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Reproductive Decision-Making Agency

The Reproductive Decision-Making Agency is a 12-item measure of three domains of reproductive behavior: when to have children, whether to use family planning, and which family planning method to use.

Categories

Geographies Tested: Nepal

Populations Included: Female

Age Range: Adults

Items:

The following questions are applied to three domains: When to Have children, Whether to Use Contraception, and Which Method of Contraception to Use

1.When discussing [insert topic from base question], I want to know if you shared your opinion about what you wanted with your husband. Would you say that you (read aloud options to participant):

Response Options:
Shared your opinion
Wanted to share your opinion but did not feel comfortable so did not share
Wanted to share your opinion but did not think opinion would be valued so did not share

2.Do you think your opinion was valued?

Response Options:
Had the same opinion as husband
Did not share your opinion because the issue did not matter to you
Don’t recalldon’t know
Participant refused to answer
Was valued
Was not valued
Don’t recalldon’t know
Participant refused to answer

3.Who had the final say on [insert topic from base question]?

Response Options:
Myself
Husband
Myself and husband
Mother-in-law
Other (specify__)
No decision made
Participant refused to answer

4.Would you prefer to have had more influence in the decision about [insert topic from base question] less influence, or were you happy with your level of influence?

Response Options:
More influence
Less influence
Satisfied
Unsure
Participant refused to answer

Scoring Procedures

For each domain, a three-category variable is constructed, indicating low, medium, or high agency based on the four core questions. Next, the three domain-specific decision-making agency measures are combined into a single measure by constructing an additive scale from the categorical variables.

Original Citation

Hinson, L., Edmeades, J., Murithi, L., & Puri, M. (2019). Developing and testing measures of reproductive decision-making agency in Nepal. SSM-population health, 9, 100473.

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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