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Development of a Person‐Centered Family Planning Scale in India and Kenya
Author(s) -
Sudhinaraset May,
Afulani Patience A.,
DiamondSmith Nadia,
Golub Ginger,
Srivastava Aradhana
Publication year - 2018
Publication title -
studies in family planning
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.529
H-Index - 68
eISSN - 1728-4465
pISSN - 0039-3665
DOI - 10.1111/sifp.12069
Subject(s) - operationalization , scale (ratio) , exploratory factor analysis , psychological intervention , family planning , context (archaeology) , developing country , health care , reproductive health , autonomy , medicine , psychology , nursing , environmental health , population , psychometrics , economic growth , geography , clinical psychology , political science , philosophy , cartography , epistemology , archaeology , economics , research methodology , law
Abstract Despite recognition that person‐centered care is a critical component to providing high quality family planning services, there lacks consensus on how to operationalize and measure it. This paper describes the development and validation of a person‐centered family planning (PCFP) scale in India and Kenya. Cross‐sectional data were collected from 522 women in Kenya and 225 women in India who visited a health facility providing family planning services. Psychometric analyses, including exploratory factor analysis, were employed to assess the validity and reliability of the PCFP scale. Separate scales were developed for India and Kenya due to context‐specific items. We assessed criterion validity by examining the association between PCFP and global measures of quality and satisfaction with family planning care. The analysis resulted in a multidimensional PCFP scale, including 20 items in Kenya and 22 items in India. Through iterative factor analysis, two subscales were identified for both countries: “autonomy, respectful care, and communication” and “health facility environment.” This scale may be used to evaluate quality improvement interventions and experiences of women globally to support women in achieving their reproductive health goals.