Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data

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 suppor...

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Main Authors: Portner, Claus C., Beegle, Kathleen, Christiaensen, Luc
Format: Policy Research Working Paper
Language:English
Published: 2012
Subjects:
IUD
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110927132145
http://hdl.handle.net/10986/3575
id okr-10986-3575
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic ABSTINENCE
ACCESS TO FAMILY PLANNING
ACCESS TO FAMILY PLANNING SERVICES
ACCESS TO HEALTH SERVICES
AGED
AVAILABILITY OF FAMILY PLANNING
AVERAGE AGE
BIRTH SPACING
BIRTH WEIGHT
BREASTFEEDING
CHILD BEARING
CHILD HEALTH
CHILD MORTALITY
CHILDREN PER WOMAN
CLINICS
CONCEPTION
CONDOMS
CONTRACEPTIVE
CONTRACEPTIVE METHODS
CONTRACEPTIVE PREVALENCE
CONTRACEPTIVE PREVALENCE RATE
CONTRACEPTIVE PREVALENCE RATES
CONTRACEPTIVE USE
CULTURAL CHANGE
CURRENT TOTAL FERTILITY
DECENTRALIZATION
DECLINE IN FERTILITY
DETERMINANTS OF FERTILITY
DEVELOPING COUNTRIES
DEVELOPMENT POLICY
ECONOMIC GROWTH
ECONOMICS
EDUCATED WOMEN
ETHNIC GROUP
FAMILY ECONOMICS
FAMILY FORMATION
FAMILY PLANNING
FAMILY PLANNING CLINIC
FAMILY PLANNING FACILITIES
FAMILY PLANNING METHODS
FAMILY PLANNING PROGRAM
FAMILY PLANNING PROGRAMS
FAMILY PLANNING SERVICE
FAMILY PLANNING SERVICES
FEMALE STERILIZATION
FERTILITY
FERTILITY DECLINE
FERTILITY PATTERNS
FERTILITY RATE
FERTILITY RATES
FEWER BIRTHS
FOOD INSECURITY
FORMAL EDUCATION
GIRLS
GOVERNMENT PROGRAMS
HEALTH CARE
HEALTH FACILITIES
HEALTH FACILITY
HEALTH SERVICES
HEALTH SYSTEM
HIGH FERTILITY RATE
HIGH POPULATION GROWTH
HOUSEHOLD INCOME
HOUSEHOLD POVERTY
HOUSING
IMPACT OF FAMILY PLANNING
IMPACT OF POPULATION
IMPACT ON FERTILITY
IMPORTANT POLICY
INJECTABLE CONTRACEPTIVES
INTERVENTION
IUD
LABOR MARKET
LABOUR FORCE
LACK OF INFORMATION
LEVELS OF EDUCATION
LIFETIME FERTILITY
LIMITED RESOURCES
LIVE BIRTHS
LIVING STANDARDS
LOW INCOME
LOW-INCOME COUNTRIES
LOW-INCOME SETTINGS
MALARIA
MARRIED WOMEN
METHOD OF CONTRACEPTION
MIGRATION
MODERN CONTRACEPTIVES
MORTALITY LEVELS
MORTALITY RATE
NATIONAL POPULATION
NATIONAL POPULATION POLICY
NUMBER OF BIRTHS
NUMBER OF CHILDREN
NUMBER OF WOMEN
OLD AGE
OLDER WOMEN
ORAL CONTRACEPTIVES
PATHFINDER INTERNATIONAL
PILLS
POLICY DISCUSSIONS
POLICY IMPLICATIONS
POLICY MAKERS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION AND DEVELOPMENT
POPULATION GROWTH
POPULATION GROWTH RATE
POPULATION GROWTH RATES
POPULATION POLICIES
POPULATION POLICY
POPULATION SIZE
PREGNANCIES
PREGNANCY
PROGRESS
REPRODUCTIVE AGE
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH PROGRAMS
REPRODUCTIVE LIFE
REPRODUCTIVE YEARS
RESOURCE ALLOCATION
RESPECT
ROLE OF GENDER
RURAL AREAS
RURAL COMMUNITIES
SCHOOLS
SOCIAL SECTOR
TOTAL FERTILITY RATE
TOTAL FERTILITY RATES
UNWANTED BIRTHS
UNWANTED FERTILITY
URBAN AREAS
URBAN COMMUNITIES
