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|INDICATOR 9: Proportion of women aged 15-49 who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care|
| Why this indicator? What will it measure and provide information for?
The indicator is a measure of women’s own agency with regard to their bodily integrity and reproductive lives. It assesses the level of support for the belief that women themselves control decisions about their bodies and reproductive lives including the right to decide if, when, and with whom to have sex; if, when and who to marry; and if, when and how many children to have.
|What Sustainable Development Goal is the indicator connected to? This indicator is linked to SDG 3 “Ensure healthy lives and promote well-being for all at all ages” and to SDG 5: “Achieve gender equity and empower all women and girls.” It is one of the indicators for tracking these SDGs. Specifically this indicator is linked to the SDG target “By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live birth” as well as the target “Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all” as well as the SDG5 target “Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Program of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences”|
| Definitions and key terms
Women’s “making their own decisions” will be determined by respondents’ answers to questions about whether women have the right to refuse sex with their husband, and whether they themselves have been the ones primarily responsible for decisions about use of contraceptives and about their own reproductive health care.
| Data and information required to calculate the indicator
* Numerator: Women who express the belief that they can make their own informed decisions about sex and contraception, as determined by the questions above
* Denominator: Sexually active women of reproductive age
| Suggested method for data collection
* This information is collected via surveys, typically DHS surveys which include standard questions for obtaining data for this indicator.
* See DHS question numbers and wording to calculate this indicator.
| Possible data sources
* Household surveys (DHS) conducted typically every 3 or 5 years. In some cases, data are available for disaggregation at sub-national level. Ministries of Health may have estimates available for regions or provinces.
* If feasible and appropriate, CARE may also conduct household surveys, especially if sampling to represent marginalized impact populations or specific geographic areas
| Resources needed for data collection
If the information will be gathered from secondary data sources, no investment is required for gathering this indicator at the national level. However, your evaluation may want to assess this directly in specific geographic areas or sub-populations or include questions on CARE’s contribution to the change, which will require resources for conducting surveys or interviews or focus groups.
| Reporting results for this indicator: number of people for which the change happened
* How many women or reproductive age have interacted directly with CARE programming?
* How do the results for this quantified indicator compare to qualitative findings on women’s, men’s and community influencers’ beliefs, norms and experiences related to women’s decision making about reproductive health?
* Has there been an improvement of women’s decision making power since the past measurement, has it stayed the same or worsened?
* Given CARE’s role and presence, to what extent has CARE contributed to this change and at which level (national, in a particular region or part of the country, marginally)? Please explain.
| Questions for guiding the analysis and interpretation of data (explaining the how and why the change happened, and how CARE contributed to the change)
* How has CARE contributed to the change? What were CARE’s main strategies for contributing to this change (e.g. shifting attitudes of health staff and community influencers, community awareness raising, advocacy and policy change, supporting social accountability and gender-equitable participation in decision making, a combination of strategies, other ways)?
* Is the change in women’s decision making influenced by increased participation and representation of women in decisions related to their reproductive lives (health care, sexual behavior, household decision making, etc.)?
* Is the change in women’s decision making power influenced by new or amended policies, legislation, programs, accountability spaces and/or budgets responsive to reinforcing women’s power to take or enforce decisions?