By clicking the "Accept" button or continuing to browse our site, you agree to first-party and session-only cookies being stored on your device to enhance site navigation and analyze site performance and traffic. For more information on our use of cookies, please see our Privacy Policy.
The Negligible Effect of Free Contraception on Fertility: Experimental Evidence from Burkina Faso
Pascaline Dupas
Seema Jayachandran
Adriana Lleras-Muney
Pauline Rossi
òòò½Íø Review (Forthcoming)
Abstract
We conducted a randomized trial among 14,545 households in rural Burkina Faso to test
the oft-cited hypothesis that limited access to contraception is an important driver of high
fertility rates in West Africa. We do not find support for this hypothesis. Women who
were given free access to modern contraception for three years did not have lower birth
rates; we can reject even modest effects. We cross-randomized additional interventions
to address inefficiencies that might depress demand for free contraception, specifically
misperceptions about the child mortality rate and social norms. Free contraception did
not significantly influence fertility even in combination with these interventions.