Stimulating Demand for AIDS Prevention : Lessons from the RESPECT Trial

Show simple item record

collection.link.5
https://openknowledge.worldbank.org/handle/10986/9
collection.name.5
Policy Research Working Papers
dc.contributor.author
de Walque, Damien
dc.contributor.author
Dow, William H.
dc.contributor.author
Medlin, Carol
dc.contributor.author
Nathan, Rose
dc.date.accessioned
2012-03-19T17:29:16Z
dc.date.available
2012-03-19T17:29:16Z
dc.date.issued
2012-02-01
dc.description.abstract
HIV-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.identifier
http://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.uri
http://hdl.handle.net/10986/3259
dc.language
English
dc.relation.ispartofseries
Paper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5973
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo/
dc.subject
ABSTINENCE
dc.subject
ADDICTION
dc.subject
ADDICTIVE BEHAVIORS
dc.subject
ADOLESCENT
dc.subject
ADOLESCENT GIRL
dc.subject
ADULT PREVALENCE
dc.subject
ADULT PREVALENCE RATE
dc.subject
AGED
dc.subject
AIDS EPIDEMIC
dc.subject
AIDS PANDEMIC
dc.subject
AIDS PATIENT
dc.subject
AIDS PREVENTION
dc.subject
AIDS VACCINE
dc.subject
ALCOHOL
dc.subject
ALCOHOL ABUSE
dc.subject
ALCOHOL DEPENDENCE
dc.subject
ALCOHOL USE
dc.subject
ANAL SEX
dc.subject
ANTENATAL CARE
dc.subject
ANTIVIRALS
dc.subject
BEHAVIOR CHANGE
dc.subject
BEHAVIORAL CHANGE
dc.subject
BEHAVIORAL CHANGES
dc.subject
BLOOD PRESSURE
dc.subject
BLOOD TESTS
dc.subject
BS
dc.subject
CHILD CARE
dc.subject
CHILD HEALTH
dc.subject
CHILD HEALTH CARE
dc.subject
CHLAMYDIA
dc.subject
CIRCUMCISION
dc.subject
CLINICAL PSYCHOLOGY
dc.subject
CLINICAL TRIALS
dc.subject
CLINICS
dc.subject
COCAINE
dc.subject
COMMERCIAL SEX
dc.subject
COMPLICATIONS
dc.subject
CONDOM
dc.subject
CONDOM PROMOTION
dc.subject
CONDOM USE
dc.subject
CONDOMS
dc.subject
CONTRACEPTION
dc.subject
CONTRACEPTIVE PREVALENCE
dc.subject
COST EFFECTIVENESS
dc.subject
COUNSELING INTERVENTION
dc.subject
DEVELOPING COUNTRIES
dc.subject
DEVELOPMENT POLICY
dc.subject
DEVELOPMENTAL PSYCHOLOGY
dc.subject
DIAGNOSIS
dc.subject
DISEASE
dc.subject
DISEASE CONTROL
dc.subject
DISEASE TRANSMISSION
dc.subject
DRUG ABUSE
dc.subject
DRUG USE
dc.subject
DRUGS
dc.subject
EARLY YEARS
dc.subject
EDUCATIONAL SERVICES
dc.subject
ETHICAL CONSIDERATIONS
dc.subject
FAMILIES
dc.subject
FAMILY PLANNING
dc.subject
FEMALES
dc.subject
FINANCIAL CONSTRAINTS
dc.subject
FOCUS GROUP DISCUSSIONS
dc.subject
GLOBAL AIDS EPIDEMIC
dc.subject
GLOBAL HEALTH
dc.subject
GONORRHEA
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE SERVICES
dc.subject
HEALTH CONSEQUENCES
dc.subject
HEALTH EDUCATION
dc.subject
HEALTH IMPACT
dc.subject
HEALTH INTERVENTIONS
dc.subject
HEALTH OUTCOMES
