Decision-Making Power and Reproductive Health Access Among Indonesian Women

Abstract

Indonesian women's access to reproductive health services is deeply influenced by their decision-making power within households. This study investigates the intersection of intra-household authority, socio-cultural dynamics, and institutional support in shaping reproductive autonomy. Drawing on qualitative data and theoretical frameworks of empowerment and intersectionality, the findings show that patriarchal norms, economic dependency, and regional disparities significantly restrict women’s health-related agency. Even where healthcare services are accessible, cultural and religious expectations often inhibit utilization. Furthermore, national health policies, though expansive in scope, fall short of addressing the relational barriers women face at the household level. The study emphasizes the need for gender-transformative policies and community engagement strategies that involve men, address local norms, and institutionalize empowerment. By contextualizing global empowerment theories within Indonesia’s plural society, this research offers actionable insights to enhance reproductive justice and promote inclusive, region-sensitive health reforms.