Gender Competency for Family Planning Providers: Promoting Individual Agency

Gender Competency for Family Planning Providers: Promoting Individual Agency is a 15-item module of a larger framework. This module assesses a provider's ability to support an individual client's free and informed decisions about whether, when, and how often to reproduce, without pressure to conform to gender and cultural norms.


Geographies Tested: Ghana,Uganda

Populations Included: Female, Male

Age Range: Adults


1. I should ask about family planning goals before making assumptions about a client's family planning desires.
2. I can effectively counsel a female client on types of contraception she can use without her partner knowing about it.
3. Helping a client make an informed choice includes explaining contraceptive methods that satisfy the client's needs which may vary by age, gender, and relationship status.
4. Women and men face different barriers to getting their preferred family planning method because of their gender.
5. When counseling clients, I must account for the social pressure experienced by women, men, girls, and boys because of their gender.
6. I can help clients express their needs and wants with their sexual partners so that they make decisions together and feel safe.
7. Talking to a client about family planning pressures they face because of social, cultural, or religious beliefs is a necessary part of counseling.
8. A couple's decision about the number of children to have should be left up to the man.*
9. Through my counseling, I can guide clients, so they are not forced into a family planning decision they do not want.
10. I help clients consider if they can obtain a contraceptive method as needed when making a contraceptive choice.
11. I help clients consider if they can use a method with their partner (like condoms) when making a contraceptive choice.
12. I should make sure a client is freely making the decision they want when they make a choice about family planning.
13. When counseling clients, I explain that it is their choice, not what I think that matters, as long as the method is medically indicated.
14. A client should be able to change their mind about their family planning decision.
15. It is difficult for me to put aside my own personal or religious values when I help a client make a family planning decision.*

Response Options:
Strongly agree - 4
Agree - 3
Disagree - 2
Strongly disagree - 1

*Item items are reverse scored.

Scoring Procedures

The score of each individual item is added to create the total scale score. Score less than 48 are considered low gender competency. Scores 48-53 are medium competency and above 53 is high gender competency.

Original Citation

Andrinopoulos, K., McGuire, C., Namisango, E., Dako-Gyeke, P., Reisz, T., & Wisniewski, J. (2023). A provider self-assessment tool to measure gender competency for family planning services.

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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