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Stimulating Demand for AIDS Prevention : Lessons from the RESPECT Trial

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dc.contributor.authorDow, William H.
dc.contributor.authorde Walque, Damien
dc.contributor.authorMedlin, Carol
dc.contributor.authorNathan, Rose
dc.date.accessioned2012-03-19T17:29:16Z
dc.date.available2012-03-19T17:29:16Z
dc.date.issued2012-02-01
dc.description.abstractHIV-prevention strategies have yielded only limited success so far in slowing down the AIDS epidemic. This paper examines novel intervention strategies that use incentives to discourage risky sexual behaviors. Widely-adopted conditional cash transfer programs that offer payments conditioning on easily monitored behaviors, such as well-child health care visits, have shown positive impact on health outcomes. Similarly, contingency management approaches have successfully used outcome-based rewards to encourage behaviors that are not easily monitored, such as stopping drug abuse. These strategies have not been used in the sexual domain, so this paper assesses how incentives can be used to reduce risky sexual behavior. After discussing theoretical pathways, it discusses the use of sexual-behavior incentives in the Tanzanian RESPECT trial. There, participants who tested negative for sexually transmitted infections are eligible for outcome-based cash rewards. The trial was well-received in the communities, with high enrollment rates and more than 90 percent of participants viewing the incentives favorably. After one year, 57 percent of enrollees in the "low-value" reward arm stated that the cash rewards "very much" motivated sexual behavioral change, rising to 79 percent in the "high-value" reward arm. Despite its controversial nature, the authors argue for further testing of such incentive-based approaches to encouraging reductions in risky sexual behavior.en
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120221132307
dc.identifier.doi10.1596/1813-9450-5973
dc.identifier.urihttps://hdl.handle.net/10986/3259
dc.languageEnglish
dc.relation.ispartofseriesPaper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5973
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABSTINENCE
dc.subjectADDICTION
dc.subjectADDICTIVE BEHAVIORS
dc.subjectADOLESCENT
dc.subjectADOLESCENT GIRL
dc.subjectADULT PREVALENCE
dc.subjectADULT PREVALENCE RATE
dc.subjectAGED
dc.subjectAIDS EPIDEMIC
dc.subjectAIDS PANDEMIC
dc.subjectAIDS PATIENT
dc.subjectAIDS PREVENTION
dc.subjectAIDS VACCINE
dc.subjectALCOHOL
dc.subjectALCOHOL ABUSE
dc.subjectALCOHOL DEPENDENCE
dc.subjectALCOHOL USE
dc.subjectANAL SEX
dc.subjectANTENATAL CARE
dc.subjectANTIVIRALS
dc.subjectBEHAVIOR CHANGE
dc.subjectBEHAVIORAL CHANGE
dc.subjectBEHAVIORAL CHANGES
dc.subjectBLOOD PRESSURE
dc.subjectBLOOD TESTS
dc.subjectBS
dc.subjectCHILD CARE
dc.subjectCHILD HEALTH
dc.subjectCHILD HEALTH CARE
dc.subjectCHLAMYDIA
dc.subjectCIRCUMCISION
