Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?

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 contracep...

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Bibliographic Details
Main Authors: Athey, Susan, Bergstrom, Katy, Hadad, Vitor, Jamison, Julian C., Ozler, Berk, Parisotto, Luca, Sama, Julius Dohbit
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2021
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
id okr-10986-36304
recordtype oai_dc
spelling okr-10986-363042021-09-28T05:10:39Z Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives? Athey, Susan Bergstrom, Katy Hadad, Vitor Jamison, Julian C. Ozler, Berk Parisotto, Luca Sama, Julius Dohbit FAMILY PLANNING FERTILITY LONG-ACTING REVERSIBLE CONTRACEPTIVE HETEROGENOUS TREATMENT EFFECT COUNSELING 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. 2021-09-27T20:54:43Z 2021-09-27T20:54:43Z 2021-09 Working Paper 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 English Policy Research Working Paper;No. 9777 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa Africa Western and Central (AFW) Cameroon
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic FAMILY PLANNING
FERTILITY
LONG-ACTING REVERSIBLE CONTRACEPTIVE
HETEROGENOUS TREATMENT EFFECT
COUNSELING
spellingShingle FAMILY PLANNING
FERTILITY
LONG-ACTING REVERSIBLE CONTRACEPTIVE
HETEROGENOUS TREATMENT EFFECT
COUNSELING
Athey, Susan
Bergstrom, Katy
Hadad, Vitor
Jamison, Julian C.
Ozler, Berk
Parisotto, Luca
Sama, Julius Dohbit
Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
geographic_facet Africa
Africa Western and Central (AFW)
Cameroon
relation Policy Research Working Paper;No. 9777
description 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.
format Working Paper
author Athey, Susan
Bergstrom, Katy
Hadad, Vitor
Jamison, Julian C.
Ozler, Berk
Parisotto, Luca
Sama, Julius Dohbit
author_facet Athey, Susan
Bergstrom, Katy
Hadad, Vitor
Jamison, Julian C.
Ozler, Berk
Parisotto, Luca
Sama, Julius Dohbit
author_sort Athey, Susan
title Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
title_short Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
title_full Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
title_fullStr Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
title_full_unstemmed Shared Decision-Making : Can Improved Counseling Increase Willingness to Pay for Modern Contraceptives?
title_sort shared decision-making : can improved counseling increase willingness to pay for modern contraceptives?
publisher World Bank, Washington, DC
publishDate 2021
url 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
_version_ 1764484970635591680

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