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Shared Decision-Making: Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?

Author

Listed:
  • Susan Athey

    (Graduate School of Business, Stanford University)

  • Katy Ann Bergstrom

    (Development Research Group, The World Bank)

  • Vitor Hadad

    (Graduate School of Business, Stanford University)

  • Julian C. Jamison

    (Department of Economics, University of Exeter)

  • Berk Özler

    (Development Research Group, The World Bank)

  • Luca Parisotto

    (The World Bank)

  • Julius Dohbit Sama

    (University of Yaoundé)

Abstract

Long-acting reversible contraceptives are highly effective in preventing unintended pregnancies, but take-up remains low. This paper analyzes a randomized controlled trial of interventions addressing two barriers to long-acting reversible contraceptive adoption, credit, and informational constraints. The study offered discounts to the clients of a women's hospital in Yaoundé, Cameroon, and cross-randomized a counseling strategy that encourages shared decision-making using a tablet-based app that ranks modern methods. Discounts increased uptake by 50 percent, with larger effects for adolescents. Shared decision-making tripled the share of clients adopting a long-acting reversible contraceptive at full price, from 11 to 35 percent, and discounts had no incremental impact in this group.

Suggested Citation

  • Susan Athey & Katy Ann Bergstrom & Vitor Hadad & Julian C. Jamison & Berk Özler & Luca Parisotto & Julius Dohbit Sama, 2021. "Shared Decision-Making: Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?," Discussion Papers 2105, University of Exeter, Department of Economics.
    • Handle: RePEc:exe:wpaper:2105
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    File URL: https://exetereconomics.github.io/RePEc/dpapers/DP2105.pdf
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    References listed on IDEAS

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    2. Berkes, Jan & Bouguen, Adrien & Filmer, Deon & Fukao, Tsuyoshi, 2024. "Improving preschool provision and encouraging-demand: Evidence from a large-scale construction program," Journal of Public Economics, Elsevier, vol. 230(C).

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    More about this item

    Keywords

    family planning; fertility; long-acting reversible contraceptives; heterogenous treatment effects;
    All these keywords.

    JEL classification:

    • C13 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Estimation: General
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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