With the world transcending from the era of Millennium Development Goals to the Sustainable Development Goals, continuum of maternal health care services (CMHS) has gained tremendous attention. The presence of health inequity in maternal and child health also holds importance because it hinders the overall improvement in health outcomes. So far available studies have focused on understanding the determinants of individual maternal health care services and health inequality in the utilisation of individual maternal health care services. In this thesis, we adopted a macro-level perspective to understand various aspects CMHS. The objectives of this thesis were to gauge the determinants of CMHS, measure horizontal inequity by underscoring the distributional nuances and evaluate the impact of the largest cash benefit scheme (Janani Suraksha Yojana) on the utilisation of CMHS using National Family Health Survey of 2005-06 and 2015-16. Outcome variable was generated by collating three variables, namely adequate antenatal care (ANC) , skilled-based attended SBA) and postnatal care services (PNC). A combination of different econometric tools such as Multinomial Logistic Regression Model (MNLM), Erreygers Concentration Index and Coarsened Exact matching (CEM) approaches were used to discern the objectives. We found that the first stage of CMHS was the weakest linkage across the CMHS pathway and utilisation of CMHS were mainly determined by access to media, income status, availability of healthcare services, male participation in health seeking process and financial autonomy. We also found that a women availing JSY benefits had 28% more odds of utilising CMHS than a woman not availing JSY benefits. The impact of JSY were quite rampant across different geographical locations and income horizons.