Abstract: The major objective of the study is to explore the socio-economic and demographic circumstances of the respondents and their participation in decision-making process, spousal communication regarding family and non-family matters husband’s authority and power to influence women’s activities and decisions. 360 women aged 25-45 years with at least one living child residing in the rural areas of three major districts of the Punjab Province Lahore, Rawalpindi and Multan, were interviewed. The analysis demonstrates that socio-cultural factors affect the women autonomy and freedom. The husband’s participation in the domestic activities is considered to undermine their prestige and honour. The husbands’ authority and domination in family and non-family matter is accepted and respected. Social conservatism, orthodox values and traditions and society’s dogmatic attitude limits women ability to participate effectively in development process. It is suggested that women’s participation in all activities of national development should be ensured for achieving sustainable development and enhancing women’s reproductive health. All forms of discrimination against women roles should be eradicated. Peoples should make aware about the Islamic principles regarding women roles, rights and status.