Our project aims to develop a psychometrically valid and reliable scale to use in research and in programmatic evaluation to improve clinical care. During the reporting period, project activities focused on planning and launching the multi-phase study, which has both qualitative and quantitative stages. We first developed the study protocol, and then initiated the study: we developed working definitions and domains of autonomy in contraceptive decision-making; developed and piloted focus group guides and study instruments; secured IRB approval; hired study staff and launched data collection.