This research study is the unique study on declining sex ratio in Nayagarh district which looking in to aspects like; policy role, gender development perspectives which address, the declining sex ratio and process of service delivery mechanisms at the state government level. The whole study report has been reflected in 7 chapters. Brief outlook of each chapter in nutshell is reflected below for overall glance about the study and subject as concerned. It deals with fundamental understandings on sex ratio, ground reality in Odisha, sex ratio trends of last thirty years, social as well as economic dimensions and policies for women. In addition to this nutrition component has also given on priority to know about women health culture practice in the respective study area.