IDEAS home Printed from https://ideas.repec.org/a/pal/palcom/v9y2022i1d10.1057_s41599-021-01016-0.html
   My bibliography  Save this article

Mapping and assessing sexual and reproductive health policy changes over time in Colombia: measuring their impact on pregnancy terminations

Author

Listed:
  • José Ignacio Nazif-Munoz

    (Université de Sherbrooke)

  • Rose Chabot

    (McGill University)

Abstract

Sexual and reproductive health and rights policies (SRHRPs) and their association with reproductive and non-reproductive behavior require precise theoretical and methodological frames. By studying the case of Colombia, we move forward with a comprehensive framework that considers simultaneously multiple SRHRP conceptualizations and their impacts over time on induced pregnancy terminations (IPT). With a mixed-method approach, we first map the evolution of SRHRPs and then analyze their direct and indirect effects on IPTs, using the provision of contraceptive methods by the government, female use of contraceptive methods, and conversations with health professionals in a mediation approach. We build a unique data set from more than 2100 policy documents, and then use data on 81,760 women (20–40 years) from four waves (2000–2015) of Colombia’s Demographic and Health Surveys. We find that SRHRPs are directly associated with an 18% reduction in reported IPTs. Associations between these variables are explained by the increased use of modern contraceptive methods (6%), and the government’s provision of those contraceptive methods (13%). Studies interested in the impact of SRHRPs need to consider not only the direct effects of legal changes on abortion outcomes but also show changes over time may operate through different sub-programs embedded in these policies, such as access to contraceptive methods and family planning. This will add further nuances to how SRHRPs are both multilayered and implemented.

Suggested Citation

  • José Ignacio Nazif-Munoz & Rose Chabot, 2022. "Mapping and assessing sexual and reproductive health policy changes over time in Colombia: measuring their impact on pregnancy terminations," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-13, December.
    • Handle: RePEc:pal:palcom:v:9:y:2022:i:1:d:10.1057_s41599-021-01016-0
    DOI: 10.1057/s41599-021-01016-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/s41599-021-01016-0
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1057/s41599-021-01016-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Levine, Phillip B & Staiger, Douglas, 2004. "Abortion Policy and Fertility Outcomes: The Eastern European Experience," Journal of Law and Economics, University of Chicago Press, vol. 47(1), pages 223-243, April.
    2. Fischer, Stefanie & Royer, Heather & White, Corey, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, Elsevier, vol. 167(C), pages 43-68.
    3. Blank, Rebecca M. & George, Christine C. & London, Rebecca A., 1996. "State abortion rates the impact of policies, providers, politics, demographics, and economic environment," Journal of Health Economics, Elsevier, vol. 15(5), pages 513-553, October.
    4. Lane, Sandra D., 1994. "From population control to reproductive health: An emerging policy agenda," Social Science & Medicine, Elsevier, vol. 39(9), pages 1303-1314, November.
    5. Roberts, S.C.M. & Fuentes, L. & Berglas, N.F. & Dennis, A.J., 2017. "A 21st-century public health approach to abortion," American Journal of Public Health, American Public Health Association, vol. 107(12), pages 1878-1882.
    6. Jaffré, Yannick & Suh, Siri, 2016. "Where the lay and the technical meet: Using an anthropology of interfaces to explain persistent reproductive health disparities in West Africa," Social Science & Medicine, Elsevier, vol. 156(C), pages 175-183.
    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. Andrew Beauchamp, 2016. "Abortion Costs, Separation, and Non-marital Childbearing," Journal of Family and Economic Issues, Springer, vol. 37(2), pages 182-196, June.
    2. Clarke, Damian, 2023. "The Economics of Abortion Policy," IZA Discussion Papers 16395, Institute of Labor Economics (IZA).
    3. Cavallini, Flavia, 2024. "Not the right time for children: Unemployment, fertility, and abortion," Labour Economics, Elsevier, vol. 87(C).
    4. Dench, Daniel & Pineda-Torres, Mayra & Myers, Caitlin, 2024. "The effects of post-Dobbs abortion bans on fertility," Journal of Public Economics, Elsevier, vol. 234(C).
    5. Sarah Miller & Laura R. Wherry & Diana Greene Foster, 2023. "The Economic Consequences of Being Denied an Abortion," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 394-437, February.
    6. Jones, Kelly M. & Pineda-Torres, Mayra, 2024. "TRAP’d Teens: Impacts of abortion provider regulations on fertility & education," Journal of Public Economics, Elsevier, vol. 234(C).
    7. António Melo, 2024. "Do all roads lead to the same destination? Proximity to abortion providers, abortions, and their conditions in Portugal," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(4), pages 1-31, December.
    8. Gábor Hajdu & Tamás Hajdu, 2021. "The long-term impact of restricted access to abortion on children’s socioeconomic outcomes," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-14, March.
    9. Dench, Daniel & Pineda-Torres, Mayra & Myers, Caitlin Knowles, 2023. "The Effects of the Dobbs Decision on Fertility," IZA Discussion Papers 16608, Institute of Labor Economics (IZA).
    10. Nina Brooks & Tom Zohar, 2021. "Out of Labor and Into the Labor Force? The Role of Abortion Access, Social Stigma, and Financial Constraints," Working Papers wp2021_2111, CEMFI.
    11. 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).
    12. Chen, Daniel L. & Levonyan, Vardges & Yeh, Susan, 2016. "Policies Affect Preferences: Evidence from Random Variation in Abortion Jurisprudence," IAST Working Papers 16-58, Institute for Advanced Study in Toulouse (IAST).
    13. Lena Janys & Bettina Siflinger, 2021. "Mental Health and Abortions among Young Women: Time-varying Unobserved Heterogeneity, Health Behaviors, and Risky Decisions," Papers 2103.12159, arXiv.org, revised May 2022.
    14. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    15. Melanie Guldi, 2008. "Fertility effects of abortion and birth control pill access for minors," Demography, Springer;Population Association of America (PAA), vol. 45(4), pages 817-827, November.
    16. Paul J. Gertler & Manisha Shah, 2011. "Sex Work and Infection: What's Law Enforcement Got to Do with It?," Journal of Law and Economics, University of Chicago Press, vol. 54(4), pages 811-840.
    17. Zavodny, Madeline & Bitler, Marianne P., 2010. "The effect of Medicaid eligibility expansions on fertility," Social Science & Medicine, Elsevier, vol. 71(5), pages 918-924, September.
    18. Kelly, Andrea & Lindo, Jason M. & Packham, Analisa, 2020. "The power of the IUD: Effects of expanding access to contraception through Title X clinics," Journal of Public Economics, Elsevier, vol. 192(C).
    19. Brunson, Jan, 2020. "Tool of economic development, metric of global health: Promoting planned families and economized life in Nepal," Social Science & Medicine, Elsevier, vol. 254(C).
    20. Silvie Colman & Theodore J. Joyce, "undated". "Regulating Abortion: Impact on Patients and Providers in Texas," Mathematica Policy Research Reports db01943e8d23431ca26fe3eaf, Mathematica Policy Research.

    More about this item

    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:pal:palcom:v:9:y:2022:i:1:d:10.1057_s41599-021-01016-0. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: https://www.nature.com/ .

    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.