Couples' reports of household decision-making and the utilization of maternal health services in Bangladesh

► Discordant reports about who makes household decisions resulted in lower health care use compared to joint decision-making. ► Associations between decision-making arrangements and health service use were stronger for antenatal than delivery care. ► The associations increase in magnitude when using couples' reports compared to using husbands' or wives' reports alone. ► Interviewing both men and women provides valuable information available in concordant and discordant reports.