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

Susan Athey, Katy Bergstrom, Vitor Hadad, Julian Jamison, Berk Özler, Luca Parisotto and Julius Dohbit
Additional contact information
Katy Bergstrom: Development Research Group, The World Bank
Vitor Hadad: Graduate School of Business, Stanford University
Julian Jamison: Department of Economics, University of Exeter
Julius Dohbit: University of Yaoundé

No 2105, Discussion Papers from University of Exeter, Department of Economics

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.

Keywords: family planning; fertility; long-acting reversible contraceptives; heterogenous treatment effects (search for similar items in EconPapers)
JEL-codes: C13 C93 D91 I15 J13 O12 (search for similar items in EconPapers)
Date: 2021-09-16
New Economics Papers: this item is included in nep-exp and nep-isf
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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Working Paper: Shared Decision-Making: Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives? (2021)
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