This Stand Alone Report of the Comptroller and Auditor General of India contains the results of Performance Audit of Select Public Health facilities of secondary care (District-level Hospitals) and primary care (one CHC and one PHC in selected districts) in the State of Nagaland, covering the period 2014-15 to 2018-19. In this Performance Audit, we have focused on the patient care given by the primary and secondary care levels in the State. We assessed the availability of basic infrastructure facilities in the State, adequacy of manpower in the selected District Hospitals and various services provided therein like Out-Patient and In-Patient Services, Maternity Services, Emergency Services, Drug Management, Infection Control, Bio-medical Waste Management, Diagnostic Services, Fire Control measures etc., based on pre-determined performance indicators/ criteria in the sampled district level and block level hospitals (CHC & PHC). We have adopted Indian Public Health Standard (IPHS) prescribed by the Government of India and adopted by the Government of Nagaland which are a set of uniform standards envisaged to improve the quality of health care delivery in the country as well as State norms as applicable for benchmarking various audit findings. Audit Objectives: The objectives of carrying out this ‘Performance Audit of Select District Hospitals in Nagaland’ were to assess whether: i. Adequate and essential resources - manpower, drugs, infrastructure, equipment, and consumables are available for effective functioning of the DHs; ii. Timely and quality healthcare is delivered through line services like OPD, IPD, ICU, OT, trauma & emergency etc., and diagnostic services; iii. Support services like drug storage, sterilization, hygiene, waste management, infection control, ambulance, equipment etc., were aiding the line departments in providing a safe and sterile environment in the hospitals; and iv. the adequacy and timeliness of select healthcare services relating to maternal and infant care, cancer and HIV/AIDS.