In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.

Indian society consists of immensely varied political, social, ethnic, linguistic, religious and community groups, which, by and large, reside in villages, where poverty, misconceived religious notions, social customs, illiteracy, ignorance and superstitions prevail.

The tribal population groups from 7.95 percent of the total population of India. About 67.76 million persons have been enumerated in the country (excluding Jammu & Kashmir) as members of the Scheduled Tribes (1991 census).