The present study is a collection of several fact-finding and cause and effects of institutional and non institutional deliveries from the secondary data of national family health survey-3 conducted by the government of India (2005-06).The research is restricted to one of the poor and backward state of India i.e. Orissa. As Orissa is a weak indicator with regard to public health especially maternal and child health. Research finding focused on mainly institutional and non institutional delivery status in the concerned state, with socio-economic background of married women of age group15-49 years. The purpose of this book to examine the effect of demographic, socio-economic, and health related factors affecting the utilization of institutional services for delivery in Orissa. This study consists of five chapters namely (i) Introduction (ii) Literature Review (iii) Conceptual Framework and Methodology (iv) Data Analyses and (v) Conclusions. The first chapter describes the current scenario on non-institutional and institutional deliveries and the utilization of maternal health care of globe, nation, and area of study.