The effects of monetized food aid on reproductive behavior in rural Honduras

This article presents research findings on the question of whether the monetization of non-emergency food aid has adversely influenced national family planning program efforts in Honduras. Women receiving food aid in the form of cash coupons are compared in the study with women receiving food rations and a third group of women with similar characteristics who were not food aid recipients on three types of outcomes: recent fertility, fertility preferences, and contraceptive use. The health facilities where study subjects received health/family planning services and food aid benefits were also compared to assess possible adverse cross-program effects on family planning service delivery. A sample selection model was used in the analysis to control for unobserved differences between comparison groups. No compelling evidence for adverse demand- or supply-side effects of monetized food aid on family planning efforts was observed. The most striking study finding was the extremely high level of unmet need for family planning.