Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
Long-acting reversible contraceptives are highly effective in preventing unintended pregnancies, but take-up remains low. This paper analyzes a randomized controlled trial of interventions addressing two barriers to long-acting reversible contraceptive adoption, credit, and informational constraints. The study offered discounts to the clients of a women’s hospital in Yaoundé, Cameroon, and cross-randomized a counseling strategy that encourages shared decision-making using a tablet-based app that ranks modern methods. Discounts increased uptake by 50 percent, with larger effects for adolescents. Shared decision-making tripled the share of clients adopting a long-acting reversible contraceptive at full price, from 11 to 35 percent, and discounts had no incremental impact in this group.
| Main Authors: | , , , , , , |
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| Format: | Working Paper biblioteca |
| Language: | English |
| Published: |
World Bank, Washington, DC
2021-09
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| Subjects: | FAMILY PLANNING, FERTILITY, LONG-ACTING REVERSIBLE CONTRACEPTIVE, HETEROGENOUS TREATMENT EFFECT, COUNSELING, |
| Online Access: | http://documents.worldbank.org/curated/undefined/454221632144123878/Shared-Decision-Making-Can-Improved-Counseling-Increase-Willingness-to-Pay-for-Modern-Contraceptives http://hdl.handle.net/10986/36304 |
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