The article entitled: Women’s decision-making autonomy and free and informed consent for access to reproductive health care: contribution of socio-economic theory in the community of the N’djili Health Zone in Kinshasa / Democratic Republic of Congo aims to analyze the factors influencing women’s decision-making. Their autonomy and their capacity to give informed consent to access reproductive health care. The central question is rooted in the desire to understand how cultural norms and socio-economic conditions shape women’s choices regarding their reproductive health, integrating socio-economic theory to contextualize these experiences (Sen, 2022). Our research revealed that many women in the N’djili community experienced difficulties in exercising their decision-making autonomy in reproductive health, which compromised their capacity to give informed consent (Benson et al. 2020). Furthermore, the lack of information and awareness about reproductive health rights and options contributes to the maintenance of existing inequalities (WHO, 2018). By integrating socio-economic theory, this study demonstrates that education and economic resources are crucial determinants in promoting women’s autonomy (Fathallah et al. 2021). It is therefore imperative to develop educational and awareness programs that not only inform women of their rights, but also involve the community and health professionals to promote sustainable change.