dc.subjectCLINICAL PSYCHOLOGY
dc.subjectCLINICAL TRIALS
dc.subjectCLINICS
dc.subjectCOCAINE
dc.subjectCOMMERCIAL SEX
dc.subjectCOMPLICATIONS
dc.subjectCONDOM
dc.subjectCONDOM PROMOTION
dc.subjectCONDOM USE
dc.subjectCONDOMS
dc.subjectCONTRACEPTION
dc.subjectCONTRACEPTIVE PREVALENCE
dc.subjectCOST EFFECTIVENESS
dc.subjectCOUNSELING INTERVENTION
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT POLICY
dc.subjectDEVELOPMENTAL PSYCHOLOGY
dc.subjectDIAGNOSIS
dc.subjectDISEASE
dc.subjectDISEASE CONTROL
dc.subjectDISEASE TRANSMISSION
dc.subjectDRUG ABUSE
dc.subjectDRUG USE
dc.subjectDRUGS
dc.subjectEARLY YEARS
dc.subjectEDUCATIONAL SERVICES
dc.subjectETHICAL CONSIDERATIONS
dc.subjectFAMILIES
dc.subjectFAMILY PLANNING
dc.subjectFEMALES
dc.subjectFINANCIAL CONSTRAINTS
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectGLOBAL AIDS EPIDEMIC
dc.subjectGLOBAL HEALTH
dc.subjectGONORRHEA
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CONSEQUENCES
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH IMPACT
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEMS
dc.subjectHIGH RISK GROUPS
dc.subjectHIV
dc.subjectHIV INFECTIONS
dc.subjectHIV POSITIVE
dc.subjectHIV PREVENTION
dc.subjectHIV TESTING
dc.subjectHIV TRANSMISSION
dc.subjectHIV/AIDS
dc.subjectHUMAN CAPITAL
dc.subjectHUMAN DEVELOPMENT
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectIMPACT ON HEALTH
dc.subjectINFECTION
dc.subjectINFECTION PREVENTION
dc.subjectINFORMED CONSENT
dc.subjectINTERNATIONAL FAMILY PLANNING
dc.subjectINTERNATIONAL FAMILY PLANNING PERSPECTIVES
dc.subjectINTERVENTION
dc.subjectJOURNAL OF MEDICINE
dc.subjectLACK OF INFORMATION
dc.subjectLOW PREVALENCE
dc.subjectMALE CIRCUMCISION
dc.subjectMALE SEX
dc.subjectMALE SEX WORKERS
dc.subjectMASS COMMUNICATION
dc.subjectMEDICAL RESEARCH
dc.subjectMEDICATION
dc.subjectMEDICINES
dc.subjectMETHADONE
dc.subjectMETHADONE PATIENTS
dc.subjectMICROBICIDES
dc.subjectMOTHER
dc.subjectMOTHER-TO-CHILD
dc.subjectMOTHER-TO-CHILD TRANSMISSION
dc.subjectMULTIPLE PARTNERS
dc.subjectNEGATIVE EFFECTS
dc.subjectNUCLEIC ACID
dc.subjectNUMBER OF NEW INFECTIONS
dc.subjectNURSE
dc.subjectNUTRITION
dc.subjectNUTRITIONAL STATUS
dc.subjectOBESITY
dc.subjectOCCUPATIONAL MEDICINE
dc.subjectOVERWEIGHT
dc.subjectPATIENT
dc.subjectPATIENT CARE
dc.subjectPATIENTS
dc.subjectPEER PRESSURE
dc.subjectPOLICY DISCUSSIONS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOOR FAMILIES
dc.subjectPOPULATION AND DEVELOPMENT
dc.subjectPOPULATION REFERENCE BUREAU
dc.subjectPREGNANCIES
dc.subjectPREGNANCY
dc.subjectPRENATAL CARE
dc.subjectPREVALENCE OF SYPHILIS
dc.subjectPREVALENCE RATE
dc.subjectPREVENTION COUNSELING
dc.subjectPREVENTION EFFORTS
dc.subjectPREVENTION METHODS
dc.subjectPREVENTION STRATEGIES
dc.subjectPREVENTIVE HEALTH
dc.subjectPREVENTIVE MEDICINE
dc.subjectPROGRESS
dc.subjectPSYCHIATRY
dc.subjectPSYCHOLOGISTS
dc.subjectPSYCHOPHARMACOLOGY
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC SERVICES
dc.subjectRANDOMIZED CONTROLLED TRIALS
