BACKGROUND Women's decision-making power regarding reproductive health and rights (RHR) was the central component to achieve reproductive well-being. Literatures agree that a women having higher domestic decision-making power regarding their health care were more likely to utilize health services. More than 80% of women in Ethiopia reside in rural areas where they considered as the subordinates of their husbands. This would restrict women to fully exercise their RHR. Thus, this study aims to determine the factors influencing the women's decision-making power regarding RHR in Mettu rural district, South West Ethiopia. METHODS A community based cross-sectional study was done among 415 by using randomly selected married women of reproductive age from March to April 2017. Data was entered by using Epi-data manger 1.4 and analyzed by SPSS version 21. Descriptive and multivariate logistic regression analysis was carried out. RESULT One hundred sixty-eight (41.5%) of the women had greater decision-making power regarding RHR. Woman's primary education AOR 2.62[95% C. I 1.15, 5.97], secondary (9+) education AOR 3.18[95% C. I 1.16, 8.73] and husband's primary education AOR 4.0[95% C. I 1.53, 10.42], secondary (9+) education AOR 3.95 [95% C. I 1.38, 11.26], being knowledgeable about RHR AOR 3.57 [95% C. I 1.58, 8.09], marriage duration of more than 10 years AOR 2.95 [95% C. I 1.19, 7.26], access to micro-credit enterprises AOR 4.26[95% C. I 2.06, 8.80], having gender equitable attitude AOR 6.38 [95% C. I 2.52, 12.45] and good qualities of spousal relation AOR 2.95 [95% C. I 1.30, 6.64] were positively influencing women's decision-making power regarding RHR. CONCLUSION More than four in ten rural women had greater decision-making power regarding RHR. External pressures (qualities of spousal relation, gender equitable attitude) and knowledge about RHR were found to influence women's decision-making power. Public health interventions targeting women's RHR should take into account strengthening rural micro-credit enterprises, qualities of spousal relations and priority should be given to women with no formal education of husband or herself and marriage duration of < 5 years.

中文翻译：

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埃塞俄比亚西南部梅图农村地区已婚妇女中有关生殖健康和权利的决策权的影响因素。

背景技术妇女在生殖健康和权利方面的决策权是实现生殖健康的主要组成部分。文献一致认为，在医疗保健方面具有较高家庭决策权的妇女更有可能利用医疗服务。埃塞俄比亚超过80％的妇女居住在农村地区，她们被视为丈夫的下属。这将限制妇女充分行使其生殖健康权。因此，本研究旨在确定影响埃塞俄比亚西南部Mettu农村地区RHR妇女决策能力的因素。方法采用随机选择的已婚育龄妇女（2017年3月至2017年4月），在415例人群中进行了基于社区的横断面研究。使用Epi-data manger 1输入数据。4，并通过SPSS 21版进行分析。进行了描述性和多元逻辑回归分析。结果168名（41.5％）妇女在RHR方面具有更大的决策权。妇女的初等教育AOR 2.62 [95％C. I 1.15，5.97]，中等（9+）教育AOR 3.18 [95％C.I 1.16，8.73]和丈夫的初等教育AOR 4.0 [95％C.I 1.53，10.42] ，中等（9+）教育AOR 3.95 [95％C. I 1.38，11.26]，对RHR AOR 3.57 [95％C. I 1.58，8.09]有所了解，结婚时间超过10年AOR 2.95 [95％C] I 1.19，7.26]，获得小额信贷企业AOR 4.26 [95％C. I 2.06，8.80]，具有性别平等态度AOR 6.38 [95％C.I 2.52，12.45]，并且具有良好的配偶关系AOR 2.95 [95％C. I 1.30，6.64]积极影响了女性 关于RHR的决策权。结论十分之四的农村妇女在RHR方面具有更大的决策权。发现外部压力（配偶关系的质量，性别平等的态度）和对RHR的了解会影响妇女的决策权。针对妇女的生殖健康权的公共卫生干预措施应考虑到加强农村小额信贷企业的情况，应将夫妻关系的质量和优先次序给予未接受过丈夫或她本人正规教育且结婚时间<5年的妇女。