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Women’s use of family planning services: An experiment on the husband’s involvement

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  • D’Exelle, Ben
  • Ringdal, Charlotte
Abstract
Despite the increased availability of family planning services (FPS) in low-income countries, their use remains low, especially in rural sub-Saharan Africa. To investigate to what extent this is explained by the husband’s involvement in the decision process, we use an experiment in rural Tanzania in which couples choose between two payments, one being conditional on attending a family planning meeting at a health center. Experimentally varying the husband’s involvement, we find that FPS are more likely chosen in treatments that involve the husband. Exploring potential mechanisms, we show that this is driven by couples where the wife (incorrectly) believes that the husband disapproves of contraceptives. We also find that involving the husband increases the wife’s expectation that the family planning meeting will be attended. Both findings suggest that initiating communication between spouses could reduce demand constraints.

Suggested Citation

  • D’Exelle, Ben & Ringdal, Charlotte, 2022. "Women’s use of family planning services: An experiment on the husband’s involvement," Journal of Development Economics, Elsevier, vol. 158(C).
  • Handle: RePEc:eee:deveco:v:158:y:2022:i:c:s0304387822000736
    DOI: 10.1016/j.jdeveco.2022.102915
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    References listed on IDEAS

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    1. Miller, Grant & de Paula, Áureo & Valente, Christine, 2020. "Subjective Expectations and Demands for Contraception," CINCH Working Paper Series (since 2020) 73328, Duisburg-Essen University Library, DuEPublico.
    2. Oriana Bandiera & Niklas Buehren & Robin Burgess & Markus Goldstein & Selim Gulesci & Imran Rasul & Munshi Sulaiman, 2020. "Women's Empowerment in Action: Evidence from a Randomized Control Trial in Africa," American Economic Journal: Applied Economics, American Economic Association, vol. 12(1), pages 210-259, January.
    3. Munro, Alistair & Kebede, Bereket & Tarazona-Gomez, Marcela & Verschoor, Arjan, 2014. "Autonomy and efficiency. An experiment on household decisions in two regions of India," Journal of the Japanese and International Economies, Elsevier, vol. 33(C), pages 114-133.
    4. Uzma Afzal & Giovanna d'Adda & Marcel Fafchamps & Farah Said, 2022. "Intrahousehold Consumption Allocation and Demand for Agency: A Triple Experimental Investigation," American Economic Journal: Applied Economics, American Economic Association, vol. 14(3), pages 400-444, July.
    5. Nava Ashraf, 2009. "Spousal Control and Intra-household Decision Making: An Experimental Study in the Philippines," American Economic Review, American Economic Association, vol. 99(4), pages 1245-1277, September.
    6. Matthias Doepke & Fabian Kindermann, 2019. "Bargaining over Babies: Theory, Evidence, and Policy Implications," American Economic Review, American Economic Association, vol. 109(9), pages 3264-3306, September.
    7. Doss, Cheryl, 2013. "Intrahousehold bargaining and resource allocation in developing countries," Policy Research Working Paper Series 6337, The World Bank.
    8. Wang, C.C. & Vittinghoff, E. & Hua, L.S. & Yun, W.H. & Rong, Z.M., 1998. "Reducing pregnancy and induced abortion rates in China: Family planning with husband participation," American Journal of Public Health, American Public Health Association, vol. 88(4), pages 646-648.
    9. Matthias Doepke & Michèle Tertilt, 2018. "Women's Empowerment, the Gender Gap in Desired Fertility, and Fertility Outcomes in Developing Countries," AEA Papers and Proceedings, American Economic Association, vol. 108, pages 358-362, May.
    10. Siwan Anderson & Jean-Marie Baland, 2002. "The Economics of Roscas and Intrahousehold Resource Allocation," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 117(3), pages 963-995.
    11. Pamela Jakiela & Owen Ozier, 2016. "Does Africa Need a Rotten Kin Theorem? Experimental Evidence from Village Economies," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 83(1), pages 231-268.
    12. Nava Ashraf & Erica Field & Jean Lee, 2014. "Household Bargaining and Excess Fertility: An Experimental Study in Zambia," American Economic Review, American Economic Association, vol. 104(7), pages 2210-2237, July.
