The Anticipated Stigma Index is a 5-item tool to measure expectation of discrimination from others among young females. The items are related to fear, worry and embarrassment when accessing family planning (FP) services. The measure was originally tested among young married females in rural Ethiopia to improve youth friendly services.
Geographies Tested: Ethiopia
Populations Included: Female
Age Range: Adolescents, Adults
Suppose that you were planning to get services related to FP next week. Please keep this scenario in mind and tell me if you: strongly disagree, disagree, agree or strongly agree with the following statements.
1. I would feel embarrassed about wanting more information about FP services
2. I would be afraid of being seen by someone I knew at the facility
3. I would be worried about what my parents would say if they found out that I needed FP services
4. I would be worried about what people in my community would say about me if they found out I needed FP
5. I would feel embarrassed talking to a provider about FP
4-point Likert scale from ‘strongly agree’ to ‘strongly disagree’.
The five items in the index can be combined to form a composite score ranging from 0 to 5, which can then be dichotomized into 0 =no agreement across all five items and 1 =agreement on at least one item. Mean scores for the anticipated stigma scales can be calculated.
Jain, A., Ismail, H., Tobey, E., & Erulkar, A. (2019). Stigma as a barrier to family planning use among married youth in Ethiopia. Journal of Biosocial Science, 51(4), 505-519. https://doi.org/10.1017/S0021932018000305
Ease of Use Score
Existing Literature/Theoretical Framework
Field Expert Input
Cognitive Interviews / Pilot Testing
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