Self-efficacy for service utilization is a 2-item measure of the ability of female sex workers (FSW) and high-risk men who have sex with men (HR-MSM) to negotiate for care and services from government health facilities.
Short Measure Warning Flag
1. How confident are you that you can go to the government health clinic to get reproductive health services you need if the health workers there treat you badly?
2. How confident are you that you can go to the government health clinic to get the reproductive health services even if the health worker knows that you are a FSW/MSM?
Not at all - 1
Somewhat - 2
Very - 3
Completely confident - 4
Scores are averaged and the scale value ranges from 1 to 4. Scale scores are divided into two equal categories of self-efficacy for service utilization: low (1-2.4999) and high (2.5-4).
Saggurti, N., Mishra, R. M., Proddutoor, L., Tucker, S., Kovvali, D., Parimi, P., & Wheeler, T. (2013). Community collectivization and its association with consistent condom use and STI treatment-seeking behaviors among female sex workers and high-risk men who have sex with men/transgenders in Andhra Pradesh, India. AIDS care, 25(sup1), S55-S66.
Existing Literature/Theoretical Framework
Field Expert Input
Cognitive Interviews / Pilot Testing
Measure came from a peer-reviewed journal with a low impact score and/or inadequate information on psychometrics, but is an under-represented gender equality and empowerment construct