The islands of river Brahmaputra popularly known as chars or Sapori are among the most backward areas of the state, nearly six percent of Assam’s land is covered by these islands and a total of ten percent population of the state i.e. more than 30 lacs populace resides in those islands. These areas are frequently devastated by flood as results the health status of the people living in those areas are badly affected. There are more than 2000 villages in these char areas, where as a few health facility with little or no manpower, which are not sufficient enough to cover the entire population.
The main threats to these islands is from frequent floods which play a role of the devastation of the communities residing in these islands, thus causing a major concern to the health status of the communities. Construction of permanent infrastructure and health facilities is one of the major challenges in these islands due to the recurring floods. The situation is even worsened by the fact that the people residing in these areas change their base every six months either due to erosion of the land or in search of livelihood generation. Keeping the challenge of defending the health indicators, the Govt initiated boat clinic service in the year, 2008 for the communities residing in these islands.
NHM already providing health services to the communities residing in the remote river islands (Char/Saporis) of the River Brahmaputra in 13 (Thirteen) Districts of the State with 15 (Fifteen) Boat Clinic units. Fifteen (15) Boat Clinic units are operational at Dhubri, Barpeta, Nalbari, Morigaon, Sonitpur, Lakhimpur, Dhemaji, Dibrugarh, Tinsukia, Jorhat, Goalpara, Bongaigaon, Kamrup District and one each additional units in Dhubri and Barpeta District. Boat clinics provided the health services including Reproductive and Child Care, Curative Care, Family Planning Services, Basic Laboratory Services etc.
Performance of Boat Clinic:

Activity
2024-25
2025-26 till  October’25

Health Camps held 
3,600
1,772

General Health Check Up 
1,96,882
115274

BCG
2856
1027

Full Immunization (FI)
4,142
2171

Routine Immunization total
28,610
13916

Nos. of pregnant women covered (1st Registration)
4,718
2838

Ante Natal Check up
18,092
10982

Post Natal Check up 
4,531
2519

VIT A solution 
18,817
10,899

IUCD 
386
153

LS 
89
43

Antara
532
357

Condom Beneficiary
18,820
10231

OCP Beneficiary
30,001
16372

Awareness Session 
3,398
1900