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Contraceptive supply and fertility outcomes: evidence from Ghana

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  • Jones, Kelly M.

Abstract

Total fertility rates in Sub-Saharan Africa are nearly double that of any other region in the world. Evidence is mixed on whether providing contraceptives has an impact on fertility. I exploit exogenous, intermittent reductions in contraceptive supply in Ghana, resulting from cuts in U.S. funding, to examine impacts on pregnancy, abortion, and births. Women are unable to fully compensate for the 22% supply reduction using traditional methods for preventing pregnancy, which increases by 10%. Only non-poor women offset these unwanted pregnancies with induced abortion. Using separate data, I find that poor women experience increases in realized fertility of 7-10%.

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  • Jones, Kelly M., 2013. "Contraceptive supply and fertility outcomes: evidence from Ghana," MPRA Paper 55184, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:55184
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    1. Grant Miller, 2010. "Contraception as Development? New Evidence from Family Planning in Colombia," Economic Journal, Royal Economic Society, vol. 120(545), pages 709-736, June.
    2. Shareen Joshi & T. Paul Schultz, 2007. "Family Planning as an Investment in Development: Evaluation of a Program's Consequences in Matlab, Bangladesh," Working Papers 951, Economic Growth Center, Yale University.
    3. Mitrut, Andreea & Wolff, François-Charles, 2011. "The impact of legalized abortion on child health outcomes and abandonment. Evidence from Romania," Journal of Health Economics, Elsevier, vol. 30(6), pages 1219-1231.
    4. Janet Currie & Lucia Nixon & Nancy Cole, 1996. "Restrictions on Medicaid Funding of Abortion: Effects on Birth Weight and Pregnancy Resolutions," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 159-188.
    5. Cristian Pop-Eleches, 2010. "The Supply of Birth Control Methods, Education, and Fertility: Evidence from Romania," Journal of Human Resources, University of Wisconsin Press, vol. 45(4), pages 971-997.
    6. Cristian Pop-Eleches, 2006. "The Impact of an Abortion Ban on Socioeconomic Outcomes of Children: Evidence from Romania," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 744-773, August.
    7. Martha J. Bailey & Brad Hershbein & Amalia R. Miller, 2012. "The Opt-In Revolution? Contraception and the Gender Gap in Wages," American Economic Journal: Applied Economics, American Economic Association, vol. 4(3), pages 225-254, July.
    8. Jonathan Gruber & Phillip Levine & Douglas Staiger, 1999. "Abortion Legalization and Child Living Circumstances: Who is the "Marginal Child"?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(1), pages 263-291.
    9. Easterly, William & Williamson, Claudia R., 2011. "Rhetoric versus Reality: The Best and Worst of Aid Agency Practices," World Development, Elsevier, vol. 39(11), pages 1930-1949.
    10. Johan Walt, 2009. "Dead aid: Why aid is not working and how there is a better way for Africa," The Review of Austrian Economics, Springer;Society for the Development of Austrian Economics, vol. 22(4), pages 431-432, December.
    11. Elizabeth Oltmans Ananat & Jonathan Gruber & Phillip Levine, 2007. "Abortion Legalization and Life-Cycle Fertility," Journal of Human Resources, University of Wisconsin Press, vol. 42(2).
    12. Nava Ashraf & Erica Field & Jean Lee, 2014. "Household Bargaining and Excess Fertility: An Experimental Study in Zambia," American Economic Review, American Economic Association, vol. 104(7), pages 2210-2237, July.
    13. Sinha, Nistha, 2005. "Fertility, Child Work, and Schooling Consequences of Family Planning Programs: Evidence from an Experiment in Rural Bangladesh," Economic Development and Cultural Change, University of Chicago Press, vol. 54(1), pages 97-128, October.
    14. repec:bla:obuest:v:63:y:2001:i:4:p:409-36 is not listed on IDEAS
    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. Dudley Kirk, 1960. "The Influence of Business Cycles on Marriage and Birth Rates," NBER Chapters, in: Demographic and Economic Change in Developed Countries, pages 241-260, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Finlay, Jocelyn E., 2021. "Women’s reproductive health and economic activity: A narrative review," World Development, Elsevier, vol. 139(C).
    2. Brittany Moore & Yana van der Meulen Rodgers & Ernestina Coast & Samantha R Lattof & Cheri Poss, 2021. "History and scientific background on the economics of abortion," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-9, September.
    3. David E. Bloom & Dara Lee Luca, 2016. "The Global Demography of Aging: Facts, Explanations, Future," PGDA Working Papers 13016, Program on the Global Demography of Aging.
    4. J.M. Ian Salas, 2012. "Consequences of withdrawal : Free condoms and birth rates in the Philippines," UP School of Economics Discussion Papers 201220, University of the Philippines School of Economics.
    5. Clarke, Damian, 2023. "The Economics of Abortion Policy," IZA Discussion Papers 16395, Institute of Labor Economics (IZA).
    6. Gitanjali Sen & Mitul Surana & Rakesh Basant, 2023. "To What Extent Does the Fertility Rate Explain the Education Gap?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(3), pages 1-31, June.
    7. Bloom, D.E. & Luca, D.L., 2016. "The Global Demography of Aging," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 3-56, Elsevier.
    8. 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.
    9. Margaret Giorgio & Fredrick Makumbi & Simon Peter Sebina Kibira & Suzanne Bell & Selena Anjur-Dietrich & Elizabeth Sully, 2020. "Investigating the early impact of the Trump Administration’s Global Gag Rule on sexual and reproductive health service delivery in Uganda," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-15, April.
    10. Erasmus Kersting & Christopher Kilby, 2021. "Do domestic politics shape U.S. influence in the World Bank?," The Review of International Organizations, Springer, vol. 16(1), pages 29-58, January.
    11. Herrera-Almanza, Catalina & Rosales-Rueda, Maria F., 2020. "Reducing the Cost of Remoteness: Community-Based Health Interventions and Fertility Choices," Journal of Health Economics, Elsevier, vol. 73(C).
    12. Bhalotra, Sonia R. & Clarke, Damian & Mühlrad, Hanna & Fernandez Sierra, Manuel, 2021. "US Presidential Party Switches Are Mirrored in Global Maternal Mortality," IZA Discussion Papers 14915, Institute of Labor Economics (IZA).
    13. Samantha R Lattof & Ernestina Coast & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2020. "The mesoeconomics of abortion: A scoping review and analysis of the economic effects of abortion on health systems," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-25, November.

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    More about this item

    Keywords

    fertility; contraception; abortion; foreign aid; Africa;
    All these keywords.

    JEL classification:

    • F35 - International Economics - - International Finance - - - Foreign Aid
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O19 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - International Linkages to Development; Role of International Organizations

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