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The Complementary Role of Information and Contraceptive Access in Teen Pregnancy

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Abstract

We investigate how information frictions affect the efficacy of contraception provision programs. We study a Costa-Rican initiative that combined free access to long-acting-reversible contraceptives and a tailored information campaign to correct for baseline misinformation. Using administrative data and geographic variation in the initiative, we find a 16% decrease in the teen birth rate. We show information complements access – an extra year of exposure to the information campaign is equivalent to the effect of contraception access alone. Using surveys on sexual behavior, we show the policy changed the information source from personal networks to healthcare professionals, amending misinformation on sexual health.

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  • Sevin Kaytan & Stwarth Piedra-Bonilla & Tom Zohar, 2025. "The Complementary Role of Information and Contraceptive Access in Teen Pregnancy," Working Papers wp2025_2507, CEMFI.
  • Handle: RePEc:cmf:wpaper:wp2025_2507
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    1. Miller, Grant & de Paula, Áureo & Valente, Christine, 2025. "Subjective expectations and demand for contraception," Journal of Econometrics, Elsevier, vol. 249(PB).
    2. Kelly, Andrea & Lindo, Jason M. & Packham, Analisa, 2020. "The power of the IUD: Effects of expanding access to contraception through Title X clinics," Journal of Public Economics, Elsevier, vol. 192(C).
    3. Julian C. Jamison & Dean Karlan & Pia Raffler, 2013. "Mixed Method Evaluation of a Passive mHealth Sexual Information Texting Service in Uganda," NBER Working Papers 19107, National Bureau of Economic Research, Inc.
    4. Melissa S. Kearney & Phillip B. Levine, 2009. "Subsidized Contraception, Fertility, and Sexual Behavior," The Review of Economics and Statistics, MIT Press, vol. 91(1), pages 137-151, February.
    5. Alberto Chong & Marco Gonzalez-Navarro & Dean Karlan & Martín Valdivia, 2020. "Do Information Technologies Improve Teenagers’ Sexual Education? Evidence from a Randomized Evaluation in Colombia," The World Bank Economic Review, World Bank, vol. 34(2), pages 371-392.
    6. Munshi, Kaivan & Myaux, Jacques, 2006. "Social norms and the fertility transition," Journal of Development Economics, Elsevier, vol. 80(1), pages 1-38, June.
    7. Pascaline Dupas & Seema Jayachandran & Adriana Lleras-Muney & Pauline Rossi, 2025. "The Negligible Effect of Free Contraception on Fertility: Experimental Evidence from Burkina Faso," American Economic Review, American Economic Association, vol. 115(8), pages 2659-2688, August.
    8. Godlonton, Susan & Thornton, Rebecca, 2012. "Peer effects in learning HIV results," Journal of Development Economics, Elsevier, vol. 97(1), pages 118-129.
    9. Nava Ashraf & Erica Field & Jean Lee, 2014. "Household Bargaining and Excess Fertility: An Experimental Study in Zambia," American Economic Review, American Economic Association, vol. 104(7), pages 2210-2237, July.
    10. Kevin Lang Jr. & Russell Weinstein Jr., 2015. "The Consequences of Teenage Childbearing before Roe v. Wade," American Economic Journal: Applied Economics, American Economic Association, vol. 7(4), pages 169-197, October.
    11. Natalie Bau & David J. Henning & Corinne Low & Bryce Steinberg, 2024. "Family Planning, Now and Later: Infertility Fears and Contraceptive Take-Up," NBER Working Papers 32735, National Bureau of Economic Research, Inc.
    12. Yang, Dean & Allen, James & Mahumane, Arlete & Riddell, James & Yu, Hang, 2023. "Knowledge, stigma, and HIV testing: An analysis of a widespread HIV/AIDS program," Journal of Development Economics, Elsevier, vol. 160(C).
    13. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    14. Zachary Wagner & Corrina Moucheraud & Manisha Shah & Alexandra Wollum & Willa H. Friedman & William H. Dow, 2023. "Reducing Bias Among Health Care Providers: Experimental Evidence From Tanzania, Burkina Faso, and Pakistan," NBER Working Papers 31269, National Bureau of Economic Research, Inc.
    15. Luca, Dara Lee & Stevens, Jack & Rotz, Dana & Goesling, Brian & Lutz, Robyn, 2021. "Evaluating teen options for preventing pregnancy: Impacts and mechanisms," Journal of Health Economics, Elsevier, vol. 77(C).
    16. Jason M. Lindo & Analisa Packham, 2017. "How Much Can Expanding Access to Long-Acting Reversible Contraceptives Reduce Teen Birth Rates?," American Economic Journal: Economic Policy, American Economic Association, vol. 9(3), pages 348-376, August.
    17. repec:ajt:wcinch:73328 is not listed on IDEAS
    18. Julian Jamison, Dean Karlan, Pia Raffler, 2013. "Mixed Method Evaluation of a Passive Health Sexual Information Texting Service in Uganda-Working Paper 332," Working Papers 332, Center for Global Development.
    Full references (including those not matched with items on IDEAS)

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    Keywords

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    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness

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