Maternal health is the urgent need of the India and state as it contributes to the overall progress of the country. Jharkhand state has strived hard to improve on the maternal health indicators but the progress is slow and steady. There are many causes hampering the smooth progress of maternal health status. The medical causes (direct & indirect) which include Severe Bleeding Hemorrhage, hypertensive diseases unsafe abortion, Obstructed Labor, Ectopic Pregnancy and infections are direct causes, whereas the indirect causes include Anemia, Malaria, Heart Disease and Tuberculosis and HIV. Whereas the social determinants of maternal mortality are poor educational levels, early age of marriage, early pregnancy, decreased spacing and large family size that contributes to the existing situation of maternal health status in Jharkhand. The health care delivery system should be designed effectively to cater to the specific needs of the tribal women during pregnancy and at childbirth by ensuring their personal involvement. Health interventions must focus on tribal culture, medical training of the tribal people, and a knowledgeable health care delivery system catering to the needs of tribal women and the child