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

Susan Athey, Katy Bergstrom, Vitor Hadad, Julian C Jamison, Berk Özler, Luca Parisotto and Julius Dohbit Sama

No 9777, Policy Research Working Paper Series from The World Bank

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 Research; Reproductive Health; Educational Sciences; Health Care Services Industry; Health Service Management and Delivery (search for similar items in EconPapers)
Date: 2021-09-20
New Economics Papers: this item is included in nep-exp
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Citations: View citations in EconPapers (3)

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http://documents.worldbank.org/curated/en/45422163 ... n-Contraceptives.pdf (application/pdf)

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