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Effects of Expanding Contraceptive Choice: New Evidence from Virginia's Contraceptive Access Initiative / Jessica H. Kiser, Analisa Packham, Janelle Anthony, Evelyn Escobar, Emily Yeatts.
- Format:
- Book
- Author/Creator:
- Kiser, Jessica H.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w35108.
- NBER working paper series no. w35108
- Language:
- English
- Physical Description:
- 1 online resource: illustrations (black and white);
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2026.
- Summary:
- In 2018, the Virginia Department of Health implemented the Contraceptive Access Initiative (CAI) to increase access to long-acting reversible contraceptives (LARCs). 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 LARC take-up and childbearing rates before and after the CAI. Difference-in-differences estimates indicate that the CAI reduced birth rates in participating counties by approximately 3 percent, or less than half of the effect size of other similar, state-level programs. We show that this smaller effect is likely due to existing high LARC take-up and contraceptive substitution.
- Notes:
- April 2026.
- Print version record
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