The National Rural Health Mission was launched in April, 2005 in the country to bridge gaps in healthcare facilities, facilitate decentralized planning in the health sector, provide an overarching umbrella to the existing programmes of Health and Family Welfare including Reproductive & Child Health, Vector Borne Disease Control Programme, Tuberculosis, Leprosy, Blindness Control Programmes and Integrated Disease Surveillance Project and also to address the sector wise health issues like sanitation and hygiene, nutrition etc, and advocate its convergence with related social sector departments. A performance review on NRHM in the State of Gujarat revealed that Annual Action Plans for 2005-06 and 2006-07 were prepared based on annual household survey conducted at Sub-Centre level without conducting facility survey. Facility survey was not carried out for any Sub Centre in the State till March 2009. District Health Action Plan was not prepared by consolidating Block level Action Plans in any of the four years 2005-06 to 2008-09 in any district as Block level plans were not prepared. Delay in submission of State Programme Implementation Plans for 2007-08 and 2008-09 to GOI was to the extent of 91 and 95 days respectively. As of 31 March 2009, funds of Rs.103.77 crore remained unutilized. Untied Fund and Maintenance Grant were not released to any Rogi Kalyan Samities at Community Health Centres during 2005-07 and 2005-09 respectively. Infrastructure provided at health centres was inadequate and critical equipments were found wanting in CHCs and PHCs test checked. Vacancies in cadres of medical and para-medical staff in the State ranged between 12 and 100 per cent. Medicines worth Rs.1.45 crore were purchased from two de-registered companies. Printing work of booklets, stickers, cards etc. for Rs.1.44 crore was got done by three black listed parties. Percentage of registered pregnant women who received antenatal check-ups ranged between 69 and 73 during the years 2005-06 to 2008-09. Annual targets for pulse polio immunisation was achieved during the period 2005-09. Percentage of vasectomy to the total sterilization was a meagre 2.92 per cent.