Impact of supply-side conditional cash transfers on household family planning decisions: Evidence from a field experiment in Afghanistan

Ahmad Reshad Osmani and Albert Okunade

Social Science & Medicine, 2025, vol. 383, issue C

Abstract: This study examines the effects of supply-side conditional cash transfers (SS-CCTs) on contraceptive knowledge and utilization among Afghan women, emphasizing household decision-making in resource-constrained settings. Leveraging data from a randomized controlled trial involving 6,974 households across 143 health facilities, the study explores how financial incentives for healthcare providers influence their family-planning behaviors. The findings reveal that SS-CCTs significantly improve contraceptive knowledge and uptake, particularly among educated women. Factors such as age, household income, urban residence, and proximity to health facilities are pivotal in shaping these outcomes. Women with no formal education increasingly utilized contraceptives but gained limited knowledge. The results highlight the critical role of education in amplifying the effectiveness of health interventions and call for policies that address socioeconomic disparities. By aligning interventions with household needs, these strategies can enhance reproductive health outcomes and promote broader household welfare.

Keywords: Conditional cash transfers; Household decision-making; Family economics; Reproductive health; Developing countries; Randomized controlled trials (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:383:y:2025:i:c:s0277953625007853

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DOI: 10.1016/j.socscimed.2025.118454

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