Provision of infrastructure, plus manpower plus training plus equipment does not add up to increased quantity or quality of services. Between central and state government, over the RCH-I and RCH-II programmes there has been an investment of about Rs 10 crores into infrastructure of these 100 CHCs. For this investment to be converted into actual improvements in services, we need to invest in some management and motivational processes and resolve along the way a number of systems issues that arise. The Rogi Kalyan Samiti, which was functional in District and Community Health centres before Jeevan Deep Samiti, was fulfilling the task of Hospital Management Committee. The Institutions are in the process of completion of the registration procedure of Jeevandeep Samiti and having their meetings