IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp17954.html
   My bibliography  Save this paper

Contraceptive Concordance

Author

Listed:
  • Vincent, Sarah

    (Boston University)

  • Herrera-Almanza, Catalina

    (University of Illinois at Urbana-Champaign)

  • Anukriti, S

    (World Bank)

  • Karra, Mahesh

    (Boston University)

Abstract

This paper proposes an indicator of contraceptive concordance that identifies the alignment between stated preferences for contraception and concurrent contraceptive behavior. The proposed indicator departs from traditional approaches to measurement in family planning that infer concordance from the alignment between women's contraceptive (non-)use and their fertility preferences. The indicator is estimated using data from a cross-sectional survey that was conducted with 1,958 married women in rural India. More than half of all women in the sample (51.2 percent) report that they are currently using a contraceptive method. More than 3 in 5 women (60.8 percent) were classified as wanting to use a contraceptive method at the time of the survey. While 60 percent of sample women are classified to be concordant (either wanted users or wanted non-users), almost 1 in 4 women (24.8 percent) state a preference for using contraception but are not users (unwanted non-users), and 15.2 percent of women state a preference for not using contraception but are users (unwanted users). The paper discusses the comparative advantages and limitations of this approach relative to traditional measures and other recently developed indicators.

Suggested Citation

  • Vincent, Sarah & Herrera-Almanza, Catalina & Anukriti, S & Karra, Mahesh, 2025. "Contraceptive Concordance," IZA Discussion Papers 17954, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp17954
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp17954.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. World Health Organization & World Bank, 2023. "Tracking Universal Health Coverage," World Bank Publications - Reports 40348, The World Bank Group.
    2. Ahlert, Marlies & Breyer, Friedrich & Schwettmann, Lars, 2016. "How you ask is what you get: Framing effects in willingness-to-pay for a QALY," Social Science & Medicine, Elsevier, vol. 150(C), pages 40-48.
    3. Dominique Ami & Frédéric Aprahamian & Stéphane Luchini, 2017. "Stated Preferences and Decision-Making: Three Applications to Health," Revue économique, Presses de Sciences-Po, vol. 68(3), pages 327-333.
    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. Antoine Marsaudon & Lise Rochaix, 2017. "Impact of acute health shocks on cigarette consumption
      [Impact d'un choc de santé sur la consommation de cigarette]      ," PSE Working Papers halshs-01626024, HAL.
    2. Baji, Petra & Rubashkin, Nicholas & Szebik, Imre & Stoll, Kathrin & Vedam, Saraswathi, 2017. "Informal cash payments for birth in Hungary: Are women paying to secure a known provider, respect, or quality of care?," Social Science & Medicine, Elsevier, vol. 189(C), pages 86-95.
    3. Sebastian Himmler & Job Exel & Meg Perry-Duxbury & Werner Brouwer, 2020. "Willingness to pay for an early warning system for infectious diseases," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(5), pages 763-773, July.
    4. Bonev, Petyo & Emmenegger, Rony & Forero, Laura & Ganev, Kaloyan & Simeonova-Ganeva, Ralitsa & Söderberg, Magnus, 2024. "Nuclear waste in my backyard: Social acceptance and economic incentives," Energy Policy, Elsevier, vol. 185(C).
    5. repec:ags:aaea22:335511 is not listed on IDEAS
    6. Antoine Marsaudon & Lise Rochaix, 2010. "Impact of acute health shocks on cigarette consumption: A combined DiD-matching strategy to address endogeneity issues in the French Gazel panel data," Working Papers halshs-01626187, HAL.
    7. Sebastian Himmler & Jannis Stöckel & Job van Exel & Werner B. F. Brouwer, 2021. "The value of health—Empirical issues when estimating the monetary value of a quality‐adjusted life year based on well‐being data," Health Economics, John Wiley & Sons, Ltd., vol. 30(8), pages 1849-1870, August.
    8. Kaiser, Andrea Hannah & Vorn, Searivoth & Ekman, Björn & Ross, Marlaina & Mao, Sovathiro & Koy, Sokunthea & Koeut, Pichenda & Sundewall, Jesper, 2025. "What contributes to out-of-pocket health expenditure in Cambodia's uncovered population? A distributional and decomposition analysis using survey data," Social Science & Medicine, Elsevier, vol. 367(C).
    9. Anh Nu Vu & Minh Van Hoang & Lars Lindholm & Klas Göran Sahlen & Cuc Thi Thu Nguyen & Sun Sun, 2024. "A systematic review on the direct approach to elicit the demand-side cost-effectiveness threshold: Implications for low- and middle-income countries," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-26, February.
    10. Elizabeta Ribarić & Ismar Velić & Ana Bobinac, 2025. "Monetary value of health—a practical decision-making framework combining equity considerations and WTP," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 26(2), pages 183-198, March.
    11. Janina Nemitz, 2022. "Increasing longevity and life satisfaction: is there a catch to living longer?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(2), pages 557-589, April.
    12. Christian R. C. Kouakou & Thomas G. Poder, 2022. "Willingness to pay for a quality-adjusted life year: a systematic review with meta-regression," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(2), pages 277-299, March.

    More about this item

    Keywords

    family planning; concordance; contraception; India; measurement;
    All these keywords.

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

    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:dp17954. 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.