避孕协调性研究

11148 Produced by the Research Support TeamAbstractThe Policy Research Working Paper Series disseminates the findings of work in progress to encourage the exchange of ideas about developmentissues. An objective of the series is to get the findings out quickly, even if the presentations are less than fully polished. The papers carry thenames of the authors and should be cited accordingly. The findings, interpretations, and conclusions expressed in this paper are entirely thoseof the authors. They do not necessarily represent the views of the International Bank for Reconstruction and Development/World Bank andits affiliated organizations, or those of the Executive Directors of the World Bank or the governments they represent.Policy Research Working Paper11148This paper proposes an indicator of contraceptive con-cordance that identifies the alignment between statedpreferences for contraception and concurrent contraceptivebehavior. The proposed indicator departs from traditionalapproaches to measurement in family planning that inferconcordance from the alignment between women’s con-traceptive (non-)use and their fertility preferences. Theindicator is estimated using data from a cross-sectionalsurvey that was conducted with 1,958 married women inrural India. More than half of the women in the sample(51.2 percent) report that they are currently using a con-traceptive method. More than three in five women (60.8This paper is a product of the Development Research Group, Development Economics. It is part of a larger effort by theWorld Bank to provide open access to its research and make a contribution to development policy discussions around theworld. Policy Research Working Papers are also posted on the Web at http://www.worldbank.org/prwp. The authors maybe contacted at sanukriti@worldbank.org. percent) were classified as wanting to use a contraceptivemethod at the time of the survey. While 60 percent ofthe sample women are classified to be concordant (eitherwanted users or wanted non-users), almost one in fourwomen (24.8 percent) state a preference for using con-traception but are not users (unwanted non-users), and15.2 percent of the women state a preference for not usingcontraception but are users (unwanted users). The paperdiscusses the comparative advantages and limitations of thisapproach relative to traditional measures and other recentlydeveloped indicators. ContraceptiveConcordance1Catalina Herrera-Almanza3S AnukritiKeywords: Contraception, Concordance, Family Planning, India, MeasurementWe thank Beth Sully, David Canning, and participants at the Demand-Side Family Planning Measurement Workshop fortheir helpful feedback and comments. Support for this project was provided by a World Bank Research Support Budgetgrant and the Program for Women’s Empowerment Research (POWER) at the Boston University Global DevelopmentPolicy Center through a grant from the William and Flora Hewlett Foundation (Grant No. 2020-1162). The study fundershad no role in study design, data collection, analysis, interpretation, or writing of the results. The findings, interpretations,and conclusions expressed in this paper are entirely those of the authors. They do not necessarily represent the views ofthe World Bank and its affiliated organizations, or those of theExecutive Directors of the World Bank or the governmentsGlobal Development Policy Center, Boston University, Boston, MA 02215Department of Agricultural and Consumer Economics, University of Illinois-Urbana Champaign, Urbana, IL 61801Development Research Group, World Bank, Washington, DC 20433Frederick S. Pardee School of Global Studies, Boston University, Boston, MA 02215 JEL codes: J13, I151they represent.2345 2IntroductionProgress: Slow or Stagnant?The1994 International Conference on Population and Development (ICPD)brought fortha shifttowards a rights-based approachto family planning and reproductive health (FP/RH) policy, practice,and service delivery(UNFPA 2014; Hardee, Kumar, et al. 2014; Hardee, Harris, et al. 2014).Throughthis movement, there has been growingdemand from researchers, policymakers, and practitionerstodevelopnewFP/RHindicators that effectively embodyICPD’s core missionto promotereproductiveagency and well-being(Bingenheimer et al. 2023).However,currentFP/RHindicatorshavelargelyfallen shortofreflectingthese goals(or failed altogether).Recently, there has been conceptual progress, with a consensus emerging around the need for newmetrics that better reflect the principles ofagencyand choiceinFP/RHdecision-making(Holt et al.2024; Bhan et al. 2022; Hardee and Jordan 2021).To this end,considerableeffortshavebeenmadeto introduceindicators that capture informed choice in contraceptive decision-making as a means tobothinfer the demand for family planning and estimate the extent to whichsuchdemand has beenmet.6Whileeffortsin this space have been enthusiastic, the development and implementation of newdemand-sidemeasures have beenconspicuouslyslow. Recentpropos