Development and Validation of the Client‐Reported Quality of Contraceptive Counseling Scale to Measure Quality and Fulfillment of Rights in Family Planning Programs

Holt, Kelsey; Zavala, Icela; Quintero, Ximena; Hessler, Danielle; Langer, Ana

doi:10.1111/sifp.12092

Cited by 30 publications

(44 citation statements)

References 28 publications

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“…Recent efforts have also assessed the validity of composite measures of quality to predict contraceptive needs and/or use at a later time. Holt et al (2019) developed and validated the Quality of Contraceptive Counseling scale in Mexican public health facilities. The scale was significantly associated with whether family planning clients felt they needed more information about contraceptive methods and whether they were using a method one to three months later (although contraceptive use was only marginally significant).…”

mentioning

confidence: 99%

The Validity of Women's Reports of Family Planning Service Quality in Cambodia and Kenya

Blanc

McCarthy²,

Warren

et al. 2021

Studies in Family Planning

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Population-based indicators of the coverage of key elements of high-quality family planning services are tracked via household surveys with female respondents, yet little work has been done to establish their validity. We take advantage of existing data sets from Cambodia and Kenya to compare women's responses at exit interviews following a health facility visit against the observations of a trained third-party observer during the visit. The results, which treat the observations as the reference standard, show that indicators that measure contraceptive methods received are accurately reported while indicators of whether the woman received her preferred method and whether information was "discussed" or "explained" during counseling are less reliably reported. Studies designed explicitly to assess the validity of family planning questions in household surveys, especially questions in large survey programs critical for monitoring demographic trends and programmatic coverage, are needed. BACKGROUND Recognizing that providing clients with high-quality services is key to meeting the demand for family planning, maximizing client satisfaction, and delivering services within a human rights framework, increasing effort is being put into defining, measuring, and tracking indicators of quality (Jain et al. 2018; Tumlinson 2016; Track20 2019). Indicators used to track progress on the achievement of both national and international goals for improvements in women's reproductive health include several population-based measures of the quality of

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mentioning

confidence: 99%

The Validity of Women's Reports of Family Planning Service Quality in Cambodia and Kenya

Blanc

McCarthy²,

Warren

et al. 2021

Studies in Family Planning

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“…Though other measures exist that capture similar domains of care, the tool examined here has several potential advantages [ [12] , [13] , [14] ]. The IQFP utilizes Likert-style response options, which allow for greater nuance in reported care.…”

Section: Discussionmentioning

confidence: 99%

“…However, tools that attempt to systematically measure the quality of FP care based on client report rarely focus on the dimensions of individuals' experiences with counseling [ 2 ]. Only a few existing tools designed to measure the quality of contraceptive counseling have assessed for reliability and validity in low- and middle-income countries (LMICs) [ 8 , [12] , [13] , [14] ]. Sudhinaraset et al, developed and validated the Person-Centered Family Planning scale in India and Kenya as a 20- or 22-item measure capturing two primary domains: autonomy, respectful care and communication; and health facility environment [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Jain et al developed and validated a contraceptive care measure in India, both a longer 22-item and shorter 10-item form, capturing information exchange and interpersonal relations between provider and client on four domains: respectful care, method selection, effective use of method selected and continuity of contraceptive care [ 12 ]. Holt et al, developed and validated the Quality of Contraceptive Counseling scale in Mexico as a 22-item measure of FP client experiences with providers, focusing on three domains: information exchange, interpersonal relationship and disrespect/abuse [ 13 ]. All three measures capture slightly different dimensions of the FP experience.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting

et al. 2020

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Objectives The provision of high-quality family planning (FP) counseling can both enhance clients' experience of care and improve their ability to make and act on their contraceptive decisions. The Interpersonal Quality of Family Planning (IQFP) scale measures FP counseling quality and has been validated in the United States. We aimed to explore whether it remains appropriate for use in a low-/middle-income country (LMIC). Study design We surveyed 1201 nonsterilized married women ages 18–29 in Maharashtra, India, between September 2018 and June 2019. Respondents rated their FP provider from “poor” (1) to “excellent” (5) across 11 IQFP items. We assessed scale reliability via Cronbach's α test and used exploratory factor analysis to evaluate unidimensionality and regression models of plausibly related outcomes to assess construct validity. Results Five hundred four women (42%) had seen an FP provider within the past year, 491 (97%) of whom answered all items. Mean IQFP score was 2.62 out of 5 (SD 0.94, range 1–5). Scale reliability was high ( α = 0.97). Exploratory factor analyses support unidimensionality (all factor loadings > 0.4). A 1-point increase in average IQFP score was associated with nearly double the odds of current modern contraceptive use (adjusted odds ratio = 1.73, 95% confidence interval = 1.36–2.19). Conclusions The IQFP scale shows good reliability and construct validity in this context, and its use in LMIC settings should be broadly considered. A higher IQFP score was associated with greater odds of contraceptive use. The reported FP counseling quality was low, so future public health efforts should aim to increase counseling quality to better meet the needs of women in low-resource settings like rural India. Measurement tools like IQFP can support success evaluation of the quality of care provided by family planning programs. Implications The Interpersonal Quality of Family Planning scale is a useful tool in rural India, a different context than the one in which it was developed. Use of the IQFP scale should be considered in other low-/middle-income countries to better measure the quality of family planning care provided.

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“…There are many tools to assess the quality of FP services, however, there is lack of agreement on their routine use (Sprockett 2017). Recent studies have validated quality measures appropriate for routine reporting in FP service delivery settings, finding that higher values on the FP quality measures were associated with increased contraceptive use and reduced discontinuation (Jain et al, 2013;Jain and Winfrey, 2017;Chakraborty et al, 2019;Jain et al, 2019;Holt et al, 2019). While the evidence and the validated metrics are promising, measurement of rights such as client autonomy in service delivery settings can be further improved (Bertrand et al, 2014;Cole et al, 2019).…”

mentioning

confidence: 99%

Positioning family planning quality within health financing for UHC: Connecting the discourse

Appleford¹,

RamaRao²,

Bellows³

et al. 2019

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This brief targets the 'bridge' constituency that is coalescing between the health financing and FP communities of practice around a shared interest in making access to health services universal. With this brief, we aim to identify opportunities for the FP community of practice to advocate for the inclusion of quality, voluntary, and equitable FP services within UHC and health financing discussions. METHODOLOGY AND OUTLINE This technical brief drew on selected published and grey literature on quality of care, FP and UHC. The technical brief is divided into four sections: • Section 1: outlines the quality and the UHC agenda, their grounding in rights, challenges with measurement, and how financing arrangements may affect quality • Section 2: outlines quality and FP, its client-oriented genesis, challenges with routine measurement, and efforts to analyze FP performance within financing arrangements • Section 3: outlines quality and strategic purchasing for FP, using the five Ps analytical framework to illustrate implications for the provision of quality FP services • Section 4: summarizes three important aspects of strategic purchasing for FP quality-the use of FP data and evidence to inform purchasing, FP quality by design and FP quality by implementation within purchasing schemes

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Development and Validation of the Client‐Reported Quality of Contraceptive Counseling Scale to Measure Quality and Fulfillment of Rights in Family Planning Programs

Cited by 30 publications

References 28 publications

The Validity of Women's Reports of Family Planning Service Quality in Cambodia and Kenya

The Validity of Women's Reports of Family Planning Service Quality in Cambodia and Kenya

Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting

Positioning family planning quality within health financing for UHC: Connecting the discourse

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