This is a study of quality of quality of reproductive health services at community health centres (CHC) in Vadodara district, Gujarat, India. CHCs function as the third tier of health system in the rural areas. They are generally 30-bed hospitals and serve a population of 80,000-120,000. Under the Child Survival and Safe Motherhood Programme, CHCs have been designated as first referral units (FRU) for essential obstetric care and paediatric services. With the launch of the Reproductive and Child Health Programme the CHCs have been upgraded for treatment and management of reproductive tract infections, pregnancy complications, cases of septic abortion and also provide medical termination of pregnancy services. Each CHC is expected to have a surgeon, a gynaecologist, a paediatrician and an ophthalmologist. The study aimed to assess whether the CHCs are equipped to function as first referral units, the type of services provided at CHCs, and the quality of these services, especially those that address women’s reproductive health needs. The study found that in many of the CHCs major improvements with regard to availability of manpower and infrastructure in order to be able to function as FRUs.