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

Author

Listed:
  • Athey, Susan

    (Stanford University)

  • Bergstrom, Katy

    (World Bank)

  • Hadad, Vitor

    (Stanford University)

  • Jamison, Julian C.

    (University of Exeter)

  • Ozler, Berk

    (World Bank)

  • Parisotto, Luca

    (World Bank)

  • Sama, Julius Dohbit

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

Suggested Citation

  • Athey, Susan & Bergstrom, Katy & Hadad, Vitor & Jamison, Julian C. & Ozler, Berk & Parisotto, Luca & Sama, Julius Dohbit, 2021. "Shared Decision-Making: Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?," Research Papers 3987, Stanford University, Graduate School of Business.
    • Handle: RePEc:ecl:stabus:3987
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    File URL: https://www.gsb.stanford.edu/faculty-research/working-papers/shared-decision-making-can-improved-counseling-increase-willingness
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    Cited by:

    1. Nina Deliu, 2024. "Reinforcement learning for sequential decision making in population research," Quality & Quantity: International Journal of Methodology, Springer, vol. 58(6), pages 5057-5080, December.
    2. Lnu,Anukriti & Herrera-Almanza,Catalina & Karra,Mahesh Venkat, 2022. "Bring a Friend : Strengthening Women’s Social Networks and Reproductive Autonomy in India," Policy Research Working Paper Series 10107, The World Bank.
    3. Miller, Grant & de Paula, Áureo & Valente, Christine, 2025. "Subjective expectations and demand for contraception," Journal of Econometrics, Elsevier, vol. 249(PB).
    4. Berkes, Jan & Bouguen, Adrien & Filmer, Deon & Fukao, Tsuyoshi, 2024. "Improving preschool provision and encouraging-demand: Evidence from a large-scale construction program," Journal of Public Economics, Elsevier, vol. 230(C).

    More about this item

    JEL classification:

    • C13 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Estimation: General
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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