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Measuring Informed Choice for Contraception in Burkina Faso: Comparing self-rated and researcher-ascribed measures.
Brooke W Bullington1,2, Katherine Tumlinson2,3, Nathalie Sawadogo4
1Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, USA.
Social Indicators Research
|October 17, 2025
Summary
Researcher assessments of contraceptive knowledge do not align with women's self-perceptions of informed choice. Understanding women's views is crucial for effective family planning programs.
Area of Science:
- Public Health
- Family Planning Research
- Reproductive Health
Background:
- Self-rated measures of health perceptions are underused in contraceptive research.
- Family planning research often uses researcher-defined success metrics instead of participant perceptions.
- Understanding women's views on contraceptive knowledge is vital for rights-based family planning outcomes.
Purpose of the Study:
- To determine the alignment between researcher-ascribed measures of contraceptive knowledge and self-rated measures of informed choice.
- To compare researcher-ascribed measures (CAIC, MII) with novel self-rated measures of informed choice.
Main Methods:
- Utilized data from 3,929 reproductive-aged women in Burkina Faso.
- Compared researcher-ascribed measures (CAIC, MII) with self-rated informed choice measures.
- Employed Cohen's Kappa Statistic to assess agreement between measures.
Main Results:
- Researcher-ascribed measures of contraceptive knowledge diverged significantly from self-rated informed choice.
- Contraceptive Autonomy Indicator (CAIC) and self-rated overall informed choice showed no agreement (Kappa: -0.03).
- Method Information Index (MII) and self-rated method-specific informed choice showed no to slight agreement (Kappa=0.05).
Conclusions:
- Researcher perspectives on informed choice may not reflect women's actual perceptions.
- Both researcher-ascribed and self-rated measures offer unique, important data for family planning.
- Population-based surveys should include both types of measures to inform family planning programs.
Keywords:
autonomycontraceptionfamily planninginformed choicemeasurementperson-centered measurementself-rated measuresMore Related Videos
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