The Report of the Comptroller and Auditor General (CAG) of India on 'Performance Audit of the Reproductive and Child Health under National Rural Health Mission' for the period 2011-12 to 2015-16 stated that essential drugs for patients were not available in 24 states and medicines were issued without prescribed quality checks or observing their expiry dates, exposing patients to health risks. It also found a shortage of doctors and paramedical staff in almost all selected facilities. The following were the observation: - 8 states- Essential medicines and consumables such as Vitamin A, contraceptive pills, ORS packets, RTI/STI drugs, essential obstetric kits were not available in selected health facilities. - 20 states- Non-maintenance of administrative records of antenatal checkups (ANCs) of pregnant women - 28 states- Shortfalls in the administration of iron and folic acid tablets were noticed in all the 28 states. - 4 states- Less than 50 per cent of pregnant women were immunised with both doses of Tetanus Toxoid vaccine (TT1 and TT2) - 6 states- Infant Mortality Rate was higher than 40 while the target was 27 per 1,000 live births. - 9 states- Maternal Mortality Ratio was higher than 200 while target was 109 per 1,00,000 live births - 17 states- 428 equipment (ultrasound, X-ray, ECG, cardiac monitors, blood storage units) costing Rs 30.39 crore were lying unutilised due to non-availability of doctors to operate.