Reproductive Autonomy: Decision-Making and Communication

The Reproductive Autonomy: Decision-Making and Communication Scale is derived from the Reproductive Autonomy Scale and measures the degree/extent of control of a woman over her reproductive decisions and outcomes. The measure focuses on two dimensions of reproductive autonomy (RA) in relation to communication and decision-making. The measure comprises two sub-scales, Decision-Making RA and Communication RA.


ITEMS:

Decision-making RA
1. You, not your partner, has the most say about whether you would use a method to prevent pregnancy.
2. You, not your partner, has the most say about when you have a baby in your life.
3. If you became pregnant but it was unplanned, you, not your partner, would have the most say about whether you would raise the child, seek adoptive parents, or have an abortion.

Communication RA
4. My partner would support me if I wanted to use a method to prevent pregnancy.
5. If I didn’t want to have sex, I could tell my partner.
6. If I really did not want to become pregnant, I could get my partner to agree with me.

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

CATEGORIES:


GEOGRAPHIES TESTED:

Ghana

POPULATIONS INCLUDED:
Female

AGE RANGE:
Adolescents
Adults

DOWNLOAD MEASURE

Scoring Procedures:

Item scores are summed to create two individual total sub-scale scores ranging from 3-12.

PRIMARY CITATION:

Loll, D., Fleming, P. J., Manu, A., Morhe, E., Stephenson, R., King, E. J., & Hall, K. S. (2020). Reproductive autonomy and pregnancy decision-making among young Ghanaian women. Global Public Health, 15(4), 571-586. https://doi.org/10.1080/17441692.2019.1695871

Psychometric Score:

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

Psychometric Scoring

MEDIUM
Total Score: 4.00/8 Points (MEDIUM) 

Citation Frequency

LOW

KEY

 FULL POINTS
 PARTIAL POINTS
 NOT ASSESSED
 NOT APPLICABLE

For more details, see Scoring Methodology

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