Gender is a decisive and multidimensional factor influencing women’s access to healthcare services, their decision-making processes regarding health, and their overall health status. Women encounter systemic inequalities within healthcare systems due to socially and culturally constructed gender roles, caregiving responsibilities, and patriarchal norms. Particularly in reproductive health and maternity services, the exclusion of women from decision-making processes represents one of the most visible and critical manifestations of these inequalities. The frequent neglect of women’s subjective experiences in the planning and provision of healthcare obscures the fact that they should not merely be recipients of care but also active decision-makers. Women’s economic dependency, limited access to education, exposure to gender-based violence, restrictions within household decision-making mechanisms, and the pressures of cultural norms hinder their full and effective utilization of healthcare services. These factors not only generate individual consequences but also negatively affect maternal and infant health, thereby creating serious public health risks at the societal level. Thus, gender inequality transcends being an individual issue and plays a decisive role in shaping intergenerational health outcomes. The aim of this study is to examine the multidimensional effects of gender inequalities on women’s access to reproductive and maternity healthcare services and to discuss innovative approaches and policy recommendations aimed at reducing these inequalities. Recently developed women-centered and respectful care models, digital health applications, gender-sensitive policies, and healthcare approaches based on international standards offer promising solutions to these challenges. However, sustainable improvements require more than technical innovations; they also necessitate the training of healthcare professionals in gender sensitivity, the implementation of legal frameworks that safeguard women’s decision-making power within healthcare systems, and the dissemination of programs that raise societal awareness. Positioning women as decision-makers and active agents in healthcare is critical not only for the protection of individual rights but also for the construction of more equitable, inclusive, and sustainable healthcare systems. In this regard, women’s empowerment and the integration of gender equality principles into health policies constitute indispensable steps toward improving public health outcomes and enhancing social well-being.