The Effect of Access to Long-acting Reversible Contraceptives and Information Campaigns on Teen Pregnancy


This paper investigates the importance of information campaigns in policies providing free access to contraceptives. Focusing on a policy change in Costa-Rica that introduced long-active reversible contraceptives (LARCs), we explore the effects of both access and information campaigns on the teen birth rate. Utilizing a differences-in-differences methodology, we show a reduction of over 21% in the teen birth rate during the first three years of the policy. While access is found to reduce the teen birth rate by 18%, the exposure to information campaigns in high schools plays a crucial role in amplifying the impact of access roughly a 4% extra per year of exposure. Adolescents aged 15 to 18 experience the most significant reductions, while 19-year-olds exhibit a lesser impact potentially due to lower exposure.We conclude that information campaigns are essential in conjunction with access to contraceptives to effectively address the adolescent birth rate.

Sevin Kaytan
Sevin Kaytan
PhD candidate in Economics

I’m a PhD student in CEMFI specializing in labor economics and gender economics. My research interests include inequality and immigration perspectives