Background: The actions of the health system should be responsive and financially fair, while treating people respectably. In the public sector, a Health Sub-centre is the most peripheral and first point of contact between the primary health care system and the community. A Sub-centre provides interface with the community at the grass-root level, providing all the primary health care services. Objectives: to study the infrastructure available at sub-centres and to find out gaps in functioning of subcentres in rural area, Jhansi. Methods: This was a cross-sectional study which was carried out during the period June 2016 to June 2017 in the sub-centres of district Jhansi, Uttar Pradesh. The data were collected by facility survey and interview technique on a pre-designed, structured and pre-tested schedule designed as per IPHS norms for the sub-centres. Results: 70% of subcentes in Badagoan had designated government building available for the Sub- Centre while remaining 30% were located in Rented building. Around 47.4% of the beneficiaries are not satisfied with their visit to the sub centres. Conclusions: System gaps remain in infrastructure, equipment, drug supplies, communication, and timely referral and transport facilities. However as the data suggests, many sub-centers lack basic facilities like water, electricity or toilets, which raise serious questions about quality of care provided.
