Reproductive decision-making is strongly associated with gender power relatiolls be/weenrncouples. In mOllY developing counlries mOSI of reproduclive decisions are made by mell althoughrnil is, as well, Ihe cOllcern of Vomell. Helice, Ihis study was undertaken wilh Ihe objective ofrnassessing lite gender Â·power relations 111 reproductive decision-making, particulariyrncontraceptive Lise and rnaternal health service utilization decision-making of migrolll wel/vers,rnwho are livillg ill Addis Ababa,jiom Galno Gofa zone ofSNNPR.rnTo allain Ihe .Ipeci/ied objectives, the sludy used bOlh quanlilative and qualitalive daw. Thernquan.litalive daw was collecled by using structured questionllaire from 317 married couples,rnwhereas the qualitative dara was collected from six women and three men key ir~rormaJ1's.rnSimple descriptive slC/lislies and l11ullinomiallogislic regression analysis were used to de/erminernfactors !lWl i1~/lllell ce reproductive decision-making. The quantilalive dOl(f II "{/S (/Jwly:.ed byrnusing STATA alld SPSS .wjilvare packages, while Ihe qualitalive data was allaly:"t/ 1).1' /lsillgrnt fiang u I CI t i Oil.rnAccordingly, aboul 34% and 30% of women an.d 17.7% and 45.1 % of men had womell-centeredrnand joint conlraceplive use decision -making altitude, respectively. Besides, 22.1% and 32.6% ofrnwomen; alld 4.2% and 91.7% of lllen reported thallhey made Ihe contraceplive /lse decision byrnIheir OIVI1 and jointly with Ih eir spouses, respectively. On Ihe olher hand, Ihe majorily orrnrespondenls pori rayed Ihal Ihey appreciale joinl I/laternal health service uliliZiliion decisiollI/rnlaking and practice il ill their household. The multivariale analysis result revealed Ihat womenrnill the age groujJ (~r 30 yeo rs (lnd above; and literates made the reproductive decisions hy theirrnown orjointly with their husbands. Besides, working women have women-centered c()Jllr(lceprivernuse decision-making and joinr or women-centered maternCll health service wilizatiort decisiol1-rnmaking; women lVith fewer children mClde the contraceptive use decision. alone or joillfly wirhrntheir husbands; women accessing media in regular basis made the contraceptive lise c/ecisicm byrntheir own; (lnd women who are I/ot victim of violence participate in maternal health serFicernutilization decision-IIU/king. A/1/ong men, being literate and having smaller /'Il1mher (~r cllildrl'tIrn(Ire each associ(lled lVith joillt or women-centered maternal health service Ufili:.atiol/ decisionmakillg;rn30+ years ~r age lIIell and mel1 who did not harass or abuse Iheir wives lIIade eqllalrnparticipation, wilh Iheir wives, for maternal heallh service ulilizalion decision-making; and menrnwith regular (Iccess to media leI their wives decide on maternal health service wilitaliun.rnIn light oj" Ihe above results, empowering the study populalion in general and womell '.I' of Ihernsludy cOllllllunily in "articular Ihrough education and employment opportunilies ))IiI/ ins"irernegalitarian or lVomen-cel/tered reproductive decision-making pattern. This. in lUl'n, helpsrncouples 10 allOin Iht highesl slOllc/ard of sexual and reproduclive heallh.