Fertility, Child Work, and Schooling Consequences of Family Planning Programs: Evidence from an Experiment in Rural Bangladesh

Family planning programs can significantly decrease lifetime fertility, but have no impact on child work and schooling.

Introduction

Economists and social scientists have long believed that family planning programs can reduce fertility and influence other household decisions. By empowering women to have more control over their fertility, family planning can provide them more with greater bargaining power in the inter-household decision-making process over children. Various programs have provided family planning education to couples, or to women or men on their own. In the Matlab Family Planning and Maternal Child Health (FP-MCH) program in Bangladesh, 70 villages were assigned to participate in ICDDR,B’s family planning program, while 72 villages continued on with the traditional government family planning program. In the treatment villages, trained female outreach workers visited all households once every 2 weeks to provide information to women about contraceptives and the management of side effects. They were also able to provide nonclinical methods (oral contraceptives, condoms, and foam tablets) and administered depo-medroxyprogesterone acetate (DMPA) injections. This study analyzed the outcomes of ICDDR,B’s program, measuring whether household behavior changed as a consequence of the family planning program, particularly on women’s fertility outcomes, children’s schooling, and children’s labor force participation.

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