Early View

A New Composite Index to Measure National-Level Quality of Family Planning Programs

CONTEXT

Despite efforts to use facility surveys to measure the quality of family planning programs, routine, reliable measurement and monitoring of national-level quality has not been possible.

METHODS

A new composite index to measure national-level quality, the National Quality Composite Index (NQCI), is proposed and used to compare program quality in 30 developing countries. Index scores represent the unweighted average of scores from indicators of three different dimensions of quality—structure, process and outcome. The structural indicator, the Method Availability Index, used data from the 2014 Family Planning Effort survey, while the process indicator (the Method Information Index) and outcome indicator (the Method Success Index) used data from the most recent Demographic Health Surveys conducted in the included countries. Correlations between these and other indicators were examined.

RESULTS

The unweighted average NQCI score for the 30 countries was 60; scores ranged from 50 in Pakistan to 72 in Cambodia. The average scores for the three NQCI components were 52 for Method Availability (range, 40–73), 41 for Method Information (range, 13–71) and 86 for Method Success (range, 70–99). Scores for these components were not correlated with each other, suggesting that they measure distinct dimensions of program quality. Overall NQCI scores were correlated with existing measures of national-level quality, but not with total fertility rate and modern contraceptive prevalence rate.

CONCLUSIONS

The NQCI and its three components use data routinely collected through national surveys, and can be used to measure and monitor national-level quality of family planning programs.

Authors' Affiliations

Anrudh K. Jain, currently an independent researcher, was distinguished scholar, Population Council, New York, at the time this research was conducted.

Disclaimer
The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.

International Perspectives on Sexual and Reproductive Health

Support Our Work

Your support enables the Guttmacher Institute to advance sexual and reproductive health and rights in the United States and globally through our interrelated program of high-quality research, evidence-based advocacy and strategic communications.