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Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial

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  • Sandner, Malte

Abstract

This paper presents the results of a randomized study of a home visiting program implemented in Germany for low-income, first-time mothers. Besides improving child health and development, a major goal of the program is to improve the participants’ economic self-sufficiency and family planning. I use administrative data from the German social security system and detailed telephone surveys to examine the effects of the intervention on maternal employment, welfare benefits, household composition, well-being, and fertility behavior. The study reveals that the intervention decreased maternal employment by 9.3 percentage points and increased subsequent births by 6.4 percentage points, in part through a reduction in abortions.

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  • Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
  • Handle: RePEc:eee:jhecon:v:63:y:2019:i:c:p:159-181
    DOI: 10.1016/j.jhealeco.2018.11.003
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    Cited by:

    1. Sandner, Malte & Cornelissen, Thomas & Jungmann, Tanja & Herrmann, Peggy, 2018. "Evaluating the effects of a targeted home visiting program on maternal and child health outcomes," Journal of Health Economics, Elsevier, vol. 58(C), pages 269-283.
    2. Sandner, Malte, 2013. "Effects of Early Childhood Intervention on Maternal Employment, Fertility and Well-Being. Evidence from a Randomized Controlled Trial," Hannover Economic Papers (HEP) dp-516, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    3. Kronenberg, Christoph, 2020. "New(spaper) Evidence of a Reduction in Suicide Mentions during the 19th‐century US Gold Rush," CINCH Working Paper Series (since 2020) 73382, Duisburg-Essen University Library, DuEPublico Provider-Homepage: https://cinch.uni-due.de/.
    4. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wüst & Johannes Wohlfart, 2020. "Missing a Nurse Visit," CEBI working paper series 20-09, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    5. Sandner, Malte & Jungmann, Tanja, 2017. "Gender-specific effects of early childhood intervention: Evidence from a randomized controlled trial," Labour Economics, Elsevier, vol. 45(C), pages 59-78.
    6. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wüst & Johannes Wohlfart, 2020. "Missing a Nurse Visit," Discussion Papers 20-09, University of Copenhagen. Department of Economics.
    7. Malte Sandner & Stephan L. Thomsen & Libertad González Luna, 2020. "Preventing child maltreatment: Beneficial side effects of public childcare provision," Economics Working Papers 1744, Department of Economics and Business, Universitat Pompeu Fabra.
    8. Georg F. Camehl & C. Katharina Spieß & Kurt Hahlweg, 2019. "Short- and Mid-Term Effects of a Parenting Program on Maternal Well-Being: Evidence for More and Less Advantaged Mothers," SOEPpapers on Multidisciplinary Panel Data Research 1062, DIW Berlin, The German Socio-Economic Panel (SOEP).
    9. Camehl, Georg & Hahlweg, Kurt & Spieß, C. Katharina, 2018. "The Effects of a Parenting Program on Maternal Well-Being: Evidence from a Randomized Controlled Trial," VfS Annual Conference 2018 (Freiburg, Breisgau): Digital Economy 181583, Verein für Socialpolitik / German Economic Association.
    10. Elizabeth Lemmon, 2018. "Utilisation of personal care services in Scotland: the influence of unpaid carers," CINCH Working Paper Series 1802, Universitaet Duisburg-Essen, Competent in Competition and Health.

    More about this item

    Keywords

    Early childhood intervention; Randomized experiment; Fertility;

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J12 - Labor and Demographic Economics - - Demographic Economics - - - Marriage; Marital Dissolution; Family Structure
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • H52 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Education

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