The report contains results of Performance Audit on Public Health Infrastructure and Management of Health Services in Chhattisgarh state covering the period from 2016-17 to 2021-22. Why did we take up this audit? Chhattisgarh State ranks 10 out of 19 larger States in NITI Aayog’s Health Index for 2020. As per National Family Health Survey 5 (2019-21), the State was lagging behind the national average in respect of Neonatal Mortality Rate (32.40), Infant Mortality Rate (44.30), Under five Mortality Rate (50.40) and institutional births (85.8 per cent). Maternal Mortality Ratio (MMR) of Chhattisgarh though improved from 159 (2018) to 137 (2020) as per Sample Registration System (2018-20), it was far behind the national average of 97. National Health Policy (NHP) 2017 was adopted by Government of India (GoI) to inform, clarify, strengthen, and prioritise the role of the Government in shaping health systems in all its dimensions. Considering NHP 2017 and experience in COVID-19 pandemic, Performance Audit on “Public Health Infrastructure and Management of Health Services” was conducted to assess the adequacy of financial resources allocated, availability of health infrastructure, manpower, drugs, and equipment in the healthcare institutions as well as efficacy in the management of health services in the State. The Performance Audit also covers the efficacy of the regulatory framework being enforced by the Government to regulate private health sector, central share/sector schemes being implemented by the GoI, through State Government and overall linkage with the Sustainable Development Goal–3. The Performance Audit was conducted for the period 2016-21 but wherever feasible, the data has been updated up to 2021-22 or later.