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH SERVICES
dc.subjectRESPECT
dc.subjectRISK BEHAVIOR
dc.subjectRISK BEHAVIORS
dc.subjectRISK FACTORS
dc.subjectRISK GROUPS
dc.subjectRISK REDUCTION
dc.subjectRISK REDUCTION STRATEGIES
dc.subjectRISKY BEHAVIOR
dc.subjectRISKY BEHAVIORS
dc.subjectRISKY SEX
dc.subjectRISKY SEXUAL BEHAVIOR
dc.subjectRISKY SEXUAL BEHAVIORS
dc.subjectSAFE SEX
dc.subjectSCHOOLS
dc.subjectSERVICE PROVIDERS
dc.subjectSEX
dc.subjectSEX WORK
dc.subjectSEX WORKERS
dc.subjectSEXUAL ACTIVITY
dc.subjectSEXUAL BEHAVIOUR
dc.subjectSEXUAL CONTACT
dc.subjectSEXUAL ENCOUNTERS
dc.subjectSEXUAL HEALTH
dc.subjectSEXUAL INTERCOURSE
dc.subjectSEXUAL PARTNERS
dc.subjectSEXUAL PRACTICES
dc.subjectSEXUAL RELATIONSHIP
dc.subjectSEXUALLY TRANSMITTED INFECTION
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSMOKERS
dc.subjectSMOKING
dc.subjectSMOKING CESSATION
dc.subjectSOCIAL NORMS
dc.subjectSOCIAL STATUS
dc.subjectSOCIAL SUPPORT
dc.subjectSPOUSE
dc.subjectSPOUSES
dc.subjectSTDS
dc.subjectSTERILIZATION
dc.subjectSTIS
dc.subjectSUBSTANCE ABUSE
dc.subjectSUBSTANCE ABUSE TREATMENT
dc.subjectSYPHILIS
dc.subjectTEEN
dc.subjectTEEN PREGNANCY
dc.subjectTHERAPEUTIC APPROACH
dc.subjectTHERAPY
dc.subjectTOBACCO
dc.subjectTOBACCO CONTROL
dc.subjectTOXICOLOGY
dc.subjectTREATMENT
dc.subjectTRICHOMONAS
dc.subjectUNAIDS
dc.subjectUSE OF CONDOMS
dc.subjectVACCINATION
dc.subjectVACCINATION PROGRAMS
dc.subjectVACCINE
dc.subjectVACCINES
dc.subjectVIOLENCE
dc.subjectWEIGHT LOSS
dc.subjectWEIGHT REDUCTION
dc.subjectYOUNG ADULTS
dc.subjectYOUNG CHILDREN
dc.subjectYOUNG PEOPLE
dc.subjectYOUNG WOMEN
dc.titleStimulating Demand for AIDS Prevention : Lessons from the RESPECT Trialen
dspace.entity.typePublication
okr.crossref.titleStimulating Demand for AIDS Prevention: Lessons from the RESPECT Trial
okr.date.disclosure2012-02-01
okr.date.doiregistration2025-04-10T11:03:02.777408Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120221132307
okr.globalpracticeHealth, Nutrition, and Population
okr.guid605581468311446106
okr.identifier.doi10.1596/1813-9450-5973
okr.identifier.externaldocumentum000158349_20120221132307
okr.identifier.internaldocumentum15821720
okr.identifier.reportWPS5973
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/02/21/000158349_20120221132307/Rendered/PDF/WPS5973.pdfen
okr.region.administrativeAfrica
okr.region.administrativeAfrica
okr.region.countryTanzania
okr.region.geographicalSub-Saharan Africa
okr.region.geographicalEast Africa
okr.sectorHealth and other social services :: Health
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population
okr.unitDevelopment Research Group (DECRG)
okr.unitDECRG: Human Development (DECHD)
okr.volume1 of 1
relation.isAuthorOfPublicationb5740416-f4ef-5235-974a-47bd257d61a4
relation.isAuthorOfPublication.latestForDiscoveryb5740416-f4ef-5235-974a-47bd257d61a4
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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