Materials and Methods: This study adopted a cross-sectional approach and was performed with live births of 556 married tribal females aged 15 to 49 years from three districts of CHT when the age of their children was not more than 1 year. Semi-structured questionnaires were used to interview the subjects. Finally, the statistical analysis was conducted with SPSS20 to estimate the odds ratios and strength of the relationship between the variables at P<0.10.

Results: The results of the study revealed that safe maternity practices are not the standard in CHT. Only 12.7% met the standard of maternity services in CHT. At the time of pregnancy, more than 2/3 of females received no prenatal care. The results further demonstrated that only 34% of the women gave birth to the baby at a hospital while 66% of the births occurred at home and over 50% were assisted by untrained traditional midwives.

Conclusions: In general, the results revealed that socioeconomic, demographic, cultural, and behavioral factors affected the adoption of maternal health care services (MHCS) by the women of CHT. Therefore, improving the economic conditions by introducing ‘eco-friendly’ industries can help enhance the uptake of safe motherhood practices.