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Abortion Legalization, Teen Sexual and Reproductive Health Behaviors, and Women’s Empowerment in South Africa

Author

Listed:
  • Getrude Njokwe

    (University of Pretoria, Pretoria, South Africa)

  • Yoko Kijima

    (National Graduate Institute for Policy Studies, Tokyo, Japan)

Abstract

Restrictive abortion laws in many African nations are associated with risks such as unsafe procedures and teenage motherhood. This study examines how abortion legalization influences sexual and reproductive health and women’s empowerment in South Africa, using a difference-in-differences design. Analyzing variations in birth cohorts and access to health care facilities with abortion services across provinces, the study finds no direct causal impact of the abortion policy on teenage motherhood, fertility rates, early sexual debut, high school completion, or college attendance, though negative associations with teenage motherhood and fertility rates and positive associations with early sexual debut, high school completion, and college attendance, were observed. The study suggests that limited access to health care facilities with abortion services and cultural taboos contribute to underreporting of behaviors. Given these findings, we recommend prioritizing access to contraception and creating supportive environments for adolescent girls living in vulnerable situations, including improved access to health care facilities that offer abortion services.

Suggested Citation

  • Getrude Njokwe & Yoko Kijima, 2025. "Abortion Legalization, Teen Sexual and Reproductive Health Behaviors, and Women’s Empowerment in South Africa," GRIPS Discussion Papers 25-09, National Graduate Institute for Policy Studies.
    • Handle: RePEc:ngi:dpaper:25-09
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    File URL: https://grips.repo.nii.ac.jp/records/2000202
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    References listed on IDEAS

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    1. José‐Ignacio Antón & Zuleika Ferre & Patricia Triunfo, 2018. "The impact of the legalisation of abortion on birth outcomes in Uruguay," Health Economics, John Wiley & Sons, Ltd., vol. 27(7), pages 1103-1119, July.
    2. Valente, Christine, 2014. "Access to abortion, investments in neonatal health, and sex-selection: Evidence from Nepal," Journal of Development Economics, Elsevier, vol. 107(C), pages 225-243.
    3. Anne Driscoll, 2014. "Adult outcomes of teen mothers across birth cohorts," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(44), pages 1277-1292.
    4. Brian Tavonga Mazorodze & Christian Nsiah, 2021. "Trade and wage disparities in South Africa," Cogent Economics & Finance, Taylor & Francis Journals, vol. 9(1), pages 1915516-191, January.
    5. Ming-Jen Lin & Jin-Tan Liu & Nancy Qian, 2014. "More Missing Women, Fewer Dying Girls: The Impact Of Sex-Selective Abortion On Sex At Birth And Relative Female Mortality In Taiwan," Journal of the European Economic Association, European Economic Association, vol. 12(4), pages 899-926, August.
    6. Thomas D. Cook & William R. Shadish & Vivian C. Wong, 2008. "Three conditions under which experiments and observational studies produce comparable causal estimates: New findings from within-study comparisons," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 27(4), pages 724-750.
    7. Jason M. Lindo & Caitlin Knowles Myers & Andrea Schlosser & Scott Cunningham, 2020. "How Far Is Too Far? New Evidence on Abortion Clinic Closures, Access, and Abortions," Journal of Human Resources, University of Wisconsin Press, vol. 55(4), pages 1137-1160.
    8. Christopher L. Foote & Christopher F. Goetz, 2008. "The Impact of Legalized Abortion on Crime: Comment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(1), pages 407-423.
    9. Martin Gustafsson, 2011. "The when and how of leaving school: The policy implications of new evidence on secondary schooling in South Africa," Working Papers 09/2011, Stellenbosch University, Department of Economics.
    10. Navarro Paniagua, Maria & Walker, Ian, 2012. "The Impact of Teenage Motherhood on the Education and Fertility of their Children: Evidence for Europe," IZA Discussion Papers 6995, IZA Network @ LISER.
    11. Levine, Phillip B. & Trainor, Amy B. & Zimmerman, David J., 1996. "The effect of Medicaid abortion funding restrictions on abortions, pregnancies and births," Journal of Health Economics, Elsevier, vol. 15(5), pages 555-578, October.
    12. Marshall Medoff, 2010. "The Impact of State Abortion Policies on Teen Pregnancy Rates," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 97(2), pages 177-189, June.
    13. Ros Hirschowitz & Mark Orkin, 1997. "Inequality in South Africa: Findings from the 1994 October Household Survey," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 41(1), pages 119-136, July.
    14. Colin CANNONIER & Naci MOCAN, 2018. "The Impact of Education on Women’s Preferences for Gender Equality : Evidence from Sierra Leone," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 84(1), pages 3-40, March.
    15. Leonid V. Azarnert, 2009. "Abortion And Human Capital Accumulation: A Contribution To The Understanding Of The Gender Gap In Education," Scottish Journal of Political Economy, Scottish Economic Society, vol. 56(5), pages 559-579, November.
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