultivation spanned 96,077 hectares in Supaul, yielding 135,611 tonnes at an average of 1,411 kg/ha, reflecting moderate productivity constrained by flood damage and suboptimal inputs. Wheat, the primary rabi crop, occupied around 40,900 hectares as of earlier surveys (2008-09), with yields reaching up to 2,800 kg/ha under irrigated conditions, while maize covered smaller areas of about 33,700 hectares with potential yields of 4,500 kg/ha. Jute, a cash crop suited to the wet lowlands, positions Supaul as Bihar's top producer, harvesting 50,670 bales in 2020, bolstering rural incomes amid limited diversification.[37][3][38][39] Pulses, vegetables, and oilseeds supplement food security, but overall farm holdings are fragmented (average <1 ha), favoring subsistence over commercial farming and yielding low mechanization rates. Contingency plans emphasize flood-resilient varieties and timely sowing to mitigate annual losses, yet empirical data indicate persistent gaps in input efficiency, with rice water productivity in Bihar averaging 0.22 kg/m³—far below national benchmarks—due to inundation and inefficient floodwater use.[38][40]Industrial and Service Sectors
The industrial sector in Supaul district remains underdeveloped, with no large- or medium-scale enterprises reported as of 2011, and activity concentrated in micro and small enterprises (MSMEs). There were 440 registered MSME units, primarily agro-based (210 units), followed by wood and wooden furniture (60 units) and jute-based (30 units), with a total investment of ₹38.83 crore and employment for 4,080 workers.[16] These units generated an annual turnover of approximately ₹26 crore, reflecting a reliance on local raw materials like agricultural produce and timber, though the sector's growth has been constrained by frequent flooding and inadequate infrastructure.[16] Recent government initiatives aim to bolster industrial development, including the expansion of industrial areas in Supaul by acquiring additional land as part of a broader Bihar plan to develop corridors across seven districts, with allocations announced in August 2025 costing over ₹1,000 crore statewide.[41] The Bihar Industrial Area Development Authority (BIADA) maintains an industrial area in Supaul spanning 95.61 acres, of which 58.70 acres remained vacant as of April 2024, offered at ₹91.82 per square foot to attract investors in agro-processing and related fields.[42] Potential sectors include rice milling, fish processing, jute products, and water treatment plants, leveraging the district's agricultural output, though realization depends on improved flood resilience and power supply.[16] The service sector in Supaul is nascent and largely informal, with no registered service enterprises noted in early surveys, contributing minimally to the local economy dominated by agriculture.[16] Opportunities exist in basic IT services such as computer training institutes, hardware repair centers, and cyber cafés, supported by the district's 78 commercial bank branches and 124 rural bank outlets that facilitate microfinance for small ventures.[16] Broader Bihar trends indicate services like retail trade, transport, and public administration form the bulk of non-agricultural employment, but Supaul's remote location and flood vulnerability limit formal service growth, with per capita income remaining tied primarily to farming.[43]Flood Impacts on Economy
The Kosi River flood of August 2008 inflicted severe economic damage on Supaul district, one of the most affected areas in Bihar, with widespread destruction of agricultural lands due to sand deposition and inundation, rendering thousands of hectares unproductive and disrupting livelihoods dependent on farming.[44][45] The disaster led to the loss of standing crops including rice, maize, jute, and sugarcane, alongside erosion of fertile topsoil, which compounded long-term productivity declines in the district's predominantly agrarian economy.[46] Overall, the Kosi floods caused estimated damages exceeding INR 5,935 million across affected regions, with Supaul bearing significant portions through housing losses (over 157,000 fully destroyed statewide, concentrated in northern districts) and infrastructure failures like breached embankments and damaged irrigation systems.[47] Recurrent annual flooding in Supaul, driven by the Kosi's high sediment load and embankment breaches, perpetuates economic vulnerabilities by repeatedly damaging crops and livestock, which form the backbone of local GDP.