Anemia is a serious public health issue. It is highly prevalent in the marginalized population in India. In Kerala tribal woman in reproductive age have insufficient dietary intake of iron and in accessibility of the supplements provided through the primary health settings. This study aims to evaluate the incidence of Anemia in tribal woman of reproductive age (15-49) in Achankovil tribal hamlet at Kollam and testing the efficacy of herbal formulation to treat anemia in mass population. Sample size of the study was 170. Data collection was through a cross sectional epidemiological survey with a partially structured questionnaire. The Hb level was tested in the subjects after getting consent with a HemoCue 201+ device. Among 170 subjects 96 (56.47%) were identified as anaemic (Hb <12mg/dl). This included 28 pregnant women and 36 lactating mothers. Then Herbal formulation to correct digestion, improve absorption of iron and enhancing bio availability iron administered for a fixed time period. The recheck of Hb levels in study population revealed significant improvement in Hb levels and quality of life.