This study aimed to analyze the association between the decision-making pattern and LAPMs among married and cohabiting women in Indonesia by controlling for variables at the individual and community or regional level and geographical area.

A cross-sectional survey was conducted using secondary data from PMA2020, which involved 4724 married or cohabitating women. Data were analyzed using bivariate and multivariate analysis. Multilevel logistic regression was performed to investigate the determinants by taking geographical area into account.

The majority of women had made their own decision on current contraceptive use, 30.1% had made a joint decision with their partner or health care provider, and 6.1% had not been involved in the decision-making process. Multilevel analysis showed that the decision-making pattern and individual-level factors were significantly associated with LAPM use, and variables at the community or a regional level were not significant predictors.

The study coercion potentially occurs in the contraceptive decision-making process. Our findings suggest that encouraging joint contraceptive decision-making LAPM use may be increased. Increasing women’s participation in the decision-making process is an integral part of respecting women’s reproductive autonomy.