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Road connectivity and contraceptive choices: Empirical evidence from rural India

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  • Sengupta, Reshmi
  • Rooj, Debasis

Abstract

In this study, we examine the role of rural roads construction in India in influencing women’s use of modern contraceptives. We show that improved road access at the district level leads to increased use of modern contraceptive methods among women living in rural areas. Furthermore, the study reveals a shift in family planning practices from short-acting reversible methods to long-acting reversible methods following infrastructure improvements. Additionally, the results indicate a significant increase in female sterilization due to enhanced accessibility. We observe distinct variations in the use of modern contraceptives among women with higher education, those in high-wealth households, and across different religious and caste groups. Moreover, our study identifies several channels through which rural roads influence these family planning practices. We show that local road improvements enhance women’s year-round employment opportunities, financial autonomy, and decision-making power within households, enabling more informed contraceptive choices. Moreover, last-mile road connectivity reduces the concern about distance as a barrier to accessing healthcare. Additionally, improved local roads increase access to modern contraceptives through private health facilities. Our findings suggest that rural road infrastructure can significantly influence family planning practices among women, shaping their reproductive health choices.

Suggested Citation

  • Sengupta, Reshmi & Rooj, Debasis, 2025. "Road connectivity and contraceptive choices: Empirical evidence from rural India," World Development Perspectives, Elsevier, vol. 38(C).
    • Handle: RePEc:eee:wodepe:v:38:y:2025:i:c:s2452292925000359
    DOI: 10.1016/j.wdp.2025.100690
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    References listed on IDEAS

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    1. Aggarwal, Shilpa, 2021. "The long road to health: Healthcare utilization impacts of a road pavement policy in rural India," Journal of Development Economics, Elsevier, vol. 151(C).
    2. Sam Asher & Paul Novosad, 2020. "Rural Roads and Local Economic Development," American Economic Review, American Economic Association, vol. 110(3), pages 797-823, March.
    3. Anjali Adukia & Sam Asher & Paul Novosad, 2020. "Educational Investment Responses to Economic Opportunity: Evidence from Indian Road Construction," American Economic Journal: Applied Economics, American Economic Association, vol. 12(1), pages 348-376, January.
    4. Aggarwal, Shilpa, 2018. "Do rural roads create pathways out of poverty? Evidence from India," Journal of Development Economics, Elsevier, vol. 133(C), pages 375-395.
    5. Lei Lei & Sonalde Desai & Reeve Vanneman, 2019. "The Impact of Transportation Infrastructure on Women's Employment in India," Feminist Economics, Taylor & Francis Journals, vol. 25(4), pages 94-125, October.
    6. Pudney, Stephen & Aassve, Arnstein & Mencarini, Letizia & Kedir, Abbi & Francavilla, Francesca & Mealli, Fabrizia & Engelhardt, Henriette & Kim, Jungho & Prskawetz, Alexia, 2005. "Poverty and fertility in less developed countries: a comparative analysis," ISER Working Paper Series 2005-13, Institute for Social and Economic Research.
    7. Deborah DeGraff, 1991. "Increasing contraceptive use in Bangladesh: The role of demand and supply factors," Demography, Springer;Population Association of America (PAA), vol. 28(1), pages 65-81, February.
    8. Kalemli-Ozcan, Sebnem, 2003. "A stochastic model of mortality, fertility, and human capital investment," Journal of Development Economics, Elsevier, vol. 70(1), pages 103-118, February.
    9. William Greene, 2004. "The behaviour of the maximum likelihood estimator of limited dependent variable models in the presence of fixed effects," Econometrics Journal, Royal Economic Society, vol. 7(1), pages 98-119, June.
    10. Shamdasani, Yogita, 2021. "Rural road infrastructure & agricultural production: Evidence from India," Journal of Development Economics, Elsevier, vol. 152(C).
    11. Aparajita Dasgupta & Anahita Karandikar & Devvrat Raghav, 2024. "Road Access, Fertility, and Child Health in Rural India," Population and Development Review, The Population Council, Inc., vol. 50(1), pages 117-147, March.
    12. Tomáš Sobotka & Vegard Skirbekk & Dimiter Philipov, 2011. "Economic Recession and Fertility in the Developed World," Population and Development Review, The Population Council, Inc., vol. 37(2), pages 267-306, June.
    13. Kailthya, Subham & Kambhampati, Uma, 2022. "Road to productivity: Effects of roads on total factor productivity in Indian manufacturing," Journal of Comparative Economics, Elsevier, vol. 50(1), pages 174-195.
    14. Mokshada Jain & Yael Caplan & B M Ramesh & Shajy Isac & Preeti Anand & Elisabeth Engl & Shiva Halli & Hannah Kemp & James Blanchard & Vikas Gothalwal & Vasanthakumar Namasivayam & Pankaj Kumar & Sema , 2021. "Understanding drivers of family planning in rural northern India: An integrated mixed-methods approach," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-19, January.
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