Validation and Predictive Utility of a Person-Centered Quality of Contraceptive Counseling (QCC-10) Scale in Sub-Saharan Africa: A Multicountry Study of Family Planning Clients and a New Indicator for Measuring High-Quality, Rights-Based Care.

IF 1.9 3区医学 Q2 DEMOGRAPHY

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-14 DOI:10.1111/sifp.12229

Celia Karp, Funmilola M OlaOlorun, Georges Guiella, Peter Gichangi, Yoonjoung Choi, Philip Anglewicz, Kelsey Holt

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引用次数: 0

Abstract

The lack of validated, cross-cultural measures for examining quality of contraceptive counseling compromises progress toward improved services. We tested the validity and reliability of the 10-item Quality of Contraceptive Counseling scale (QCC-10) and its association with continued protection from unintended pregnancy and person-centered outcomes using longitudinal data from women aged 15-49 in Burkina Faso, Kenya, and Nigeria. Psychometric analysis showed moderate-to-strong reliability (alphas: 0.73-0.91) and high convergent validity with greatest service satisfaction. At follow-up, QCC-10 scores were not associated with continued pregnancy protection but were linked to contraceptive informational needs being met among Burkinabe and Kenyan women; the reverse was true in Kano. Higher QCC-10 scores were also associated with care-seeking among Kenyan women experiencing side effects. The QCC-10 is a validated scale for assessing quality of contraceptive counseling across diverse contexts. Future work is needed to improve understanding of how the QCC-10 relates to person-centered measures of reproductive health.

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以人为本的避孕咨询质量（QCC-10）量表在撒哈拉以南非洲的验证和预测效用：对计划生育客户的多国研究和衡量高质量、基于权利的护理的新指标》。

由于缺乏经过验证的、跨文化的避孕咨询质量检测方法，在改善服务方面取得的进展大打折扣。我们使用布基纳法索、肯尼亚和尼日利亚 15-49 岁女性的纵向数据，测试了 10 项避孕咨询质量量表（QCC-10）的有效性和可靠性，以及它与防止意外怀孕和以人为本的结果之间的关系。心理测量分析表明，QCC-10 具有中等至较高的可靠性（等值：0.73-0.91）和较高的聚合效度，服务满意度最高。在随访中，QCC-10 的得分与持续的妊娠保护无关，但与布基纳法索和肯尼亚妇女的避孕信息需求是否得到满足有关；在卡诺，情况正好相反。在出现副作用的肯尼亚妇女中，较高的 QCC-10 分数也与寻求护理有关。QCC-10 是一个经过验证的量表，可用于评估不同情况下的避孕咨询质量。今后的工作需要进一步了解 QCC-10 与以人为本的生殖健康衡量标准之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Studies in Family Planning Multiple-

CiteScore

4.00

自引率

9.50%

发文量

期刊介绍： Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.