Demographic and epidemiological transition in India at high rate has resulted into population health challenges in enormous scale. Despite of lot of efforts on strengthening the healthcare facilities, awakening people regarding the benefits of utilizing healthcare facilities, yet the utilization has not been as predicted even in demographically developed states of India. Study suggests that accessibility of health care facilities has marginally improved but not in all the states. Moreover, the barriers faced by population due to non-availability of doctors have restrained women from utilizing maternal health services in public health facility. Education is the only factor supporting the use of healthcare facilities for availing the maternal and child health services. The shift from public health facility to private together with poor healthcare financing has plunged a large section of society into poverty. A lot more effort is needed to reduce the gaps in implementation through corrective measures to achieve universal health care coverage in India.