Evaluating quality of contraceptive counseling: An analysis of the method information index

The Method Information Index (MII) is calculated from contraceptive users\u27 responses to questions regarding counseling content-whether they were informed about methods other than the one they received, told about method-specific side effects, and advised what to do if they experienced side effects. The MII is increasingly reported in national surveys and used to track program performance, but little is known about its properties. Using additional questions, we assessed the consistency between responses and the method received in a prospective, multicountry study. We employed two definitions of consistency: (1) presence of any concordant response, and (2) absence of discordant responses. Consistency was high when asking whether users were informed about other methods and what to do about side effects. Responses were least consistent when asking whether side effects were mentioned. Adjusting for inconsistency, scores were up to 50 percent and 30 percent lower in Pakistan and Uganda, respectively, compared to unadjusted MII scores. Additional questions facilitated better understanding of counseling quality

Sustainable Consumption Behavior in Sub-Saharan Africa: A Conceptual Framework

This paper develops a conceptual framework for investigating the adoption patterns, inhibitors, and facilitators ( PIF ) of sustainable consumption in sub-Sahara African ( SSA ) settings. Literature evidence shows paucity of empirical studies on sustainable consumption from SSA , which partly explains lack of suitable conceptual framework to guide research in this area. Also, the existing frameworks, which were developed outside SSA may not be suitable for constructing sustainable consumption behavior in SSA because of its peculiarities. The key signifi cance of this article is the potential of providing future researchers in this area with a framework to guide and manage their studies. As a conceptual article, insight was drawn from a plethora of scholarly articles in the domain of sustainable consumption and related areas. The framework is built on four key constructs—adoption patterns, inhibitors, facilitators ( PIF ), and intention. As a guide for studies from the SSA , the article includes an empirical section, which provides preliminary empirical validation for the proposed PIF conceptual framework based on a pilot test. The result from the pilot study, using structural equation modeling ( SEM ), led to positing the PIF Sustainable Consumption model, thus giving support for the PIF Conceptual Framework, which this article puts forward. In addition, the proposed PIF conceptual framework is capable of providing insight for crafting sustainability-related policies. © 2016 Wiley Periodicals, Inc

Institutional sustainability indicators: an analysis of the institutions in Agenda 21 and a draft set of indicators for monitoring their effectivity

Objectives of sustainable development are defined for the economic, social and environmental dimension, but for effective compliance as well as for sustainability characteristics such as justice or participation they must be complemented by core institutional objectives. The CSD's set of sustainability indicators was the first one to explicitly take into account the institutional dimension of sustainability, and other organizations such as the World Bank and the OECD have followed. Like most pioneers, the indicators suggested offer significant room for improvement. In order to measure the effectiveness of the relevant institutions, Agenda 21 has been analysed regarding its institutional content (organizations, mechanisms, orientations). From this basis, the purposes of the institutions have been determined in a stepwise approach and indicators developed that permit us to measure the progress achieved against the purposes of the respective institution. The methodology developed can be applied to other international agreements, providing the basis for an integrated reporting system. Copyright © 2002 John Wiley & Sons, Ltd. and ERP Environment.