The Effects of Unintended Pregnancy on Children
University of Michigan
Summary
This project builds on the Michigan Contraceptive Access Research and Evaluation Study (M-CARES) to evaluate the long-term effects of mothers' access to free contraceptives and reductions in unintended pregnancies on their children's well-being.
Description
M-CARES uses a randomized control trial design to assess the effects of providing free contraception to mothers on their children born before the intervention. The population subject to intervention is fecund women age 18-35 years at risk of pregnancy and who are clients at Planned Parenthood clinics of Michigan (PPMI), who meet income eligibility criteria, and who would otherwise pay out-of-pocket for services on the day of recruitment (i.e., lacking insurance coverage for received service). The experimental (treatment) condition is a mother's receipt of a voucher providing access to no-cost…
Eligibility
- Age range
- 0–17 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: The proposed project will analyze the outcomes of children ages 0 to 17 years old whose mothers enrolled in the Michigan Contraceptive Access, Research and Evaluation Study (M-CARES). M-CARES participation requires that mothers are: * 18-35 years old * physically capable (biologically female and fecund) and at risk of having a pregnancy, * not pregnant at the time of enrollment * not wishing to become pregnant in the 12 months after enrollment, * are seeking care at Planned Parenthood of Michigan, and * face out-of-pocket costs for contraceptives at Planned Parenthood of…
Interventions
- BehavioralMother receives voucher valued at 100% of cost of name-brand IUD (March 4, 2019-March 31, 2023)
M-CARES randomized vouchers for contraception valued up to 100% of inserting a name-brand IUD (e.g., Skyla, Paraguard, Mirena) for women with out of pocket costs at Planned Parenthood. This intervention occurred from March 4, 2019, forward.
- BehavioralMother receives voucher valued at 50% of cost of name-brand IUD (August 26, 2018-March 3, 2019)
M-CARES randomized vouchers for contraception valued up to 50% of inserting a name-brand IUD (e.g., Skyla, Paraguard, Mirena) for women with out of pocket costs at Planned Parenthood. This intervention occurred after November 4, 2019.
Locations (9)
- Planned Parenthood - Ann Arbor-WestAnn Arbor, Michigan
- Planned Parenthood - DetroitDetroit, Michigan
- Planned Parenthood - FerndaleFerndale, Michigan
- Planned Parenthood - Grand RapidsGrand Rapids, Michigan
- Planned Parenthood - KalamazooKalamazoo, Michigan
- Planned Parenthood - LansingLansing, Michigan