A mid-term review of the functioning of the State machinery in the third year of the National Rural Health Mission period (2005-2012) was an attempt to highlight the areas and issues which need to be addressed, for successful achievement of the objectives set out for the Mission. Preparation of the State and District plans was outsourced and the objective of community participation in planning process could not be ensured. The basic village level data used for preparation of District and State plans were not available with the Society, casting doubts over the reliability of the inputs in the planning process. Health Management Information System (HMIS) phase-1 could not be made functional even after expending the entire project funds and expiry of the stipulated time schedule. ASHA network could not materialise even after three years of implementation of NRHM as the training requirements could not be completed. Despite transferring funds to various implementing agencies (BDO, DM and PWD) for development of infrastructure, most of the construction works remained incomplete, due to non-stipulation of the timeframe for their completion.