 This paper examines the factors contributing to inequities in maternal and reproductive health in India. It focuses on five key structural determinants, economic status, gender, education, social status, registered caste or tribe, and age, adolescence. Economic status, gender, and social status were found to be closely intertwined in determining access to and use of maternal and reproductive health services. Additionally, adolescent girls and young women face particular challenges in accessing healthcare due to their vulnerability and lack of autonomy. This article was authored by Linda Saneving, Nodya Trygg, Deepak Saxena, and others.