Changing the public health scenario in the rural areas of India is a challenging task because of the many constraints associated with it. The PRI system of our country is considered the backbone of federal democratic system where, at the bottom every gram panchayat had power of governance in the matter of planning, budgeting, and distribution of resources’ equally. Moreover, the Tenth Plan has prioritized reorganization and restructuring of the existing health care infrastructure at primary, secondary and tertiary levels through a decentralized process with the existing structure of the Panchayati raj system so that, the rural communities get the desired level of health services and improve our country health index. An attempt for effective management of PHCs through Panchayati raj institutions members by involving PHC staff and NGO volunteers as equal partners. The TRIO management model was pilot tested without any compulsion in very informal way and was found to be effective in the management of any public health institutions. The policy makers and programme managers will use the TRIO management model under the rural health mission with proper structural integration and assigning mandatory roles and responsibilities in the PRI system and public health administration for better transparency and community participation. Circulation: Restricted for more details drharshitsinha@consultant.com