Background: Indian Public Health Standards (IPHS) have prescribed certain standards providing basic primary health care services to the community. Sub-centers are still snowed under certain problems like non-availability of required staff, inadequate physical infrastructure and insufficient quantity of drugs and lack of community participation. Hence the present study was undertaken with the objectives to assess the availability and adequacy of paramedical and supporting staff, infrastructure facilities and their extent of utilization . Methods: This cross-sectional multistage sampling study which was carried out in 31 sub-centers of a Block of Wardha district, Maharashtra. IPHS assessment tool was used to collect information/data by interviews and observations technique. Face-to-face interviews were conducted with all the staff. Observations and responses were recorded in the prescribed IPHS format. Results: The study reveals that adequate Immunization, Ante-natal and Family planning services were available at all Sub-centers. Health Workers (female) were available (100%), Voluntary worker (51.61%) whereas Health Workers (male) were not available at any of the sub-centre. In majority of Sub-centers Drugs (40%), Equipments (48.78%), Furniture (44.66%), Basic sanitation and Infrastructure are inadequate and was fall short of IPHS expectations. Conclusion: Hence balancing Infrastructure, pooling resources, Intersectoral co-ordination, optimization of health manpower, decentralization of Health Programmes is necessary to fulfill the criteria of IPHS of sub-centers in each Block. __ampersandsignnbsp;