Contraceptive determinants in three leading countries

The purpose of this paper is to examine the relative importance of access to family planning and the motivation to restrict fertility in determining contraceptive use in three countries that have led the fertility transitions in their regions: Colombia, Tunisia, and Zimbabwe. A structural equations model is estimated where endogenous fertility intentions are allowed to affect contraceptive method use. Simulation methods are then used to quantify the size of the impact of intentions and access on method choice for the three countries. The results demonstrate that even after controlling for fertility intentions, family planning program variables still have important effects in all three countries.