Contraceptive choice, fertility, and public policy in Zimbabwe

The determinants of contraceptive use in Zimbabwe are examined using individual-level survey data in conjunction with two special community surveys. The spotlight is focused on the role of the availability and quality of community health and family planning services. The impact of the household reso...

Full description

Found in: Cs. Económicas
Main Author: Thomas, Duncan
Corporate Authors: Banco Mundial
Other Authors: Maluccio, John
Format: Book
Published: Washington, D.C. World Bank 1994
Series: Living standards measurement study working paper no. 109
Subjects:
LEADER 02969nam a2200301 a 4500
003 arcduce
005 20120731113353.0
008 100302s1994 dcu||||| |||| 00| 0 eng d
020 |a 0-8213-3018-7 
040 |a arcduce 
082 |a 363.960968 
090 |c 16783  |d 16783 
100 |a Thomas, Duncan 
245 |a Contraceptive choice, fertility, and public policy in Zimbabwe  |c / Duncan Thomas, John Maluccio 
260 |b World Bank  |a Washington, D.C.  |c 1994 
300 |a xi, 43 p. :  |b il. 
490 |a Living standards measurement study working paper  |v no. 109  |x 0253-4517 
504 |a Incluye bibliografía 
505 |a Foreword -- Abstract -- Acknowledgments -- Introduction -- Model -- Data and methods -- Regression results -- Conclusions -- References -- Appendix. 
520 |a The determinants of contraceptive use in Zimbabwe are examined using individual-level survey data in conjunction with two special community surveys. The spotlight is focused on the role of the availability and quality of community health and family planning services. The impact of the household resources and individual characteristics, in particular education and measures of income, are also taken into consideration. In order to evaluate the distributional impact of investments in health programs, special attention is paid to differences in the effects of the programs across educational groups. The study proceeds to investigate the determinants of fertility outcomes and then turns to the impact of contraceptive use on fertility, taking account of the fact that both reflect, at least in part, the outcome of choices by couples. The results indicate that the availability and quality of family planning and health services in the community are associated with higher rates of adoption of modern contraceptives. Public health policy has sought to bring community-based distributors to all communities in Zimbabwe; this is likely to be associated with increased adoption of modern methods. Mobile family planning clinics seem to have an even more powerful impact on adoption as does the presence of a general hospital in the area; the impact of these two investments in infrastructure is larger among women with little education. Higher fertility women are more likely to use modern contraceptive methods. However, after taking account of unobserved heterogeneity, there is no relationship between the use of modern methods and fertility, except among very young women for whom higher contraceptive use is associated with higher fertility. This suggests, perhaps, that these young women wish to demonstrate their fecundity before adopting modern methods or are being targeted for contraceptives after the birth of their first child.  
650 |a PLANIFICACION FAMILIAR  
650 |a ANTICONCEPCION  
650 |a FECUNDIDAD  
651 |a ZIMBABWE 
700 |a Maluccio, John 
710 |a Banco Mundial 
942 |c LIBR  |j 363.960968 T 47869 
999 |c 16754  |d 16754