Birth Collapse and a Large‐Scale Access Intervention with Subdermal Contraceptive Implants

Bibliographic Data

ID10795696
AuthorsRodrigo Ceni (0000-0002-7452-8831, Rodrigo Ceni, Cecilia Parada, Ivone Perazzo, and Eliana Sena, Instituto de Economía Universidad de la República Montevideo Uruguay, corresponding author), Cecilia Parada (0000-0001-5724-1444, Rodrigo Ceni, Cecilia Parada, Ivone Perazzo, and Eliana Sena, Instituto de Economía Universidad de la República Montevideo Uruguay), Ivone Perazzo (0000-0002-9775-1999, Rodrigo Ceni, Cecilia Parada, Ivone Perazzo, and Eliana Sena, Instituto de Economía Universidad de la República Montevideo Uruguay), Eliana Sena (Rodrigo Ceni, Cecilia Parada, Ivone Perazzo, and Eliana Sena, Instituto de Economía Universidad de la República Montevideo Uruguay)
Year2021
Volume52
Issue3
Pages321-342
Publication date2021-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12171
PMID34339522
OpenAlexW3190727261
LanguageEN
Citations received9
References cited27

Between 2016 and 2018, we observe in Uruguay a steep decline of almost 20 percent in the number of total births, leading to the collapse of the adolescent fertility rate after decades of relative stagnation. We estimate the quantitative contribution on birth rates, especially teen births, of a policy of expanded availability of subdermal contraceptive implants. We exploit the expansion schedule of a large‐scale policy of free‐of‐charge access to subdermal implants in the country's public health system through an event study to capture causal effects. We use detailed birth administrative records for the past 20 years. We document an average reduction of 3 percent in the birth rate in public health facilities across the two years after the policy was implemented in each department. These reductions were notably higher among teens and first births. Although changes in women's fertility decisions are a multicausal phenomenon, we claim that the expanded availability of subdermal contraceptive implants accounted for one‐third of the teen and young women's birth collapse

Birth rate · Developed country · Environmental health · Family planning · Fertility · Population · Public health · Research methodology · Total fertility rate · Demography · Gender, Labor, and Family Dynamics · Global Maternal and Child Health · Medicine · Nursing · Reproductive Health and Contraception

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