Title
Negligible Effect of Free Contraception on Fertility: Experimental Evidence from Burkina Faso
Author(s)
Pascaline Dupas Pascaline Dupas (Princeton University)
Seema Jayachandran Seema Jayachandran (Princeton University)
Adriana Lleras-Muney Adriana Lleras-Muney (UCLA)
Pauline Rossi Pauline Rossi (Ecole Polytechnique )
Abstract
We conducted a randomized trial among 14,545 households in rural Burkina Faso to test the oft-cited hypothesis that limited access to contraception is an important driver of high fertility rates in West Africa. We do not find support for this hypothesis. Women who were given free access to medical contraception for three years did not have lower birth rates; we can reject even modest effects. We cross-randomized additional interventions to address possible inefficiencies leading to low demand for free contraception, specifically misperceptions about the child mortality rate, limited exposure to opposing views about family size and contraception, and social pressure. Free contraception did not influence fertility even in combination with these other interventions.
Creation Date
2024-04
Section URL ID
Paper Number
327
URL
https://gceps.princeton.edu/wp-content/uploads/2024/05/wp327_Jayachandran_free_contraception.pdf
File Function
Jel
J13; J18; O12
Keyword(s)
Burkina Faso, Family planning; Demographic transition; Social norms; Randomized trial
Suppress
false
Series
3