The lack of validated, cross-cultural measures for examining quality of contraceptive counseling compromises progress toward improved services. We tested the validity and reliability of the 10-item Quality of Contraceptive Counseling scale (QCC-10) and its association with continued protection from unintended pregnancy and person-centered outcomes using longitudinal data from women aged 15–49 in Burkina Faso, Kenya, and Nigeria. Psychometric analysis showed moderate-to-strong reliability (alphas: 0.73–0.91) and high convergent validity with greatest service satisfaction. At follow-up, QCC-10 scores were not associated with continued pregnancy protection but were linked to contraceptive informational needs being met among Burkinabe and Kenyan women; the reverse was true in Kano. Higher QCC-10 scores were also associated with care-seeking among Kenyan women experiencing side effects. The QCC-10 is a validated scale for assessing quality of contraceptive counseling across diverse contexts. Future work is needed to improve understanding of how the QCC-10 relates to person-centered measures of reproductive health.

中文翻译：

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撒哈拉以南非洲以人为本的避孕咨询质量 (QCC-10) 量表的验证和预测效用：计划生育客户的多国研究和衡量高质量、基于权利的护理的新指标

缺乏经过验证的跨文化措施来检查避孕咨询的质量会影响改善服务的进展。我们使用肯尼亚布基纳法索 15-49 岁女性的纵向数据测试了 10 项避孕咨询质量量表 (QCC-10) 的有效性和可靠性及其与持续保护免受意外怀孕和以人为本的结果的关联，和尼日利亚。心理测量分析显示中度至强可靠性（alpha：0.73–0.91）和高收敛效度以及最高的服务满意度。在后续行动中，QCC-10 分数与持续妊娠保护无关，但与满足布基纳法索和肯尼亚妇女的避孕信息需求有关；卡诺的情况正好相反。较高的 QCC-10 分数也与经历副作用的肯尼亚妇女寻求护理有关。QCC-10 是一个经过验证的量表，用于评估不同背景下避孕咨询的质量。未来的工作需要提高对 QCC-10 如何与以人为本的生殖健康措施相关的理解。