    13. Cheryl Doss, 2013. "Intrahousehold Bargaining and Resource Allocation in Developing Countries-super-1," The World Bank Research Observer, World Bank, vol. 28(1), pages 52-78, February.
    14. Rasul, Imran, 2008. "Household bargaining over fertility: Theory and evidence from Malaysia," Journal of Development Economics, Elsevier, vol. 86(2), pages 215-241, June.
    15. Carolina Castilla & Thomas Walker, 2013. "Is Ignorance Bliss? The Effect of Asymmetric Information between Spouses on Intra-household Allocations," American Economic Review, American Economic Association, vol. 103(3), pages 263-268, May.
    16. Nava Ashraf & Dean Karlan & Wesley Yin, 2006. "Tying Odysseus to the Mast: Evidence From a Commitment Savings Product in the Philippines," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(2), pages 635-672.
    17. McCarthy, Aine Seitz, 2019. "Intimate partner violence and family planning decisions: Experimental evidence from rural Tanzania," World Development, Elsevier, vol. 114(C), pages 156-174.
    18. Younoh Kim & Vlad Radoias, 2014. "Intra Marriage Bargaining Power and Fertility Decisions for Women in Developing Countries," Working Papers 2014-06, Towson University, Department of Economics, revised Oct 2014.
    19. Siwan Anderson & Jean-Marie Baland, 2002. "The Economics of Roscas and Intrahousehold Resource Allocation," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 117(3), pages 963-995.
    20. Alistair Munro & Bereket Kebede & Marcela Tarazona-Gomez & Arjan Verschoor, 2013. "Autonomy and Efficiency: An Experiment on Household Decisions in Two Regions of India," NBER Chapters, in: Experiments for Development: Achievements and New Directions, National Bureau of Economic Research, Inc.
    21. Browning,Martin & Chiappori,Pierre-André & Weiss,Yoram, 2014. "Economics of the Family," Cambridge Books, Cambridge University Press, number 9780521795395.
    22. Ian Bateman & Alistair Munro, 2005. "An Experiment on Risky Choice Amongst Households," Economic Journal, Royal Economic Society, vol. 115(502), pages 176-189, March.
    23. Alistair Munro, 2018. "Intra†Household Experiments: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 32(1), pages 134-175, February.
    24. Richard Blundell & Pierre-André Chiappori & Costas Meghir, 2005. "Collective Labor Supply with Children," Journal of Political Economy, University of Chicago Press, vol. 113(6), pages 1277-1306, December.
    25. Chiappori, Pierre-Andre, 1988. "Rational Household Labor Supply," Econometrica, Econometric Society, vol. 56(1), pages 63-90, January.
    26. Hoel, Jessica B., 2015. "Heterogeneous households: A within-subject test of asymmetric information between spouses in Kenya," Journal of Economic Behavior & Organization, Elsevier, vol. 118(C), pages 123-135.
    27. Nava Ashraf & Erica M. Field & Alessandra Voena & Roberta Ziparo, 2020. "Maternal Mortality Risk and Spousal Differences in the Demand for Children," NBER Working Papers 28220, National Bureau of Economic Research, Inc.
    28. Chiappori, Pierre-Andre, 1992. "Collective Labor Supply and Welfare," Journal of Political Economy, University of Chicago Press, vol. 100(3), pages 437-467, June.
    29. Hazel Jean L. Malapit & Esha Sraboni & Agnes R. Quisumbing & Akhter U. Ahmed, 2019. "Intrahousehold empowerment gaps in agriculture and children's well‐being in Bangladesh," Development Policy Review, Overseas Development Institute, vol. 37(2), pages 176-203, March.
    30. Shattuck, D. & Kerner, B. & Gilles, K. & Hartmann, M. & Ng'ombe, T. & Guest, G., 2011. "Encouraging contraceptive uptake by motivating men to communicate about family planning: The Malawi Male Motivator project," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1089-1095.
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    More about this item

    Keywords

    Household bargaining; Family planning; Incomplete information; Tanzania;
    All these keywords.

    JEL classification:

    • C7 - Mathematical and Quantitative Methods - - Game Theory and Bargaining Theory
    • D1 - Microeconomics - - Household Behavior
    • D8 - Microeconomics - - Information, Knowledge, and Uncertainty
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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