This phenomenon is commonly attributed to rapid reductions in desired fertility, which in turn increase demand for all methods of birth control (Marston and Cleland 2003). Over several decades, population scholars have documented concomitant increases in both contraceptive prevalence and abortion rates around the world in settings as diverse as Cuba, South Korea, Bangladesh, Singapore, Netherlands, Denmark, and the United States (Marston and Cleland 2003 Noble and Potts 1996 Rahman et al. This finding has important implications for public policy and foreign aid, suggesting that an effective strategy for reducing expensive and potentially unsafe abortions may be to expand the supply of modern contraceptives.Ī longstanding debate exists in reproductive health circles about the relationship between modern contraception and abortion use. Using four waves of rich individual-level data representative of fertile-age Nepalese women, we find robust evidence of substitution between modern contraception and abortion. In this article, we study Nepal’s 2004 legalization of abortion provision and subsequent expansion of abortion services, an unusual and rapidly implemented policy meeting these requirements.
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