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

Bibliographic Data

ID10796609
AuthorsCary Karp (0000-0002-4050-7602, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore MD 21205 USA, corresponding author), Funmilola M Olaolorun (0000-0001-5544-2875, Department of Community Medicine, College of Medicine University of Ibadan Ibadan Nigeria), Georges Guiella (0000-0001-8525-340X, Institut Supérieur des Sciences de la Population (ISSP/University Joseph Ki‐Zerbo) Ouagadougou Burkina Faso), Peter Gichangi (0000-0001-9636-165X, International Centre for Reproductive Health‐Kenya Nairobi Kenya), Yoonjoung Choi (0000-0002-1116-0937, iSquared Severna Park MD USA), Philip Anglewicz (0000-0002-7967-3843, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore MD 21205 USA), Kelsey Holt (0000-0001-9093-4322, Department of Family & Community Medicine University of California San Francisco CA 94110 USA)
Year2023
Volume54
Issue1
Pages119-143
Publication date2023-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12229
PMID36787283
OpenAlexW4320710522
LanguageEN
Citations received6
References cited39

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

Environmental health · Family medicine · Family planning · Geography · Health facility · Health services · Kenya · Political science · Population · Quality (philosophy · Reproductive health · Research methodology · Scale (ratio · Unintended pregnancy · Voluntary counseling and testing · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Psychology · Reproductive Health and Contraception

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