Background: The purpose of this article is to investigate the link between women's autonomy and their utilization of antenatal, natal and post-natal healthcare services in Tajikistan. Previous studies focused only on a single dimension of such services, for instance, utilization of antenatal care. By contrast, we explore antenatal, natal and post-natal healthcare services utilization using the number of indicator for each of the dimensions. Methods: Data come from two national surveys that were conducted in 2012 and 2017. The target population is women of reproductive age (16-49) who were married or cohabitating with a partner (N ¼ 7540). Several regression models were estimated to quantify association between women's autonomy and the utilization. Results: Lack of women's autonomy is associated with a lower probability of: (a) having had at least four antenatal checkups during pregnancy, (b) beginning first antenatal checkup early, (c) delivering in a healthcare facility, (d) having the skilled attendance during pregnancy, (e) having a mother post-delivery checkup , and (f) having a child post-delivery checkup. The size effect of women's autonomy is stronger than that of well-developed precursors of utilization such as poverty and mothers' education.