On 12th April 2005, the then PM launched NRHM to provide accessible, affordable and quality care to the rural population, especially the vulnerable sections. It also seeks to reduce the Maternal Mortality Rate MMR from 407 to 100 per 1 lakh live births, Infant Mortality Rate IMR from 60 to 30 per 1,000 live births and the total fertility rate (TFR) from 3.0 to 2.1 throughout India with special focus on 18 states, including eight Empowered Action Group (EAG) states, the North-eastern states, Jammu and Kashmir and HP within the seven-year period of the Mission. The public health delivery system is fully functional and accountable. Key features within its overarching umbrella are human resource management, community involvement, decentralization, rigorous monitoring and evaluation against standards, convergence of health and related problems from village level upwards, innovations and flexible financing and also interventions for improving health indicators. However, this government-run programme provides for partnerships with the voluntary group organizations for advocacy, building capacity at all levels, monitoring and evaluation of the health sector, delivery of health services and working together with community organizations. It is proposed to provide a friendly regulatory framework that promotes ethical practice through accreditation, standard treatment protocols and training and upgradation of skills. Five per cent of the total NRHM outlay is proposed to be resource allocation to voluntary organizations on the basis of approved guidelines and norms. But its goals and strategies to achieve a certain milestone are not up-to-date. It still lags much behind in practical achievement. Instead of 100 per cent achievement within the given timeframe, it has not yet been able to achieve its 50 per cent. With such a slow pace, 100 per cent seems a distant dream. Actually, what is hampering its success is lack of partnership. It would have achieved much more if done through the PPP model. I would like to conclude that the three 'A's (accessibility, affordability and accountability) could never be achieved until and unless these two sectors are brought together.