| Abstract: | As part of the Bodoland Territorial Council (BTC) Accord, 2003, Baksa district was established on June 1st, 2004. It is located in the western region of Assam and has borders with Chirang in the west, Udalguri in the east, Nalbari and Barpeta in the south, and Bhutan in the north. Baksa District, Assam, is predominantly rural, facing multifaceted development and health challenges. With over 98% rural population, limited healthcare infrastructure, and recurring health threats like malaria and drought, the region requires targeted policy interventions. This paper examines demographic, infrastructural, health, and development indicators in Baksa, including healthcare facility distribution, human resources, immunization coverage, disease outbreaks, rural develop-ment initiatives, and recent disaster contexts. Using government data, news reports, and NGO project documentation, this study presents an integrated overview of rural development trajectories and public health challenges in Baksa, and offers recommendations for strengthening rural livelihood and health resilience. |