There is growing consensus in the family planning community around the need for novel measures of autonomy. Existing literature highlights the tension between efforts to pursue contraceptive targets and maximize uptake on the one hand, and efforts to promote quality, person-centeredness, and contraceptive autonomy on the other hand. Here, we pilot a novel measure of contraceptive autonomy, measuring it at two Health and Demographic Surveillance System sites in Burkina Faso. We conducted a population-based survey with 3,929 women of reproductive age, testing an array of new survey items within the three subdomains of informed choice, full choice, and free choice. In addition to providing tentative estimates of the prevalence of contraceptive autonomy and its subdomains in our sample of Burkinabè women, we critically examine which parts of the proposed methodology worked well, what challenges/limitations we encountered, and what next steps might be for refining, improving, and validating the indicator. We demonstrate that contraceptive autonomy can be measured at the population level but a number of complex measurement challenges remain. Rather than a final validated tool, we consider this a step on a long road toward a more person-centered measurement agenda for the global family planning community.

中文翻译：

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测量布基纳法索两个地点的避孕自主性：首次尝试测量新的计划生育指标


计划生育界对需要新的自主权措施达成了越来越多的共识。现有文献强调了追求避孕目标和最大化采用避孕的努力与促进质量、以人为本和避孕自主的努力之间的紧张关系。在这里，我们在布基纳法索的两个健康和人口监测系统站点试行了一种新的避孕自主性测量方法。我们对 3,929 名育龄妇女进行了一项基于人群的调查，测试了知情选择、完全选择和自由选择三个子领域的一系列新调查项目。除了对布基纳法索妇女样本中避孕自主权及其子领域的流行率进行初步估计外，我们还批判性地研究了所提出的方法的哪些部分效果良好，我们遇到了哪些挑战/限制，以及下一步可能采取哪些措施来完善、改进和验证该指标。我们证明，可以在人口水平上测量避孕自主性，但仍然存在许多复杂的测量挑战。我们认为这并不是最终的验证工具，而是全球计划生育界朝着更加以人为本的测量议程迈出的漫长道路上的一步。