Objective: To see the usefulness of verbal autopsy and in assessing the cause of deaths among infants and identify gaps in reporting system in 4 PHCs in India. Methodology: The study incorporated all the infant deaths, which occurred in a one-year period from 2nd Jan 2004 to 1st Jan 2005 in Yavatmal district in Maharashtra. This data was compared with the corresponding district data and the gaps in reporting were identified site-wise. Results: Medical certification of cause of death was done in only 12% of deaths. Under reporting was more than 50% in 2 PHCs and the IMR was found to be 59 per 1000 live births in contrast to 38 per 1000, given by the district authorities. Prematurity and LBW contributed for the 47% deaths during the early neonatal period. In post neonatal period mostly infectious causes like ARI contributed for 35% followed by CNS infections (12%). Majority (73%) of the 90 infant deaths were delivered at home and were attended by unskilled personnel (72%). Overall there were 63% deaths which occurred in the early neonatal period, 13% in late neonatal period and 23% in post neonatal period. Conclusions: Verbal autopsy can be used to give information for the health planners to prioritize health services based on the mortality pattern of an area and for collecting information for action at the local level. __ampersandsignnbsp; __ampersandsignnbsp; __ampersandsignnbsp;