Contraceptive Self-Efficacy Among Women in Sub-Saharan Africa (CSESSA)-Kenya is an 11-item scale of women's belief in her own ability to obtain, discuss and change family planning methods and habits. This measure has 3 sub-scales: husband/partner communication, provider communication and choosing and managing a method. This particular scale was validated in the high modern contraceptive prevalence setting of Kenya, however there is a similar scale for use in lower prevalence settings such as Nigeria here.
High Psychometric Score
How certain are you that you can...
1. Discuss family size with my husband/partner
2. Discuss if and when I'd like to get pregnant again with my husband/partner
3. Discuss specific family planning methods with my husband/partner
4. Reach an agreement with my husband/partner about use of family planning that take my desires into account
5. Bring up the topic of family planning with a health care provider
6. Ask a provider to clarify something they have told me about family planning if I'm not sure I understand
7. Tell a provider what's important to me in choosing a family planning method
Choosing and managing a method
8. Choose a family planning method that will work well for me
9. Obtain the method of family planning I want, if I want one
10. Find solutions to bothersome side effects from family planning or switch methods if needed because of bothersome side effects
11. Use a family planning method according to instructions to prevent pregnancy
10-point visual analogue scale
Cannot do at all - 0
Highly certain can do - 10
The 11-item scale score is calculated by summing all item values, creating a total score ranging from 0 to 110. Item scores can also be summed by sub-scale.
Whiting-Collins, L., Grenier, L., Winch, P. J., Tsui, A., & Donohue, P. K. (2020). Measuring contraceptive self-efficacy in sub-Saharan Africa: Development and validation of the CSESSA scale in Kenya and Nigeria. Contraception X, 2, 100041. https://doi.org/10.1016/j.conx.2020.100041
Existing Literature/Theoretical Framework
Field Expert Input
Cognitive Interviews / Pilot Testing