Person-Centered Contraceptive Access Metrics Project
Anu Manchikanti Gomez, PhD MSc;
Jennet Arcara, PhD MPH MPP;
Ariana H. Bennett DrPH MPH;
Cassondra J. Marshall, DrPH MPH
This project sought to address gaps in current approaches to measuring contraceptive access and develop new person-centered contraceptive access metrics. Our goals were to (1) develop holistic, person-centered measurement approaches to track contraceptive access; and (2) use these data to enrich national contraceptive surveillance approaches and to develop targeted strategies to improve contraceptive access.
Based on stakeholder interviews and a review of existing survey questions, we developed a survey to assess contraceptive needs and access among a national sample in the U.S. Survey items were refined based on cognitive interviews and expert review. We fielded a nationally representative survey using NORC’S AmeriSpeak Panel. The sample included 3,059 individuals ages 15-44, assigned female sex at birth, not sterilized or known to be infertile, and English- or Spanish-speaking. We convened stakeholders in a series of 3 Working Group meetings to select and develop person-centered metrics related to contraceptive need and access. The Working Group reviewed initial data and selected 4 priority metrics of person-centered contraceptive access: 1) use of preferred method of contraception, 2) use of preferred source of contraception, 3) perception of having enough information to choose the best contraception for oneself, and 4) experiencing a challenge or delay obtaining contraception in the past year.
Details about the project, including construction of the 4 priority metrics, can be found at: https://share.berkeley.edu/research-project/person-centered-contraceptive-access/