<h3>Background</h3> Gender is a social determinant of health. Gender power dynamics can impact women's and children's health outcomes. The Demographic and Health Survey (2015) showed that 68% of women participated in decisions about their own healthcare in Malawi, but there is a lack of information on the socio-determinants and gender attitudes associated with primary health decision-making. This study aims to examine these factors during the male clinic days (health education activities) in four healthcare facili…