Development of a Person-Centered Family Planning Scale in India and Kenya

Stud Fam Plann. 2018 Sep;49(3):237-258. doi: 10.1111/sifp.12069. Epub 2018 Aug 1.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care Facilities / organization & administration*
  • Ambulatory Care Facilities / standards
  • Attitude of Health Personnel
  • Communication
  • Cross-Sectional Studies
  • Environment
  • Family Planning Services
  • Humans
  • India
  • Kenya
  • Middle Aged
  • Patient Satisfaction
  • Patient-Centered Care / organization & administration*
  • Patient-Centered Care / standards
  • Personal Autonomy
  • Psychometrics
  • Quality Improvement
  • Quality of Health Care / organization & administration*
  • Quality of Health Care / standards
  • Reproducibility of Results
  • Social Support
  • Socioeconomic Factors
  • Surveys and Questionnaires / standards*
  • Time Factors
  • Young Adult