URBANIZATION
WOMAN
WORLD POPULATION
YOUNG WOMEN
YOUNGER WOMEN
spellingShingle ABSTINENCE
ACCESS TO FAMILY PLANNING
ACCESS TO FAMILY PLANNING SERVICES
ACCESS TO HEALTH SERVICES
AGED
AVAILABILITY OF FAMILY PLANNING
AVERAGE AGE
BIRTH SPACING
BIRTH WEIGHT
BREASTFEEDING
CHILD BEARING
CHILD HEALTH
CHILD MORTALITY
CHILDREN PER WOMAN
CLINICS
CONCEPTION
CONDOMS
CONTRACEPTIVE
CONTRACEPTIVE METHODS
CONTRACEPTIVE PREVALENCE
CONTRACEPTIVE PREVALENCE RATE
CONTRACEPTIVE PREVALENCE RATES
CONTRACEPTIVE USE
CULTURAL CHANGE
CURRENT TOTAL FERTILITY
DECENTRALIZATION
DECLINE IN FERTILITY
DETERMINANTS OF FERTILITY
DEVELOPING COUNTRIES
DEVELOPMENT POLICY
ECONOMIC GROWTH
ECONOMICS
EDUCATED WOMEN
ETHNIC GROUP
FAMILY ECONOMICS
FAMILY FORMATION
FAMILY PLANNING
FAMILY PLANNING CLINIC
FAMILY PLANNING FACILITIES
FAMILY PLANNING METHODS
FAMILY PLANNING PROGRAM
FAMILY PLANNING PROGRAMS
FAMILY PLANNING SERVICE
FAMILY PLANNING SERVICES
FEMALE STERILIZATION
FERTILITY
FERTILITY DECLINE
FERTILITY PATTERNS
FERTILITY RATE
FERTILITY RATES
FEWER BIRTHS
FOOD INSECURITY
FORMAL EDUCATION
GIRLS
GOVERNMENT PROGRAMS
HEALTH CARE
HEALTH FACILITIES
HEALTH FACILITY
HEALTH SERVICES
HEALTH SYSTEM
HIGH FERTILITY RATE
HIGH POPULATION GROWTH
HOUSEHOLD INCOME
HOUSEHOLD POVERTY
HOUSING
IMPACT OF FAMILY PLANNING
IMPACT OF POPULATION
IMPACT ON FERTILITY
IMPORTANT POLICY
INJECTABLE CONTRACEPTIVES
INTERVENTION
IUD
LABOR MARKET
LABOUR FORCE
LACK OF INFORMATION
LEVELS OF EDUCATION
LIFETIME FERTILITY
LIMITED RESOURCES
LIVE BIRTHS
LIVING STANDARDS
LOW INCOME
LOW-INCOME COUNTRIES
LOW-INCOME SETTINGS
MALARIA
MARRIED WOMEN
METHOD OF CONTRACEPTION
MIGRATION
MODERN CONTRACEPTIVES
MORTALITY LEVELS
MORTALITY RATE
NATIONAL POPULATION
NATIONAL POPULATION POLICY
NUMBER OF BIRTHS
NUMBER OF CHILDREN
NUMBER OF WOMEN
OLD AGE
OLDER WOMEN
ORAL CONTRACEPTIVES
PATHFINDER INTERNATIONAL
PILLS
POLICY DISCUSSIONS
POLICY IMPLICATIONS
POLICY MAKERS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION AND DEVELOPMENT
POPULATION GROWTH
POPULATION GROWTH RATE
POPULATION GROWTH RATES
POPULATION POLICIES
POPULATION POLICY
POPULATION SIZE
PREGNANCIES
PREGNANCY
PROGRESS
REPRODUCTIVE AGE
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH PROGRAMS
REPRODUCTIVE LIFE
REPRODUCTIVE YEARS
RESOURCE ALLOCATION
RESPECT
ROLE OF GENDER
RURAL AREAS
RURAL COMMUNITIES
SCHOOLS
SOCIAL SECTOR
TOTAL FERTILITY RATE
TOTAL FERTILITY RATES
UNWANTED BIRTHS
UNWANTED FERTILITY
URBAN AREAS
URBAN COMMUNITIES
URBANIZATION
WOMAN
WORLD POPULATION
YOUNG WOMEN
YOUNGER WOMEN
Portner, Claus C.
Beegle, Kathleen
Christiaensen, Luc
Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data
geographic_facet The World Region
The World Region
relation Policy Research working paper ; no. WPS 5812
description 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.
format Publications & Research :: Policy Research Working Paper
author Portner, Claus C.
