Nepalese women are behind than men in many areas, such as educational attainment,
participation in decision-making and health service utilization, all of which have an impact
on reproductive health outcomes. This paper explores effect of women's role on household
decision making on institutional delivery of the child in Nepal Data as drawn from the
Nepal Demographic and Health Survey, 2011. The analysis is confined to women who had
given birth in the five years preceding the survey (n=4,148). The net effect of women’s role
on household decision making on institutional delivery after controlling for the effect of
other predictors has been measured through multivariate logistic regression analysis. The
findings indicate that institutional delivery was still very low in Nepal. Only two in five of
the women (40%) had delivered their last child with health facilities. Notably, higher level
of women’s role on household decision was associated with higher level of institutional
delivery [adjusted odds ratio (aOR=1.20)] than their comparison group. It can be concluded
that programs should aim to increase use of maternal health services by improving
women’s role on household decision making so that the overall well-being of the family can
be maintained and enhanced.