Background: Serious congenital brain and spinal cord abnormalities known as neural tube defects (NTDs) are caused by the neural tube's inadequate closure during the early stages of fetal development. They can be mainly avoided by ensuring that mothers consume enough folic acid both before and throughout pregnancy, as well as by maintaining good personal cleanliness to lower the chance of infection. However, women of reproductive age in many rural and semi urban communities are not well-informed about the role that folic acid supplements and good hygiene habits play in preventing these malformations. This study is to enhance health education in the community and gauge women's awareness of the importance of folic acid and good personal hygiene in preventing NTDs. 

Methodology: Community-based awareness survey was conducted among women of reproductive age (21–45 years) in Bisrakh village, Greater Noida. Data were collected using two standardized tools: 

1. Folic Acid Awareness Questionnaire (FAA-Q): a validated 15-item instrument designed to assess knowledge and awareness about folic acid intake, timing, sources, and its role in preventing neural tube defects (Cronbach’s α = 0.89). 

2. Personal Hygiene Practice Scale (PHPS): a structured and reliable checklist that evaluates hygiene-related behaviors among women, including handwashing, bathing, and menstrual hygiene practices (Cronbach’s α = 0.84). 

After the survey, an interactive health education session was conducted using visual aids and discussions to enhance understanding. Data were analyzed descriptively and presented in percentages. 

Result: Out of 20 participants, 4 women had prior knowledge about folic acid and its role in preventing birth defects. After the educational intervention, 17 women demonstrated good awareness about folic acid intake, sources, and timing. Similarly, 18 women showed improvement in their personal hygiene practices, such as regular handwashing, proper menstrual hygiene, and cleanliness during pregnancy. 

Conclusion: The study revealed low baseline awareness among women regarding folic acid and hygiene practices. However, the post-intervention findings showed a marked improvement in both knowledge and behavior. Community-based health education using standardized questionnaires proved effective in increasing awareness and can play a significant role in preventing neural tube defects and promoting maternal health in rural settings.