We developed the Quality of Contraceptive Counseling (QCC) Scale to improve measurement of client experiences with providers in the era of rights‐based service delivery. We generated scale items drawing on the previously published QCC Framework and qualitative research on women's preferences for counseling in Mexico, and refined them through cognitive interviews (n = 29) in two Mexican states. The item pool was reduced from 35 to 22 items after pilot testing using exit interviews in San Luis Potosí (n = 257). Exploratory Factor Analysis revealed three underlying dimensions (Information Exchange, Interpersonal Relationship, Disrespect and Abuse); this dimensionality was reproduced in Mexico City (n = 242) using Confirmatory Factor Analysis. Item Response Theory analyses confirmed acceptable item properties in both states, and correlation analyses established convergent, predictive, and divergent validity. The QCC Scale and subscales fill a gap in measurement tools for ensuring high quality of care and fulfillment of human rights in contraceptive services, and should be evaluated and adapted in other contexts.

中文翻译：

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开发和验证客户报告的避孕咨询质量量表，以衡量计划生育计划的质量和权利实现情况。

我们开发了避孕咨询质量（QCC）量表，以改进基于权利的服务交付时代客户与提供商之间的体验测评。我们根据先前发布的QCC框架和有关墨西哥女性对咨询的偏爱的定性研究得出了规模项目，并通过墨西哥两个州的认知访谈（n = 29）对其进行了完善。在圣路易斯波托西（n = 257）使用出口采访进行试点测试后，项目库从35个减少到22个。探索性因素分析揭示了三个基本维度（信息交流，人际关系，不尊重和滥用）；使用验证性因子分析在墨西哥城（n = 242）中复制了此维度。项目响应理论分析确认了两种状态下可接受的项目属性，相关分析确定了收敛性，预测性和发散性的有效性。QCC量表和子量表填补了用于确保避孕服务中高质量护理和人权实现的衡量工具的空白，应在其他情况下进行评估和调整。