Contraceptive Concordance

Sarah Vincent, Catalina Herrera-Almanza (), S Anukriti () and Mahesh Karra ()
Additional contact information
Sarah Vincent: Boston University
Catalina Herrera-Almanza: University of Illinois at Urbana-Champaign
S Anukriti: World Bank
Mahesh Karra: Boston University

No 17954, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: This paper proposes an indicator of contraceptive concordance that identifies the alignment between stated preferences for contraception and concurrent contraceptive behavior. The proposed indicator departs from traditional approaches to measurement in family planning that infer concordance from the alignment between women's contraceptive (non-)use and their fertility preferences. The indicator is estimated using data from a cross-sectional survey that was conducted with 1,958 married women in rural India. More than half of all women in the sample (51.2 percent) report that they are currently using a contraceptive method. More than 3 in 5 women (60.8 percent) were classified as wanting to use a contraceptive method at the time of the survey. While 60 percent of sample women are classified to be concordant (either wanted users or wanted non-users), almost 1 in 4 women (24.8 percent) state a preference for using contraception but are not users (unwanted non-users), and 15.2 percent of women state a preference for not using contraception but are users (unwanted users). The paper discusses the comparative advantages and limitations of this approach relative to traditional measures and other recently developed indicators.

Keywords: family planning; concordance; contraception; India; measurement (search for similar items in EconPapers)
JEL-codes: I15 J13 (search for similar items in EconPapers)
Date: 2025-06
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