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Bihar Integrated Family Planning Survey (BIFS): Family Planning Self-Efficacy

Family Planning Self-Efficacy (FPSE) is a 9-item measure used to capture women’s self-efficacy to access contraception and contraceptive information, to communicate or assert contraceptive use in their relationship, and to use contraceptives despite social judgment or disapproval for such use.

Categories

Geographies Tested: India

Populations Included: Female

Age Range:

Items:

Are you confident that you can...
1. Obtain information about different kinds of family planning methods.
2. Obtain a family planning method even if you have to wait in long lines.
3. Discuss how many children you want to have with your husband.
4. Discuss family planning methods with your husband.
5. Discuss family planning methods with your friends or relatives.
6. Use a family planning method even without discussing with your husband.
7. Use a family planning method even if your husband does not want you to.
8. Use a family planning method even if your mother-in law does not want you to.
9. Use a family planning method even if your parents do not want you to.

Response options:
Not confident at all - 1
Somewhat confident - 2
Confident - 3

Scoring Procedures

Scores for the individual items were summed to create a composite (summative) FPSE score, resulting in a possible range from 9 to 27. Higher scores indicate greater perceived self-efficacy in navigating family planning decision-making and use.

Original Citation

Bhan, N., Thomas, E. E., McDougal, L., Nanda, P., Mahapatra, T., Das, A., Kumari, S., Closson, K., Singh, A., & Raj, A. (2024). Validation of a family planning self-efficacy measure with married women in Bihar, India: Findings from the Bihar Integrated Family Planning Survey. Contraception X, 6, 100113. https://doi.org/10.1016/j.conx.2024.100113


Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

KEY

Ease of Use

Readability

Scoring Clarity

Length

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