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PSC Brownbag Series: Effects of Expanding Contraceptive Choice: New Evidence from Virginia’s Contraceptive Access Initiative

Analisa Packham
Monday, April 15, 2024
12:00-1:00 PM
1430 Institute For Social Research Map
In 2018, the Virginia Department of Health implemented the Contraceptive Access Initiative (CAI) to increase access to hormonal contraceptives and Long-Acting Reversible Contraceptives (LARC) for low-income women. In this paper, we use encounter-level data on contraceptive choice in participating CAI clinics and county-level natality data from 2014–2021 to estimate relative changes in childbearing before and after the CAI. When comparing counties with CAI clinics in Virginia to counties in bordering states with publicly funded clinics, difference-in-differences estimates indicate that the CAI reduced birth rates in participating counties by 1.8–3.5 percent. Despite the success of the program in reducing unintended births, we note that this magnitude is less than half of the effect size of other similar, state-level programs. We present new evidence that this smaller effect is due to the existing high LARC take-up in Virginia as well as the substitution effects from other contraceptive devices, suggesting that policy environment and demand are important determinants for effectiveness

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Meeting ID: 954 1861 0585
Passcode: 818420
Building: Institute For Social Research
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Event Type: Workshop / Seminar
Tags: economics, Gender Studies, Inequality, Poverty, Public Health, Public Policy, Social Sciences, Sociology
Source: Happening @ Michigan from Population Studies Center, Institute for Social Research, Department of Economics, Department of Sociology