Reproductive health is a crucial aspect of overall health and well-being, particularly for women in rural areas and marginalized communities. This research paper aims to examine the reproductive health care status and government initiatives among rural Scheduled Tribe (ST) women in India, highlighting the issues and challenges they face. Utilizing data from various government reports, NGO studies, and academic research, this paper provides an in-depth analysis of the current situation, identifying the barriers to accessing quality reproductive healthcare services and evaluating the effectiveness of existing government programs. The findings reveal significant disparities and highlight the need for comprehensive and culturally sensitive interventions to address the unique challenges faced by this vulnerable population. The paper concludes by offering recommendations for policy-makers, healthcare providers, and stakeholders to improve reproductive health outcomes among rural ST women in India.