Women's contraceptive decision-making control is crucial for reproductive autonomy, but research largely relies on the Demographic and Health Survey (DHS) measure which asks who is involved with decision-making. In India, this typically assesses joint decision-making or male engagement. Newer measures emphasize female agency. We examined three measures of contraceptive decision-making, the DHS and two agency-focused measures, to assess their associations with marital contraceptive communication and use in rural Maharashtra, India. We analyzed follow-up survey data from women participating in the CHARM study (n = ), collected in June-December . The survey included the DHS (measure ), Reproductive Decision-Making Agency (measure ), and Contraceptive Final Decision-Maker measures (measure ). Only Measure was significantly associated with contraceptive communication