A Performance Audit of the implementation of National Rural Health Mission(NRHM) in the State was included in the Audit Report of the Comptroller and Auditor General of India for the year ended 31st March 2016. Due to the then prevailing situations in the Kashmir region since July 2016, Audit of the implementation of the Mission could not be completed for the Kashmir region. A Performance Audit of the implementation of Mission in the Kashmir region completed subsequently, brought out the following significant points:

1. The percentage utilisation of funds under the programme ranged between 74 and 83 per cent during 2012-13 to 2016-17. There was also delay in release of funds to State Health Society by the State Finance Department ranging between 09 days and 153 days. (Paragraphs: 2.2.7 and 2.2.7.1)
2. 1,076 out of 2,103 health institutions (51 per cent) in Kashmir Division were in hired accommodations. There was shortage of 40 Community Health Centres and 975 Sub-Centres as of March 2017 vis-a-vis the population criteria of National Health Policy. None of the Sub-Centres/ Primary Health Centres/ Community Health Centres had been upgraded to the level of Indian Public Health Standards in the Kashmir region during 2012-17. (Paragraphs: 2.2.8, 2.2.8.1 and 2.2.8.2)
3. Unplanned execution of infrastructure projects led to delays and their non-completion, resulting in unproductive expenditure of INR 3.26 crore, blocking of INR three crore and liability of INR two crore. (Paragraph: 2.2.8.3)
4. The availability of health care human resources in the 12 District Hospitals in Kashmir region vis-a-vis Indian Public Health Standards was 93 per cent for medical specialists and 50 per cent for nurses and para medical staff. No post was sanctioned separately for Blood Banks in 12 District Hospitals against required 72 posts as per Indian Public Health Standards. There was overall shortage of 340 (25 per cent) and 3,816 (62 per cent) para-medical staff in 50 Community Health Centres and 557 Primary Health Centres/ New Type Primary Health Centres respectively as compared to Indian Public Health Standards. (Paragraph: 2.2.9)