At a shabby government health centre in the rural bastion of India's ruling Nehru-Gandhi dynasty, mothers cradling sick babies sidestep dogs sleeping in unlit corridors.
There is no power, there are no nurses on duty and only two doctors - one suffering from a crippling neurological disease - trying to treat 60 to 70 patients a day in sweltering heat.
Few places in India illustrate more clearly how loyalists' support for the ruling Congress party, and the Gandhi family that leads it, has been tested than Amethi, its traditional stronghold around 300 miles southeast of New Delhi.
Many people in a constituency that has elected the Gandhis to parliament since 1980 feel they have been left behind and voters are getting angry, threatening family scion Rahul's bid to retain the seat when locals cast their vote on Wednesday.
"We are with the Congress party, we have always been from the time of our forefathers," said Arun Sharma, a local barber. "But we are not happy. Rahul just comes and waves from his car, and goes away."
Congress leaders disagree, and counter that to a large extent, Rahul's hands are tied.
Uttar Pradesh, the northern state of 200 million people where Amethi is located, is run by a regional party that, while loosely allied to Congress, has ruled mainly in the interests of its low-caste supporters.
The state plays a critical role in building roads and providing power, and lobbying efforts by the Gandhis to secure better amenities for Amethi have often proved ineffectual.
"These health centres and schools - these are the responsibility of the state government," said Rita Bahuguna Joshi, former head of the state unit of Congress and now running on a party ticket from Lucknow, capital of Uttar Pradesh.
"It is the non-cooperation of successive governments that has been the problem. Rahul makes every effort, but they don't implement them. They want to show him in a poor light."
Nonetheless, Hindu nationalist candidate Narendra Modi senses victory in the five-week election that ends next week, and his opposition Bharatiya Janata Party (BJP) is striking at the heart of the Gandhi family in a bid to weaken it.