IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp13134.html
   My bibliography  Save this paper

Access to The Emergency Contraceptive Pill Improves Women's Health: Evidence from Chile

Author

Listed:
  • Clarke, Damian

    (University of Chile)

  • Salinas, Viviana

    (Pontificia Universidad Catolica de Chile)

Abstract

We examine the sharp expansion in availability of the emergency contraceptive pill in Chile following legalized access through municipal public health-care centres. Combining a number of administrative datasets on health outcomes and pharmaceutical use, and using difference-in-difference and event study methods, we document that this expansion improved women's reproductive health outcomes, particularly reducing rates of haemorrhage early in pregnancy. These improvements are most notable in areas of the country in which the rollout of the pill was largest. We also document some evidence that refusal to grant the pill upon a women's request is linked with a worsening in reproductive health outcomes.

Suggested Citation

  • Clarke, Damian & Salinas, Viviana, 2020. "Access to The Emergency Contraceptive Pill Improves Women's Health: Evidence from Chile," IZA Discussion Papers 13134, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp13134
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp13134.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Simon Freyaldenhoven & Christian Hansen & Jesse M. Shapiro, 2019. "Pre-event Trends in the Panel Event-Study Design," American Economic Review, American Economic Association, vol. 109(9), pages 3307-3338, September.
    2. Myers, Caitlin & Ladd, Daniel, 2020. "Did parental involvement laws grow teeth? The effects of state restrictions on minors’ access to abortion," Journal of Health Economics, Elsevier, vol. 71(C).
    3. Grant Miller & Christine Valente, 2016. "Population Policy: Abortion and Modern Contraception Are Substitutes," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 979-1009, August.
    4. Clarke, Damian, 2019. "A convenient omitted variable bias formula for treatment effect models," Economics Letters, Elsevier, vol. 174(C), pages 84-88.
    5. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    6. Andrea Bentancor & Damian Clarke, 2017. "Assessing Plan B: The Effect of the Morning After Pill on Children and Women," Economic Journal, Royal Economic Society, vol. 127(607), pages 2525-2552, December.
    7. Tal Gross & Jeanne Lafortune & Corinne Low, 2014. "What Happens the Morning After? The Costs and Benefits of Expanding Access to Emergency Contraception," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 33(1), pages 70-93, January.
    8. Ana Nuevo-Chiquero & Francisco J. Pino, 2019. "To Pill or not to Pill? Access to Emergency Contraception and Contraceptive Behaviour," Working Papers wp477, University of Chile, Department of Economics.
    9. Karen Mulligan, 2015. "Contraception Use, Abortions, and Births: The Effect of Insurance Mandates," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1195-1217, August.
    10. Moreau, C. & Trussell, J. & Michelot, F. & Bajos, N., 2009. "The effect of access to emergency contraceptive pills on women's use of highly effective contraceptives: Results from a French national cohort study," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 441-442.
    11. Sourafel Girma & David Paton, 2006. "Matching estimates of the impact of over‐the‐counter emergency birth control on teenage pregnancy," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 1021-1032, September.
    12. repec:bla:ecinqu:v:51:y:2013:i:3:p:1682-1695 is not listed on IDEAS
    13. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    14. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    15. Saifuddin Ahmed & W. Mosley, 2002. "Simultaneity in the use of maternal-child health care and contraceptives: evidence from developing countries," Demography, Springer;Population Association of America (PAA), vol. 39(1), pages 75-93, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pfeifer, Gregor & Stockburger, Mirjam, 2023. "The morning after: Prescription-free access to emergency contraceptive pills," Journal of Health Economics, Elsevier, vol. 91(C).
    2. Nuevo-Chiquero, Ana & Pino, Francisco J., 2019. "To Pill or Not to Pill? Access to Emergency Contraception and Contraceptive Behaviour," IZA Discussion Papers 12076, Institute of Labor Economics (IZA).
