Purpose This paper provides a comprehensive understanding of how various dimensions of female independence – economic, social, political and cultural impact individual and household health outcomes. It goes beyond examining singular factors and delves into the complex, interconnected effects of women's autonomy on family health. Design/methodology/approach A comprehensive review of existing literature is used to examine how each dimension of female independence affects health outcomes. Findings By synthesizing existing research, the paper identifies the aspects of female independence that have the most significant impact on specific health outcomes, offering insights for targeted interventions. Originality/value This study offers a multidimensional framework for understanding female independence and health outcomes, highlighting the need for intersectional policies that address the diverse barriers to women's autonomy. It fills gaps in current research by integrating economic, social, political and cultural factors into a holistic analysis.