Institutional births refer to deliveries that take place in recognized healthcare facilities, such as hospitals, maternity clinics, or primary health centres, under the supervision of trained healthcare professionals. These facilities provide skilled care, access to advanced medical equipment, and the ability to handle complications that may arise during childbirth, thereby reducing the risks for both mother and baby. Promoting institutional births is considered as one of the key strategies for improving maternal and neonatal health outcomes. It ensures that pregnant women receive proper antenatal care, hygienic conditions for delivery, and immediate medical attention if required. Institutional deliveries also help in the early initiation of breastfeeding, immunization, and addressing postpartum complications.