Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
Susan Athey
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 Yaounde, 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
Year of publication: |
2021
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Authors: | Athey, Susan |
Other Persons: | Bergstrom, Katy (contributor) ; Hadad, Vitor (contributor) ; Jamison, Julian C. (contributor) ; Ozler, Berk (contributor) ; Parisotto, Luca (contributor) ; Sama, Julius Dohbit (contributor) |
Publisher: |
2021: Washington, D.C : The World Bank |
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