The programme for Prevention and Control of Disease in Sikkim was characterised by non utilisation of funds, disproportionate establishment expenditure, lack of penetration of facilities to a better part of the State, non-accountal of drug and diversion of funds as under:

1. Revised National Tuberculosis Control Programme was not implemented in the State.
2. The Department was unaware of the total number of TB patients in the State and the programme was characterised by high drop-out rate.
3. The Department could not utilise the central financial assistance of Rs 20.52 lakh during 1996-97 to 2000-01 received for blindness prevention programme.
4. The Blindness Control Programme suffered from severe lack of infra structural capacity as three out of the four districts in the State did not even have any opthalmologist or ophthalmic assistant.
5. The District Leprosy Control Societies could not utilise Rs. 25.10 lakh during 1996-97 to 2000-01.
6. The major portion of expenditure (55 to 74 per cent) by the Leprosy Societies was on pay and allowances and other establishment related expenditure.
7. Anti Leprosy drugs valuing Rs. 9.30 lakh were not accounted for in the records of the Department.
8. Rs. 56.18 lakh could not be utilised by the Aids Cell/ Society as at the end of 2000-01.
9. All the blood-testing facilities were concentrated in the East District leaving the other districts without even the basic facility for detecting AIDS patients or HIV carriers.