Beegle, Kathleen
Christiaensen, Luc
author_facet Portner, Claus C.
Beegle, Kathleen
Christiaensen, Luc
author_sort Portner, Claus C.
title Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data
title_short Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data
title_full Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data
title_fullStr Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data
title_full_unstemmed Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data
title_sort family planning and fertility : estimating program effects using cross-sectional data
publishDate 2012
url http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110927132145
http://hdl.handle.net/10986/3575
_version_ 1764387273825058816
spelling okr-10986-35752021-04-23T14:02:10Z Family Planning and Fertility : Estimating Program Effects Using Cross-Sectional Data Portner, Claus C. Beegle, Kathleen Christiaensen, Luc ABSTINENCE ACCESS TO FAMILY PLANNING ACCESS TO FAMILY PLANNING SERVICES ACCESS TO HEALTH SERVICES AGED AVAILABILITY OF FAMILY PLANNING AVERAGE AGE BIRTH SPACING BIRTH WEIGHT BREASTFEEDING CHILD BEARING CHILD HEALTH CHILD MORTALITY CHILDREN PER WOMAN CLINICS CONCEPTION CONDOMS CONTRACEPTIVE CONTRACEPTIVE METHODS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE PREVALENCE RATE CONTRACEPTIVE PREVALENCE RATES CONTRACEPTIVE USE CULTURAL CHANGE CURRENT TOTAL FERTILITY DECENTRALIZATION DECLINE IN FERTILITY DETERMINANTS OF FERTILITY DEVELOPING COUNTRIES DEVELOPMENT POLICY ECONOMIC GROWTH ECONOMICS EDUCATED WOMEN ETHNIC GROUP FAMILY ECONOMICS FAMILY FORMATION FAMILY PLANNING FAMILY PLANNING CLINIC FAMILY PLANNING FACILITIES FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FAMILY PLANNING SERVICE FAMILY PLANNING SERVICES FEMALE STERILIZATION FERTILITY FERTILITY DECLINE FERTILITY PATTERNS FERTILITY RATE FERTILITY RATES FEWER BIRTHS FOOD INSECURITY FORMAL EDUCATION GIRLS GOVERNMENT PROGRAMS HEALTH CARE HEALTH FACILITIES HEALTH FACILITY HEALTH SERVICES HEALTH SYSTEM HIGH FERTILITY RATE HIGH POPULATION GROWTH HOUSEHOLD INCOME HOUSEHOLD POVERTY HOUSING IMPACT OF FAMILY PLANNING IMPACT OF POPULATION IMPACT ON FERTILITY IMPORTANT POLICY INJECTABLE CONTRACEPTIVES INTERVENTION IUD LABOR MARKET LABOUR FORCE LACK OF INFORMATION LEVELS OF EDUCATION LIFETIME FERTILITY LIMITED RESOURCES LIVE BIRTHS LIVING STANDARDS LOW INCOME LOW-INCOME COUNTRIES LOW-INCOME SETTINGS MALARIA MARRIED WOMEN METHOD OF CONTRACEPTION MIGRATION MODERN CONTRACEPTIVES MORTALITY LEVELS MORTALITY RATE NATIONAL POPULATION NATIONAL POPULATION POLICY NUMBER OF BIRTHS NUMBER OF CHILDREN NUMBER OF WOMEN OLD AGE OLDER WOMEN ORAL CONTRACEPTIVES PATHFINDER INTERNATIONAL PILLS POLICY DISCUSSIONS POLICY IMPLICATIONS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION AND DEVELOPMENT POPULATION GROWTH POPULATION GROWTH RATE POPULATION GROWTH RATES POPULATION POLICIES POPULATION POLICY POPULATION SIZE PREGNANCIES PREGNANCY PROGRESS REPRODUCTIVE AGE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS REPRODUCTIVE LIFE REPRODUCTIVE YEARS RESOURCE ALLOCATION RESPECT ROLE OF GENDER RURAL AREAS RURAL COMMUNITIES SCHOOLS SOCIAL SECTOR TOTAL FERTILITY RATE TOTAL FERTILITY RATES UNWANTED BIRTHS UNWANTED FERTILITY URBAN AREAS URBAN COMMUNITIES URBANIZATION WOMAN WORLD POPULATION YOUNG WOMEN YOUNGER WOMEN 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. 2012-03-19T18:04:51Z 2012-03-19T18:04:51Z 2011-09-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110927132145 http://hdl.handle.net/10986/3575 English Policy Research working paper ; no. WPS 5812 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper The World Region The World Region