The National Rural Health Mission (NRHM) was launched by the Government of India in April 2005. It aimed at strengthening rural health care institutions by provision of infrastructure facilities and funds. A review of the implementation of the National Rural Health Mission in the State revealed improvement in flow of funds to rural health institutions and better health awareness among the rural population. However, the objectives of NRHM were not achieved due to lack of surveys, effective community participation, basic infrastructure, sufficient medicines and other equipment and adequate human resources. The programmes of various societies at the State and district levels were not integrated. Reproductive health care services were at a nascent stage. Targets under the different National Disease Control Programmes were partially achieved due to incomplete coverage. The department did not have an internal audit wing or a vigilance wing. There was no mechanism for redressal of grievances and evaluation of deficiencies.