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Family planning and fertility : estimating program effects using cross-sectional data

Author

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  • Portner, Claus C
  • Beegle, Kathleen
  • Christiaensen, Luc

Abstract

Although reproductive health advocates consider family planning programs the intervention of choice to reduce fertility, there remains a great deal of skepticism among economists as to their effectiveness, despite little rigorous evidence to support either position. This study explores the effects of family planning in Ethiopia using a novel set of instruments to control for potential non-random program placement. The instruments are based on ordinal rankings of area characteristics, motivated by competition between areas for resources. Access to family planning is found to reduce completed fertility by more than one child among women without education. No effect is found among women with some formal schooling, suggesting that family planning and formal education act as substitutes, at least in this low-income, low-growth setting. This provides support to the notion that increasing access to family planning can provide an important, complementary entry point to kick-start the process of fertility reduction.

Suggested Citation

  • Portner, Claus C & Beegle, Kathleen & Christiaensen, Luc, 2011. "Family planning and fertility : estimating program effects using cross-sectional data," Policy Research Working Paper Series 5812, The World Bank.
    • Handle: RePEc:wbk:wbrwps:5812
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    1. Nava Ashraf & Günther Fink & David N. Weil, 2014. "Evaluating the Effects of Large-Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative," NBER Chapters, in: African Successes, Volume II: Human Capital, pages 13-57, National Bureau of Economic Research, Inc.
    2. 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.
    3. 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.
    4. Pitt, Mark M. & Menon, Nidhiya, 2010. "Spatial Decentralization and Program Evaluation: Theory and an Example from Indonesia," IZA Discussion Papers 5208, Institute of Labor Economics (IZA).
    5. Rosenzweig, Mark R & Schultz, T Paul, 1989. "Schooling, Information and Nonmarket Productivity: Contraceptive Use and Its Effectiveness," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 30(2), pages 457-477, May.
    6. Pitt, Mark M & Rosenzweig, Mark R & Gibbons, Donna M, 1993. "The Determinants and Consequences of the Placement of Government Programs in Indonesia," The World Bank Economic Review, World Bank, vol. 7(3), pages 319-348, September.
    7. Paul Gertler & Jack Molyneaux, 1994. "Erratum to: How Economic Development and Family Planning Programs Combined to Reduce Indonesian Fertility," Demography, Springer;Population Association of America (PAA), vol. 31(2), pages 1-1, May.
    8. Pritchett, Lant H. & DEC, 1994. "Desired fertility and the impact of population policies," Policy Research Working Paper Series 1273, The World Bank.
    9. Sah, Raaj Kumar, 1991. "The Effects of Child Mortality Changes on Fertility Choice and Parental Welfare," Journal of Political Economy, University of Chicago Press, vol. 99(3), pages 582-606, June.
    10. Paul Gertler & John Molyneaux, 1994. "How economic development and family planning programs combined to reduce indonesian fertility," Demography, Springer;Population Association of America (PAA), vol. 31(1), pages 33-63, February.
    11. 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.
    12. Rosenzweig, Mark R & Wolpin, Kenneth I, 1986. "Evaluating the Effects of Optimally Distributed Public Programs: ChildHealth and Family Planning Interventions," American Economic Review, American Economic Association, vol. 76(3), pages 470-482, June.
    13. repec:ucp:bknber:9780226740867 is not listed on IDEAS
    14. World Bank, 2007. "Ethiopia - Capturing the Demographic Bonus in Ethiopia : Gender, Development, and Demographic Actions," World Bank Publications - Reports 7823, The World Bank Group.
    15. Moulton, Brent R, 1990. "An Illustration of a Pitfall in Estimating the Effects of Aggregate Variables on Micro Unit," The Review of Economics and Statistics, MIT Press, vol. 72(2), pages 334-338, May.
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    Cited by:

    1. Francesca Marchetta & David E. Sahn, 2016. "The Role of Education and Family Background in Marriage, Childbearing, and Labor Market Participation in Senegal," Economic Development and Cultural Change, University of Chicago Press, vol. 64(2), pages 369-403.
    2. Amanda Glassman, Kate McQueston, and Rachel Silverman, 2012. "Adolescent Fertility in Low- and Middle-Income Countries: Effects and Solutions - Working Paper 295," Working Papers 295, Center for Global Development.
    3. Marianna Battaglia & Nina Pallarés, 2018. "Family Planning and Child Health Care: Evidence from a Permanent Aggressive Intervention," Working Papers. Serie AD 2018-03, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
    4. Peter Glick & Christopher Handy & David E. Sahn, 2015. "Schooling, marriage, and age at first birth in Madagascar," Population Studies, Taylor & Francis Journals, vol. 69(2), pages 219-236, July.
    5. Herrera-Almanza, Catalina & Sahn, David E. & Villa, Kira M., 2016. "Teen Fertility and Labor Market Segmentation: Evidence from Madagascar," IZA Discussion Papers 10464, Institute of Labor Economics (IZA).
    6. Céline Zipfel, 2022. "The demand side of Africa's demographic transition: desired fertility, wealth, and jobs," STICERD - Economic Organisation and Public Policy Discussion Papers Series 71, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
    7. Herrera Catalina & E. Sahn David, 2017. "Working Paper 281 - Early Childbearing, School Attainment and Cognitive Skills," Working Paper Series 2398, African Development Bank.
    8. Elina Pradhan & David Canning, 2016. "The Effect of Schooling on Teenage Fertility: Evidence from the 1994 Education Reform in Ethiopia," PGDA Working Papers 12816, Program on the Global Demography of Aging.
    9. Herrera, Catalina & Sahn, David & Villa, Kira, 2016. "Early Fertility and Labor Market Segmentation: Evidence from Madagascar," 2016 Annual Meeting, July 31-August 2, Boston, Massachusetts 235749, Agricultural and Applied Economics Association.
    10. Catalina Herrera Almanza & David E. Sahn, 2018. "Early Childbearing, School Attainment, and Cognitive Skills: Evidence From Madagascar," Demography, Springer;Population Association of America (PAA), vol. 55(2), pages 643-668, April.
    11. David SAHN & Christopher HANDY & Peter GLICK, 2012. "Schooling, Marriage, and Childbearing in Madagascar," Working Papers 201225, CERDI.

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    More about this item

    Keywords

    Population Policies; Health Monitoring&Evaluation; Adolescent Health; Reproductive Health; Rural Development Knowledge&Information Systems;
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