Since the 1994 International Conference on Population and Development, there has been increased attention to high‐quality and rights‐based family planning, but these concepts have been difficult to measure. Perhaps due to an intellectual history intertwined with population control, contemporary family planning programs and researchers often use (modern) method use as a primary marker of success, with indicators focusing narrowly on contraceptive use and fertility. This results in a fundamental misalignment between existing metrics and the stated family planning goals of promoting reproductive health and rights. This report describes the rationale for a novel family planning indicator called “contraceptive autonomy” and proposes a methodology for measuring this concept at the population level. Defining contraceptive autonomy as the factors necessary for a person to decide for themself what they want in relation to contraception and then to realize that decision, this indicator divides the contraceptive autonomy construct into subdomains of informed choice, full choice, and free choice. By acknowledging that autonomous nonuse is a positive outcome,aiming to maximize contraceptive autonomy rather than use could help shift incentives for family planning programs and reduce some common forms of contraceptive coercion, as our measurement approach is realigned with our focus on high‐quality rights‐based care.

中文翻译：

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避孕自主：一个新的计划生育指标的概念和测量。

自 1994 年国际人口与发展会议以来，人们越来越关注高质量和基于权利的计划生育，但这些概念难以衡量。或许由于与人口控制交织在一起的思想史，当代计划生育项目和研究人员经常使用（现代）方法作为成功的主要标志，指标仅关注避孕药具的使用和生育率。这导致现有指标与既定的促进生殖健康和权利的计划生育目标之间存在根本性的不一致。本报告描述了称为“避孕自主”的新型计划生育指标的基本原理，并提出了在人口层面衡量这一概念的方法。将避孕自主定义为一个人为自己决定他们想要什么与避孕有关然后实现该决定所必需的因素，该指标将避孕自主结构划分为知情选择、完全选择和自由选择的子域。通过承认自主不使用是一个积极的结果，旨在最大限度地提高避孕自主性而不是使用可以帮助改变计划生育计划的激励措施并减少一些常见的避孕强迫形式，因为我们的测量方法与我们对高质量权利的关注重新一致-基于护理。和自由选择。通过承认自主不使用是一个积极的结果，旨在最大限度地提高避孕自主性而不是使用可以帮助改变计划生育计划的激励措施并减少一些常见的避孕强迫形式，因为我们的测量方法与我们对高质量权利的关注重新一致-基于护理。和自由选择。通过承认自主不使用是一个积极的结果，旨在最大限度地提高避孕自主性而不是使用可以帮助改变计划生育计划的激励措施并减少一些常见的避孕强迫形式，因为我们的测量方法与我们对高质量权利的关注重新一致-基于护理。