    3. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    4. Abdul Baki, Ghina & Beland, Louis-Philippe & Yazbeck, Myra & Zayat, Aline, 2025. "Reactance, rationalization, and women's rights for safe abortion: Evidence from Roe vs. Wade's overturn," Journal of Economic Behavior & Organization, Elsevier, vol. 233(C).
    5. Catia Nicodemo & Sonia Oreffice & Climent Quintana-Domeque, 2022. "Correlates of repeat abortions and their spacing: Evidence from registry data in Spain," Papers 2208.05567, arXiv.org, revised May 2023.
    6. Simon Freyaldenhoven & Christian Hansen & Jorge Perez Perez & Jesse Shapiro, 2021. "Visualization, Identification, and stimation in the Linear Panel Event-Study Design," Working Papers 21-44, Federal Reserve Bank of Philadelphia.
    7. Aibo Gong, 2021. "Bounds for Treatment Effects in the Presence of Anticipatory Behavior," Papers 2111.06573, arXiv.org, revised Dec 2022.
    8. Ahn, Soojung & Steinbach, Sandro, 2022. "COVID-19 Trade Actions and Their Impact on the Agricultural and Food Sector," 2023 Allied Social Sciences Association (ASSA) Annual Meeting, January 6-8, 2023, New Orleans, Louisiana 316789, Agricultural and Applied Economics Association.
    9. repec:osf:socarx:v75aw_v1 is not listed on IDEAS
    10. Simon Freyaldenhoven & Christian B. Hansen & Jorge Pérez Pérez & Jesse M. Shapiro & Constantino Carreto, 2024. "Policy Effect Estimation and Visualization in Linear Panel Event-Study Designs: Introducing the xtevent Package," Working Papers 2024-09, Banco de México.
    11. Dmitry Arkhangelsky & Guido Imbens, 2023. "Causal Models for Longitudinal and Panel Data: A Survey," Papers 2311.15458, arXiv.org, revised Jun 2024.
    12. Roth, Jonathan & Sant’Anna, Pedro H.C. & Bilinski, Alyssa & Poe, John, 2023. "What’s trending in difference-in-differences? A synthesis of the recent econometrics literature," Journal of Econometrics, Elsevier, vol. 235(2), pages 2218-2244.
    13. Wang, Zhen & Chu, Erming, 2024. "The path toward urban carbon neutrality: How does the low-carbon city pilot policy stimulate low-carbon technology?," Economic Analysis and Policy, Elsevier, vol. 82(C), pages 954-975.
    14. Arne Henningsen & Guy Low & David Wuepper & Tobias Dalhaus & Hugo Storm & Dagim Belay & Stefan Hirsch, 2024. "Estimating Causal Effects with Observational Data: Guidelines for Agricultural and Applied Economists," IFRO Working Paper 2024/03, University of Copenhagen, Department of Food and Resource Economics.
    15. Bhalotra, Sonia R. & Clarke, Damian & Gomes, Joseph & Venkataramani, Atheendar, 2018. "Maternal Mortality and Women's Political Participation," IZA Discussion Papers 11590, Institute of Labor Economics (IZA).
    16. Myungkou Shin, 2022. "Finitely Heterogeneous Treatment Effect in Event-study," Papers 2204.02346, arXiv.org, revised Oct 2024.
    17. Sonia Bhalotra & Damian Clarke & Joseph Flavian Gomes & Atheendar Venkataramani, 2023. "Maternal Mortality and Women’s Political Power," Journal of the European Economic Association, European Economic Association, vol. 21(5), pages 2172-2208.
    18. Catalina Amuedo‐Dorantes & Kevin Shih & Huanan Xu, 2023. "The implications of optional practical training reforms on international student enrollments and quality," Economic Inquiry, Western Economic Association International, vol. 61(2), pages 253-281, April.
    19. Damian Clarke & Kathya Tapia-Schythe, 2021. "Implementing the panel event study," Stata Journal, StataCorp LLC, vol. 21(4), pages 853-884, December.
    20. Musaddiq, Tareena & Said, Farah, 2023. "Educate the girls: Long run effects of secondary schooling for girls in Pakistan," World Development, Elsevier, vol. 161(C).
    21. Torrini, Irene & Lucifora, Claudio & Russo, Antonio Giampiero, 2023. "The long-term effects of hospitalization on health care expenditures: An empirical analysis for the young-old population in Lombardy," Health Policy, Elsevier, vol. 132(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • 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
    • K38 - Law and Economics - - Other Substantive Areas of Law - - - Human Rights Law; Gender Law; Animal Rights Law
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp13134. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.