Items:

Social Accountability in Contraceptive Services - Tanzania is a 39-item measure of the norms, values and attitudes service users feel about their experience seeking family planning care. The scale contains 10 subscales and was also validated in Tanzania.

Knowledge of Health Rights
1. I have the right to privacy during my family planning visit.
2. The healthcare provider should not share my information with other people.
3\ If I am unhappy with the care I received, I know there are ways to make a complaint.
4. Healthcare providers must answer all my health related questions.
5. Healthcare providers should inform me about the different family planning options.

Mistreatment by health workers
6. One of the providers or staff refused to offer me the service I wanted to receive.*
7. The provider ignored my request or my preferences today.
8. I felt like the provider did not listen to what I was saying.*
9. A provider encouraged me to use one family planning that was different to the one I wanted.*.

Perception of quality services
10. The staff at this health facility have high quality family planning services.
11. The staff at this health facility ensures privacy and confidentiality when providing services.
12. The health facility is clean.

Response Options:
Likert scale 1-5

Women's participation in household decision-making
13. First, would you tell me which member of your household usually makes decisions about your health care?
14. Which member of your household usually makes decisions about making large household purchases? 15. Which member of your household makes decisions about making household purchases for daily needs?
16. Which member of your household usually makes decisions about when you will visit family/relatives/friends?
17. Which member of your household usually makes decisions about when your whole household will visit family/relatives/friends? 18. Which member of your household usually makes decisions about how to use the money that you bring into the household?
19. Which member of your household usually makes decisions about how to use the money your husband/partner brings into the household?
20. Which member of your household usually makes decisions about how many children you will have?

Response Options:
Likert scale 1-6

Self efficacy with health care providers
21. After your consultation with the health care provider today, do you know what your reproductive and family planning options are?
22. After your consultation with the health care provider today, do you feel that you can act on your choice for family planning?
23. Do you know what help you need to make a decision?

Ability to attend community meetings
24. How sure are you that you could attend a community meeting if your family did not support you to participate?
25. How sure are you that you could attend a community meeting if your family said you could not go?
26. How sure re you that you could attend a community meeting if your family would not help with your household duties so that you could attend?

Ability to participate in community meetings
27. How sure are you that you could express your opinion at a community meeting?
28. How sure are you that you could express your opinion at a community meeting if a few people did not agree with what you were saying?
29. How sure are you that you could express your opinion at a community meeting if many people did not agree with what you were saying?

Awareness of accountability mechanisms
30. Health providers and district government officials can directly influence the quality of your local family planning services?
31. Challenging people of influence is the best way to change family planning services in the clinic.
32. Collaboration with people of influence is the best way to change family planning services in the clinic.

Mutual responsibility for and support of services
33. Who could have the most impact on making sure that women are treated with respect by health workers?
34. Who could have the most impact on making sure that women have transportation to the hospital for permanent methods of contraception?
35. Who could have the most impact on increasing the number of days a health worker visits your community?
36. Who could have the most impact on making sure the poorest and most vulnerable women in the community receive care?
37. Who could have the most impact on getting funding to improve health services in this community?

Collective efficacy
38. How sure are you that the people in your community could work together to improve family planning services in this community?
39. How sure are you that the people in your community could work together to improve how women are treated at the health facility?
40. How sure are you that the people in your community could work together to obtain government services and entitlements?
41. How sure are you that the people in your community could work together to improve the health and well-being of women in this community?

Community support in the time of crisis
42. How sure are you that there is someone in your community, apart from your immediate family, who you could go to for advice?
43. How sure are you that there is someone in your community, apart from your immediate family, who could take you to the clinic?
44. How sure are you that there is someone in your community, apart from your immediate family, who would help care for your children or household while you are away?
45. How sure are you that there is someone in your community, apart from your immediate family, who would loan you money for transport?

Response Options:
Likert scale 1-5

*Items are reverse scored