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Existing literature highlights the tension between efforts to pursue contraceptive targets and maximize uptake on the one hand, and efforts to promote quality, person\u2010centeredness, and contraceptive autonomy on the other hand. Here, we pilot a novel measure of contraceptive autonomy, measuring it at two Health and Demographic Surveillance System sites in Burkina Faso. We conducted a population\u2010based survey with 3,929 women of reproductive age, testing an array of new survey items within the three subdomains of informed choice, full choice, and free choice. In addition to providing tentative estimates of the prevalence of contraceptive autonomy and its subdomains in our sample of Burkinab\u00e8 women, we critically examine which parts of the proposed methodology worked well, what challenges\/limitations we encountered, and what next steps might be for refining, improving, and validating the indicator. We demonstrate that contraceptive autonomy can be measured at the population level but a number of complex measurement challenges remain. Rather than a final validated tool, we consider this a step on a long road toward a more person\u2010centered measurement agenda for the global family planning community.<\/jats:p>","DOI":"10.1111\/sifp.12224","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T11:43:21Z","timestamp":1675338201000},"page":"201-230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Measuring Contraceptive Autonomy at Two Sites in Burkina Faso: A First Attempt to Measure a Novel Family Planning Indicator"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6713-1473","authenticated-orcid":false,"given":"Leigh","family":"Senderowicz","sequence":"first","affiliation":[{"name":"Department of Gender and Women's Studies University of Wisconsin\u2010Madison  Madison WI USA"},{"name":"Department of Obstetrics and Gynecology University of Wisconsin\u2010Madison  Madison WI USA"},{"name":"Department of Global Health and Population Harvard T.H. Chan School of Public Health  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke W.","family":"Bullington","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Carolina Population Center University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Sawadogo","sequence":"additional","affiliation":[{"name":"Institut Sup\u00e9rieur des Sciences de la Population Universit\u00e9 Joseph Ki\u2010ZERBO  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8314-8219","authenticated-orcid":false,"given":"Katherine","family":"Tumlinson","sequence":"additional","affiliation":[{"name":"Carolina Population Center University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Department of Maternal and Child Health, Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Langer","sequence":"additional","affiliation":[{"name":"Department of Global Health and Population Harvard T.H. Chan School of Public Health  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdramane","family":"Soura","sequence":"additional","affiliation":[{"name":"Institut Sup\u00e9rieur des Sciences de la Population Universit\u00e9 Joseph Ki\u2010ZERBO  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Zabr\u00e9","sequence":"additional","affiliation":[{"name":"Centre de Recherche en Sant\u00e9 de Nouna Nouna Burkina\u00a0Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Si\u00e9","sequence":"additional","affiliation":[{"name":"Centre de Recherche en Sant\u00e9 de Nouna Nouna Burkina\u00a0Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Ashford Lori S.2014. \u201cWhat Was Cairo? 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