Background: In light of growing economic and resource-constraints and a stagnant total fertility rate of 3.5, the government of Jordan has doubled its efforts to improve uptake of contraceptive methods. To date, only qualitative studies have explored the socio-cultural and health system factors that influence use of family planning services. Objectives: To explore the relationship between autonomy-as measured through proxy household decision-making indicators-and the use of contraceptive methods in Jordan. Methods: Data from the 2012 Jordan Population and Family Health Survey (JPFHS) was used for this study. Multivariate logistic regression was used to examine the association between autonomy and contraceptive use controlling for confounders. Results: A total of 8,838 women were included in the study, 28% of whom were not currently using contraception despite citing a desire for spacing or limiting births. After controlling for confounders, women with a higher level of autonomy had 1.20 times the odds (95% CI: 1.07-1.35) of contraceptive use (traditional or modern methods) compared to women with low autonomy. Conclusion: Autonomy was associated with higher rates of contraceptive use, but not of use of modern contraceptive methods. Further exploration is warranted to better understand why autonomy is not predictive of modern contraceptive use.Master of Public Healt
