BACKGROUND; Women’s autonomy is important from health care seeking and utilization to choosing among treatment options. However, women in developing countries often have no or limited autonomy and control over their health
METHODS; Cross-sectional study with both qualitative and quantitative method was employed. Multistage sampling method was used to select 468 participants. Collected data was entered into Epi Data to SPSS for analysis. Principal component analysis and reliability test was conducted. Binary logistic regression analysis was done to identify associated factors.
RESULT; Response rate of the study was 99.2%. Around 66.2% of women exercised high autonomy. Women who attended secondary and above education were 3 times [AOR=3.2, 95% CI (1.40, 7.44)] and women from richest family had 10 times [AOR= 9.9, (95% CI (4.21, 23.08)] higher odds of having high autonomy than women without formal education and those from poorest family respectively. Women having favourable attitude toward maternal and child health have 3 times higher odds of having high autonomy [AOR=3.3, 95%CI (1.89, 5.89)].
CONCLUSION; Women in the district have relatively high autonomy. Women’s educational status, wealth status, employed for payment, age at marriage, residence and attitude towards maternal health service were associated with women autonomy.
Keywords: Women’s autonomy, Maternal health care utilization, Homa district, Ethiopia