Princeton University Library Catalog
- Schoen, Hannah [Browse]
- Senior thesis
- McLanahan, Sara [Browse]
- Woodrow Wilson School of Public and International Affairs [Browse]
- Class year:
- 119 pages
- Summary note:
- In 2009, the state of Colorado launched the Colorado Family Planning
Initiative (CFPI), which was the United States’ first large-scale policy intervention
aimed at increasing the accessibility of long-acting reversible contraceptives (LARCs).
LARCs, which include IUDs and implants, are associated with much lower rates of
contraceptive failure than other methods because once inserted, they do not require
any action on the part of the user to be effective.
In its effort to make LARCs more accessible, Colorado used a $23 million
donation from the Susan Thompson Buffet Foundation to provide LARCs for free
to low-income women and to train medical providers on the insertion of LARCs.
What were the results of this program? This thesis offers a comprehensive evaluation
of the CFPI, assessing its impacts on LARC use, teen and unmarried births, and
women’s socioeconomic well-being.
By comparing Colorado to other states, including those that border it, I find
that the CFPI increased LARC use, decreased teen and unmarried births, and
increased high school graduation rates. Because the program had such positive
consequences for Colorado women, I argue that the state government ought to
financially support the program, and other states should create similar programs.
Given the political controversy around birth control, it will likely be difficult to
establish such programs. However, as the findings of this thesis indicate, doing so
would provide better lives for women across the country.