Background: Good health is very important to human productivity and the “development” process, economic and technological development of the individual as well as for the nation. A healthy community is an asset to nation. The progress of nation is measured by health of its people because healthy people can contribute for the betterment and progress of the nation. Objectives: Toassess the existing status, adequacy and utilization of health services under NRHM in the selected areas in Mayurbhanj & Jagatsinghpur district of the state, Methodology: This is a mixed-method study conducted at Erasama block of Jagatsinghpur District & Baripada Block of Mayurbhanj district in Odisha. Both Primary and secondary data has been used for the study. As a part of qualitative component, n-depth interview and Focussed group discussion were conducted among a subgroup of study participants. Study was conducted from April-2018 to March -2019inAmbiki village and Rangamatia of Erasama and Baripada Blocks respectively. Findings of study: Most of the ASHAs are providing services to a population of more than the specified standard of 1,000. Transportation ofantenatal mothers was found to be a major problem. The total compensation ASHAs receive for each month was comparatively low.