Access to healthcare services is a cause of major concern especially in public health institutions. Shortage of medical professionals, absence of facilities, lack of quality assurance and insufficient spending are few significant issues plaguing public health care. It is in this backdrop that the Performance Audit of Public Health Infrastructure and Management of Health Services in Karnataka has been carried out during 2021-22, covering the period 2016-17 to 2021-22. This report attempts to assess the quality of health services and patient care services provided by the public health care facilities in the State.