[18] In recent events, such as the October 2025 inundation of 105 villages from Kosi overflows, agricultural fields suffered immediate submersion, leading to harvest failures and heightened food insecurity without quantified district-specific losses reported.[25] These floods disrupt rural markets and supply chains, exacerbating poverty as farmers face debt from input costs without yields, while silt accumulation reduces arable land quality over time.[19] Beyond agriculture, floods impair Supaul's nascent industrial and service sectors through road and bridge washouts, hindering trade and migration-based remittances that supplement local incomes.[24] Post-2008 recovery efforts highlighted persistent livelihood gaps, with sand-casted lands forcing shifts to low-productivity activities or out-migration, stalling economic diversification.[48] Statewide Bihar flood damages, often totaling Rs 1,000-1,500 crore annually, underscore Supaul's disproportionate burden in the Kosi basin, where inadequate embankment maintenance amplifies indirect costs like health expenditures and lost labor productivity.[49][50]Government and Administration
Administrative Structure
Supaul district is headed by a District Magistrate, who serves as the chief executive officer responsible for law and order, revenue administration, and development activities.[51] The district forms part of the Koshi division, one of nine administrative divisions in Bihar state, which coordinates higher-level governance across multiple districts including Supaul. The district is subdivided into four sub-divisions—Supaul Sadar, Birpur, Triveniganj, and Nirmali—for efficient revenue and magisterial administration.[52] Each sub-division is headed by a Sub-Divisional Magistrate who manages local judicial, land revenue, and developmental functions. These sub-divisions encompass eleven community development blocks, which serve as the primary units for rural planning, implementation of government schemes, and panchayati raj institutions: Basantpur, Chhatapur, Kishanpur, Marauna, Nirmali, Pipra, Pratapganj, Raghopur, Saraigarh-Bhaptiyahi, Supaul, and Triveniganj.[52] Each block is overseen by a Block Development Officer and includes multiple gram panchayats for village-level governance, with the blocks collectively covering 526 villages.[53] Corresponding to the blocks, Supaul district maintains eleven revenue circles, each managed by a Circle Officer responsible for land records, mutation, and survey operations under the Revenue and Land Reforms Department of Bihar.[13] This structure facilitates decentralized administration, with blocks and circles aligning to support agricultural extension, disaster response, and welfare programs tailored to the district's flood-prone terrain.Local Governance and Politics
Supaul district is administered through the three-tier Panchayati Raj Institutions (PRIs) framework under the Bihar Panchayat Raj Act, 2006, comprising Gram Panchayats at the village level, Panchayat Samitis at the block level, and the Zila Parishad at the district level. The district encompasses 11 community development blocks, each with a corresponding Panchayat Samiti responsible for implementing rural development schemes, sanitation, and local infrastructure projects. The Zila Parishad, headquartered in Supaul town, coordinates district-wide planning, approves budgets for development programs, and includes elected members such as chairpersons of Panchayat Samitis, a president, and vice-president, along with directly elected representatives.[54][13] Elections for PRIs in Supaul were conducted in multiple phases during September-November 2021, as part of Bihar's statewide panchayat polls, with voter turnout reflecting local engagement in selecting mukhiyas (Gram Panchayat heads), pramukhs (Panchayat Samiti heads), and Zila Parishad members. These elections saw shifts in representation, with several incumbent leaders losing to newer candidates, indicative of evolving local power dynamics amid caste and development priorities. The Zila Parishad's administration is led by a Chief Executive Officer, currently Sara Ashraf, supported by additional executives and engineers for oversight of schemes like rural roads and water conservation.