Artículos de revistas
Access to the emergency contraceptive pill and women’s reproductive health: Evidence from public reform in Chile
Fecha
2021Registro en:
Demography (2021) 58(6):2291–2314
10.1215/00703370-9544015
Autor
Clarke, Damian Charles
Salinas, Viviana
Institución
Resumen
We examine
the sharp expansion
in availability
of the emergency
contraceptive
pill in Chile following
legalized
access through municipal
public
health care
centers.
We study the period 2002–2016 and a broad rollout
of the emergency
contraceptive
pill occurring
between 2008 and 2011. By combining
a number
of administrative
data sets on health outcomes
and pharmaceutical
use, and using event-study and
difference-
in-differences
methods,
we document
that this expansion
improved certain
classes
of women’s reproductive
health outcomes,
notably
reducing
rates of abortionrelated
morbidity.
These improvements
were greater in areas of the country
where the
rollout
of the emergency
contraceptive
pill was more extensive.
We also document
some evidence
that refusal to provide
the emergency
contraceptive
pill upon a women’s
request was linked with a worsening
in reproductive
health outcomes.
These results
point to the importance
of contraceptive
access as a determinant
of women’s reproductive
health and well-being and relates to a growing
body of work documenting the
importance
of women’s autonomy
as a determinant
of health.