世界银行-避孕协调（英）

Policy Research Working Paper11148Contraceptive ConcordanceSarah VincentCatalina Herrera-AlmanzaS AnukritiMahesh KarraDevelopment Economics Development Research GroupJune 2025 Public Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedProduced by the Research Support TeamAbstractThe Policy Research Working Paper Series disseminates the findings of work in progress to encourage the exchange of ideas about development issues. An objective of the series is to get the findings out quickly, even if the presentations are less than fully polished. The papers carry the names of the authors and should be cited accordingly. The findings, interpretations, and conclusions expressed in this paper are entirely those of the authors. They do not necessarily represent the views of the International Bank for Reconstruction and Development/World Bank and its affiliated organizations, or those of the Executive Directors of the World Bank or the governments they represent.Policy Research Working Paper 11148This paper proposes an indicator of contraceptive con-cordance that identifies the alignment between stated preferences for contraception and concurrent contraceptive behavior. The proposed indicator departs from traditional approaches to measurement in family planning that infer concordance from the alignment between women’s con-traceptive (non-)use and their fertility preferences. The indicator is estimated using data from a cross-sectional survey that was conducted with 1,958 married women in rural 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 (60.8 percent) were classified as wanting to use a contraceptive method at the time of the survey. While 60 percent of the sample women are classified to be concordant (either wanted users or wanted non-users), almost one in four women (24.8 percent) state a preference for using con-traception but are not users (unwanted non-users), and 15.2 percent of the women state a preference for not using contraception but are users (unwanted users). The paper discusses the comparative advantages and limitations of this approach relative to traditional measures and other recently developed indicators.This paper is a product of the Development Research Group, Development Economics. It is part of a larger effort by the World Bank to provide open access to its research and make a contribution to development policy discussions around the world. Policy Research Working Papers are also posted on the Web at http://www.worldbank.org/prwp. The authors may be contacted at sanukriti@worldbank.org. Contraceptive Concordance1 Sarah Vincent2 Catalina Herrera-Almanza3 S Anukriti4 Mahesh Karra5 Keywords: Contraception, Concordance, Family Planning, India, Measurement JEL codes: J13, I15 1We thank Beth Sully, David Canning, and participants at the Demand-Side Family Planning Measurement Wor