Family Planning Process Quality

Family Planning Process Quality is a 22-item measure of quality of care in the context of the most recent family planning services received. The 4 domains included in this measure are: respectful care, information exchange between the provider and the client for appropriate method selection, information given on the effective use of the method selected, and continuity of contraceptive use and care.


Geographies Tested: India

Populations Included: Female

Age Range: Adolescents, Adults


During your consultation today [within the past month], did the provider:


When you first adopted your current method, did the provider:When you first adopted your current method, did the provider:

  1. Ask about whether you would like to have another child?
  2. Ask about when you would like to have another child?
  3. Ask about your previous family planning experience?
  4. Ask about your family planning method preference?
  5. Provide information about different family planning methods?
  6. Talk about possible side effects or problems with the method you select?
  7. Tell you what to do if you experience any side effects or problems with the method you selected?
  8. Talk about warning signs associated with the method you selected?
  9. Talk about the possibility of switching to another method if the method you selected was not suitable?
  10. Provide information while strongly encouraging one method?
  11. Talk about the methods that protect against HIVAIDS and STIs?
  12. Talk about how to use the method you selected
  13. Talk about how the method you selected works?
  14. Tell you when to return to the health facility for a follow-up visit?
  15. Tell you about other sources of family planning supply?
  16. Give you an appointment card for follow-up visit?
  17. When meeting with the provider during your visit, do you think other clients could see you?
  18. When meeting with the provider during your visit, do you think other clients could hear what you said?
  19. During your visit, would you say that you were treated well by the provider?
  20. Did the provider allow you to ask questions?
  21. Did the provider answer all of your questions to your satisfaction?
  22. Do you believe that the information that you shared about yourself with the provider will be kept confidential?

Response Options:
Yes - 1
No - 0

Scoring Procedures

An index score is created by averaging the item scores in each domain and then multiplying by 100. These scores are then summed and divided by the number of domains. . Domains are as follows: Respectful Care: items 19, 21, 20, 22, 18, 17; Method Selection: 1, 2, 4, 3, 5, 10, 11; Effective Use of Method Selected: 12, 13, 6, 7, 8; Continuity of Contraceptive Use and Care: 14, 9, 15, 16.
The quality score ranges from 0-100. Scores are deemed low, medium or high process quality. Low quality cut-offs range from 0 to mean score minus half the standard deviation. High quality ranges from mean score plus half the standard deviation to 100.

Original Citation

Jain, A., Arudlas, K., Mozumdar, A., Tobey, E., & Acharya, R. (2019). Validation of two quality of care measures: Results from a longitudinal study of reversible contraceptive users in India. Studies in Family Planning, 50(2).

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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