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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.

Categories

Geographies Tested: Ghana

Populations Included: Female

Age Range: Adolescents, Adults

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

Scoring Procedures

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

Original 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

Citation Frequency

Ease of Use 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

Ease of Use

Readability

Scoring Clarity

Length

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