This Report contains the results of the Performance Audit on ‘Hospital Management in Uttar Pradesh’, covering the period 2013-18. This Report has attempted to assess the quality of medical services and patient care being provided by the district and block level hospitals. In this outcome based audit we have focused on patient care received at the primary and secondary care levels in the State. Various Services like Out Patient and In-patient Services, Maternity Services, Emergency Services, Diagnostic Services, Infection Control and Drug Management have been assessed on pre-determined outcome indicators/criteria in the sampled district level and block level hospitals (Community Health Centres). Audit Objectives: The Performance Audit of Hospital Management in Uttar Pradesh was undertaken to assess whether:

1. Policy framework was robust enough to improve the quality of healthcare.
2. Adequate provisions for line services such as out-patient services, in patient services, emergency services, maternity services, etc. were made and these services were delivered in an efficient and effective manner.
3. Efficient support services with regards to diagnostic services, maintenance of equipment, storage of drugs, dietary services, laundry services, upkeep of facilities, etc. were present in hospitals.
4. Hospitals had adequate resources, viz. human, infrastructure, drugs, consumables, equipment etc. as per prescribed norms and utilised those resources efficiently and effectively.
5. Norms and practices for hygiene, infection control, employee and patient safety were followed within the premises of hospitals.