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...
| Main Authors: | , , , , , , |
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| Language: | English |
| Published: |
World Bank, Washington, DC
2021
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| Subjects: | |
| 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 |
| Summary: | 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. |
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