The Rural Health care delivery system comprises Community Health Centres (CHCs), Primary Health Centres (PHCs) and Sub Centres (SCs) in rural area to provide curative and specialised health facilities to rural population. A performance audit of the activities relating to Rural Health Services in Uttar Pradesh for the period 2002-03 to 2006-07 revealed following deficiencies in delivery of health care services to the rural people.

1. Budget estimates were prepared without any proposals from Chief Medical Officers (CMOs) leading to inflated estimation and surrender of Rs. 953.24 crore of which Rs. 840.50 crore (88 per cent) related to provision for vacant posts during 2002-07.
2. Health indicator targets under Family Welfare programme were not achieved mainly due to poor anti-natal care, lower institutional births or births through untrained personnel and non-supply of iron folic acid tablets. Medicines costing Rs. 40.43 crore were distributed without testing their quality.
3. Japanese Encephalitis prone districts were not adequately covered by vaccination, fogging and spraying operations due to short availability of vaccines and insecticides.
4. Revised National T.B Control programme was implemented in the State without ensuring availability of T.B clinic buildings in 18 districts and District Tuberculosis Officers in 14 districts. There was 7 to 30 per cent shortfall in sputum positive detection rate due to non-establishment of Microscopic Centres in 17 per cent CHCs.
5. There was shortfall of 22 per cent, 17 per cent and 72 per cent vis-a-vis GOI norms in the number of SCs, PHCs and CHCs in the State. Ninety CHCs, 762 PHCs and 3,205 SCs in the test checked districts lacked necessary facilities and 58 CHCs and 79 PHCs remained underutilised during 2002-07.
6. There was shortage of 19 per cent in medical staff and 23 per cent in para medical staff in seven test checked districts. Besides, 39 doctors were absent unauthorizedly for the last one to ten years.
7. Anti Rabies Vaccine and Electrical Sterilisers were purchased at higher rates which resulted in extra expenditure of Rs. 2.53 crore.
8. Monitoring of implementation of the progrmme was deficient.