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The Negligible Effect of Free Contraception on Fertility: Experimental Evidence from Burkina Faso

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  • Pascaline Dupas
  • Seema Jayachandran
  • Adriana Lleras-Muney
  • Pauline Rossi

Abstract

We conducted a randomized trial among 14,545 households in rural Burkina Faso to test the oft-cited hypothesis that limited access to contraception is an important driver of high fertility rates in West Africa. We do not find support for this hypothesis. Women who were given free access to medical contraception for three years did not have lower birth rates; we can reject even modest effects. We cross-randomized additional interventions to address possible inefficiencies leading to low demand for free contraception, specifically misperceptions about the child mortality rate, limited exposure to opposing views about family size and contraception, and social pressure. Free contraception did not influence fertility even in combination with these other interventions.

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  • Pascaline Dupas & Seema Jayachandran & Adriana Lleras-Muney & Pauline Rossi, 2024. "The Negligible Effect of Free Contraception on Fertility: Experimental Evidence from Burkina Faso," NBER Working Papers 32427, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:32427
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    More about this item

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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