This book presents a systematic mid-term evaluation of the processes of the National Rural Health Mission (NRHM), India’s biggest rural health program. Data from District Level Health Surveys (DLHS), National Family Health Surveys (NFHS) and Sample Registration System (SRS) as well as primary data collected from field surveys and interviews with health functionaries have been utilized for undertaking empirical analysis in the study. The book draws from data collected in field visits in the three states of Madhya Pradesh, Uttar Pradesh, and Rajasthan. After assessing the NRHM processes and progress achieved so far, it discusses important ground realities, identifies the gaps and bottlenecks in the implementation of the Mission and recommends corrective actions.