Contraceptive Autonomy is a 20-item measure of the degree to which a person can decide for themself what they want in relation to contraception and then to realize that decision. The measure is broken down into three subcomponents: informed choice, full choice and free choice.
Geographies Tested: Burkina Faso
Populations Included: Female
Age Range: Adolescents, Adults
1. Do you know how to use [method name]?
2. Can you name a benefit/advantage of not using family planning?
3. Can you name a risk/disadvantage of not using family planning?
4. Can you name a benefit/advantage of [name of method they currently use]?
5. Can you name a risk/disadvantage of [name of method they currently use]?
6. When you procured [name of method they currently use], were you told what to do if you experienced side effects or problems?
7. When you procure [name of method they currently use], were you informed about how to stop using the method?
8. Did the provider tell you that your method was permanent when you procured it?
9. Do you think that [method name] would be available to you if you wanted it?
10. Do you think that [method name] would be affordable to you if you wanted it?
11. Do you think you could get your method removed without difficulty if you wanted?
12. Do you think that the cost of getting your method removed would be a barrier if you wanted to stop using the method?
13. Did you make the choice not to use family planning voluntarily?
14. Did you make the choice to use [name of method they currently use] voluntarily?
15. Were you offered any type of benefit or incentive not to use family planning?
16. Were you offered any type of benefit or incentive to use [name of method they currently use]?
17. Did you feel you could say no to using [name of method they currently use]?
18. Are you currently using [name of method they currently use] against your will?
19. Have you ever attempted to get the [name of method they currently use] removed by a provider?
20. If so, did the provider remove your method on request?
Yes - 1
No - 0
Oral contraceptive pills
Standard Days Method
An autonomy index is calculated using two different formulas: "all or nothing" or "shades of gray" based on the number of "yes" responses to items. Certain items are only asked of respondents using certain methods of contraception or those not using a method. Full scoring details can be found in the original citation.
Senderowicz, L., Bullington, B. W., Sawadogo, N., Tumlinson, K., Langer, A., Soura, A., Zabre, P., & Sie, A. (2023). Measuring contraceptive autonomy at two sites in Burkina Faso: A first attempt to measure a novel family planning indicator. Studies in Family Planning, 54(1), 201-230. https://doi.org/10.1111/sifp.12224
Ease of Use Score
Existing Literature/Theoretical Framework
Field Expert Input
Cognitive Interviews / Pilot Testing
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