“…Although caste inequality has reduced in some states in India, particularly the south (Chakrabarti, 2021 ), caste discrimination is still rife in many contexts, including in health and nutrition services (John, 2018 ; Mosse, 2018 ; Deshpande, 2019 ), and in Odisha, those belonging to ST and SC groups experience worse outcomes compared to other caste categories as shown by recent National Family Health Survey five (NFHS V) data (IIPS, 2021 ). The literacy rate of ST and SC groups in Odisha is 52.2% and 69% respectively, well below that of the total for the state 72.9% (NFHS V) and poverty rates for ST and SC populations remain extremely high, with ST groups at 63% and SC groups at 41% compared with the state level 33% (Panda & Padhi, 2021 ). The districts that were part of this study, known as the ‘KBK + ’ districts (pertaining to the older boundaries of Kalahandi, Koraput and Balangir, now divided amongst several other districts), are known to be amongst the most deprived in Odisha and in India.…”