Spousal Communication

Spousal Communication is a 5-item measure used to assess past, recent and intended spousal communication on matters of family planning and number of children desired.


Geographies Tested: Nepal

Populations Included: Female

Age Range: Adolescents, Adults


  1. Have you and your spouse ever discussed the number of children you would like to have?

Response Options:
Yes – 1
No – 0

  1. How often have you talked to your spouse about this subject in the last 12 months?

Response Options:
Never – 0
Once or twice – 1
More often – 1

  1. Do you think your spouse wants the same number of children that you want, or does heshe want more or fewer than you want?

Response Options:
Same number – 1
More children – 0
Fewer children – 0
Don’t know – 0

  1. Do you intend on talking to your spouse about contraception?

Response Options:
Yes – 1
No – 0
Don’t know – 0

  1. Do you think your spouse approves or disapproves of couples using a method to avoid pregnancy ?

Response Options:
Approves – 1
Disapproves – 0
Don’t know – 0

Scoring Procedures

The scores for the five items are added together, and the sum divided by five to obtain the index value. Total scores possible range from 0 to 1.

Original Citation

Sharan, M., & Valente, T. W. (2002). Spousal communication and family planning adoption: Effects of a radio drama serial in Nepal. International Family Planning Perspectives, 28(1), 16-25.

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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