[55][56][57] In parliamentary politics, Supaul constitutes the entire Supaul Lok Sabha constituency (No. 8), a general category seat established in 2008, represented since the 2024 general election by Dileshwar Kamait of Janata Dal (United), who won with 597,377 votes against competitors from Rashtriya Janata Dal and others. At the state level, the district includes three assembly constituencies: Supaul (No. 43), held by Bijendra Prasad Yadav of JD(U) since the 2020 Bihar Legislative Assembly election; Pipra (No. 42), represented by Ramvilas Kamat; and Nirmali (No. 41), held by Aniruddh Prasad Yadav. JD(U) has maintained strong representation in these seats, aligned with the National Democratic Alliance (NDA) government under Chief Minister Nitish Kumar, focusing on flood mitigation and agricultural support amid the district's vulnerability to Kosi River overflows. Local politics often revolves around Yadav and other backward caste voter bases, with contests between NDA and opposition alliances like RJD-led Mahagathbandhan emphasizing infrastructure resilience and employment.[58][59][60]Infrastructure and Development
Transportation Networks
Supaul district is connected by a network of national and state highways, with key routes including National Highway 106 (NH-106), which links the district to neighboring areas in Bihar and beyond, facilitating freight and passenger movement.[61] Additional national highways such as NH-327A and NH-527A traverse the district, supporting regional connectivity amid challenges from annual flooding in the Kosi river basin.[61] The Bihar State Highways II Project has upgraded approximately 389 km of state highways statewide, including routes impacting Supaul, to improve all-weather access and reduce travel times.[62] Recent infrastructure initiatives include bypass constructions on NH-327E in Supaul, Pipra, and Triveniganj to alleviate congestion and enhance safety, approved as part of nine bypass projects in Bihar starting in 2025.[63] Rail connectivity centers on Supaul Junction railway station (SOU), classified as NSG-5 under East Central Railway, which serves as a key stop with single electrified tracks and handles up to 43 trains daily, including MEMU, mail, express, and superfast services originating or passing through.[64] [65] The station connects Supaul to major cities like Patna, Delhi, and Kolkata, with recent inaugurations such as the Supaul-Pipra rail section in May 2025 expanding the network under the Supaul-Araria project to boost regional links.[66] A new railway station development in Supaul, operational by late 2025, further improves passenger facilities and integration with broader Mithila-Koshi corridors.[67] Air travel relies on nearby airports, with Darbhanga Airport (DBR), approximately 69 km west, serving as the primary hub for domestic flights to destinations like Delhi and Bengaluru.[68] Under the UDAN scheme, Bihar's cabinet approved six regional airports in June 2025, including one at Birpur in Supaul district, aimed at operationalizing small airstrips for enhanced short-haul connectivity within three years.[69] [70] No operational airport exists within Supaul itself as of October 2025, limiting direct air access.[71]Health and Education Facilities
Supaul district maintains a network of public health facilities primarily focused on primary and secondary care, with the District Sadar Hospital in Supaul town serving as the main tertiary referral center equipped for basic surgeries and emergency services.[72] The district operates two Sub-Divisional Hospitals in Supaul and Birpur, alongside one Referral Hospital, to handle regional caseloads in a predominantly rural area prone to seasonal flooding that disrupts access.[72] Primary care is provided through 9 Primary Health Centers (PHCs) and 21 Additional PHCs, supported by 178 Health Sub-Centers for outreach and preventive services, though no dedicated Women's Hospital exists.[72] Delivery points classified as L1 facilities number 8, emphasizing maternal care amid challenges like low antenatal coverage.[72] Health outcomes reflect infrastructural constraints and socioeconomic factors, with 80.4% of births occurring in institutions (73.6% in public facilities) per the National Family Health Survey-5 (NFHS-5, 2019-20), though only 30.9% of women receive at least four antenatal visits and 13.2% consume iron-folic acid for 100+ days.[73] Immunization coverage stands at 73.6% for full vaccination among children aged 12-23 months, with BCG at 99.2% but three polio doses at 76.8%, indicating gaps in follow-up.[73] Improved sanitation access is at 50.7% of households, correlating with persistent risks of waterborne diseases in flood-affected zones.[73]| Facility Type | Number |
|---|---|
| District Sadar Hospital | 1 |
| Sub-Divisional Hospital | 2 |
| Referral Hospital | 1 |
| Primary Health Center | 9 |
| Additional Primary Health Center | 21 |
| Health Sub-Center | 178 |
| L1 Delivery Point | 8 |