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：测量新的计划生育指标的首次尝试


计划生育界对于采取新的自主措施的必要性日益达成共识。现有文献强调了一方面努力追求避孕目标和最大限度地采用避孕措施，另一方面努力促进质量、以人为本和避孕自主权之间的紧张关系。在这里，我们试验了一种新颖的避孕自主措施，在布基纳法索的两个健康和人口监测系统站点进行测量。我们对 3,929 名育龄妇女进行了一项基于人口的调查，在知情选择、充分选择和自由选择三个子领域内测试了一系列新的调查项目。除了对布基纳法索妇女样本中避孕自主率及其子领域的普遍性进行初步估计外，我们还批判性地审查了拟议方法的哪些部分效果良好，我们遇到了哪些挑战/限制，以及下一步可能需要改进的步骤，改进和验证指标。我们证明，避孕自主权可以在人口水平上进行衡量，但仍然存在许多复杂的衡量挑战。我们认为这不是最终经过验证的工具，而是全球计划生育界朝着更加以人为本的衡量议程迈出的漫长道路上的一步。