This paper presents research findings from a study that was conducted between September 2009 and December 2010 in Mbarara District, Southwestern Uganda. The study examined intra-household social determinants of demand for maternal health care including family planning practices. A wide range of questions were included in a household survey to assess maternal healthcare decision-making. Among most Ugandan communities, household resource allocation and decision-making follow a hierarchy whereby men/husbands direct the process for allocation of resources. Household ownership of land, head of the family, source of income and level of education were the three individual socio demographic characteristics that significantly affect use of the maternal health services. It was found that more than half of all maternal healthcare decisions that women make are in many ways influenced by men/husbands.