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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 \u201ccontraceptive autonomy\u201d 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\u2010quality rights\u2010based care.<\/jats:p>","DOI":"10.1111\/sifp.12114","type":"journal-article","created":{"date-parts":[[2020,5,2]],"date-time":"2020-05-02T01:27:44Z","timestamp":1588382864000},"page":"161-176","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":243,"title":["Contraceptive Autonomy: Conceptions and Measurement of a Novel Family Planning Indicator"],"prefix":"10.1111","volume":"51","author":[{"given":"Leigh","family":"Senderowicz","sequence":"first","affiliation":[{"name":"Leigh Senderowicz Department of Global Health and Population Harvard T.H. Chan School of Public Health Harvard University  Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60478-4"},{"key":"e_1_2_8_3_1","unstructured":"American College of Obstetricians and Gynecologists Committee on Ethics.2009. \u201cInformed Consent.\u201d 439.https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2009\/08\/informed-consent."},{"key":"e_1_2_8_4_1","unstructured":"American Medical Assocation.2001.\u201cCode of Medical Ethics Opinion on Consent Communication and Decision\u2010Making.\u201dhttps:\/\/www.ama-assn.org\/delivering-care\/ethics\/code-medical-ethics-consent-communication-decision-making."},{"key":"e_1_2_8_5_1","unstructured":"Barot S. 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