Ensuring comprehensive and high-quality healthcare for mothers and children is vital for enhancing population health and achieving sustainable development goals. This study aims to evaluate the status of maternal and child healthcare in the districts of Uttar Pradesh (UP), India, using a multi-criteria decision analysis (MCDA) approach, based on data from the National Family Health Survey-5 (NFHS).We utilised data from NFHS-5, a nationally representative survey conducted in 2019-2020, which providescomprehensive information on maternal and child health. The study employs the MCDA technique, specifically entropy and TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution), to evaluate the significance and proximity of various maternal and child healthcare criteria. These criteria include antenatal care, institutional delivery, postnatal care, immunisation coverage, and nutritional status. The overall performance of each district in terms of maternal and child healthcare is measured using a composite index developed based on TOPSIS methods, with the criteria weights determined by the entropy method.Some districts perform well in specific indicators, while others lag. The study highlights the districts needing immediate attention and targeted interventions to improve healthcare infrastructure, strengthen service delivery, and address the underlying social determinants impacting maternal and child health outcomes. Ultimately, this study aims to contribute to the overall improvement of the state's maternal and child health outcomes, thereby promoting the well-being of its population and advancing the achievement of sustainable development goals.