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SYSTEMS
dc.subject
HIGH RISK GROUPS
dc.subject
HIV
dc.subject
HIV INFECTIONS
dc.subject
HIV POSITIVE
dc.subject
HIV PREVENTION
dc.subject
HIV TESTING
dc.subject
HIV TRANSMISSION
dc.subject
HIV/AIDS
dc.subject
HUMAN CAPITAL
dc.subject
HUMAN DEVELOPMENT
dc.subject
ILLNESS
dc.subject
IMMUNIZATION
dc.subject
IMPACT ON HEALTH
dc.subject
INFECTION
dc.subject
INFECTION PREVENTION
dc.subject
INFORMED CONSENT
dc.subject
INTERNATIONAL FAMILY PLANNING
dc.subject
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
dc.subject
INTERVENTION
dc.subject
JOURNAL OF MEDICINE
dc.subject
LACK OF INFORMATION
dc.subject
LOW PREVALENCE
dc.subject
MALE CIRCUMCISION
dc.subject
MALE SEX
dc.subject
MALE SEX WORKERS
dc.subject
MASS COMMUNICATION
dc.subject
MEDICAL RESEARCH
dc.subject
MEDICATION
dc.subject
MEDICINES
dc.subject
METHADONE
dc.subject
METHADONE PATIENTS
dc.subject
MICROBICIDES
dc.subject
MOTHER
dc.subject
MOTHER-TO-CHILD
dc.subject
MOTHER-TO-CHILD TRANSMISSION
dc.subject
MULTIPLE PARTNERS
dc.subject
NEGATIVE EFFECTS
dc.subject
NUCLEIC ACID
dc.subject
NUMBER OF NEW INFECTIONS
dc.subject
NURSE
dc.subject
NUTRITION
dc.subject
NUTRITIONAL STATUS
dc.subject
OBESITY
dc.subject
OCCUPATIONAL MEDICINE
dc.subject
OVERWEIGHT
dc.subject
PATIENT
dc.subject
PATIENT CARE
dc.subject
PATIENTS
dc.subject
PEER PRESSURE
dc.subject
POLICY DISCUSSIONS
dc.subject
POLICY RESEARCH
dc.subject
POLICY RESEARCH WORKING PAPER
dc.subject
POOR FAMILIES
dc.subject
POPULATION AND DEVELOPMENT
dc.subject
POPULATION REFERENCE BUREAU
dc.subject
PREGNANCIES
dc.subject
PREGNANCY
dc.subject
PRENATAL CARE
dc.subject
PREVALENCE OF SYPHILIS
dc.subject
PREVALENCE RATE
dc.subject
PREVENTION COUNSELING
dc.subject
PREVENTION EFFORTS
dc.subject
PREVENTION METHODS
dc.subject
PREVENTION STRATEGIES
dc.subject
PREVENTIVE HEALTH
dc.subject
PREVENTIVE MEDICINE
dc.subject
PROGRESS
dc.subject
PSYCHIATRY
dc.subject
PSYCHOLOGISTS
dc.subject
PSYCHOPHARMACOLOGY
dc.subject
PUBLIC HEALTH
dc.subject
PUBLIC SERVICES
dc.subject
RANDOMIZED CONTROLLED TRIALS
dc.subject
REPRODUCTIVE HEALTH
dc.subject
REPRODUCTIVE HEALTH SERVICES
dc.subject
RESPECT
dc.subject
RISK BEHAVIOR
dc.subject
RISK BEHAVIORS
dc.subject
RISK FACTORS
dc.subject
RISK GROUPS
dc.subject
RISK REDUCTION
dc.subject
RISK REDUCTION STRATEGIES
dc.subject
RISKY BEHAVIOR
dc.subject
RISKY BEHAVIORS
dc.subject
RISKY SEX
dc.subject
RISKY SEXUAL BEHAVIOR
dc.subject
RISKY SEXUAL BEHAVIORS
dc.subject
SAFE SEX
dc.subject
SCHOOLS
dc.subject
SERVICE PROVIDERS
dc.subject
SEX
dc.subject
SEX WORK
dc.subject
SEX WORKERS
dc.subject
SEXUAL ACTIVITY
dc.subject
SEXUAL BEHAVIOUR
dc.subject
SEXUAL CONTACT
dc.subject
SEXUAL ENCOUNTERS
dc.subject
SEXUAL HEALTH
dc.subject
SEXUAL INTERCOURSE
dc.subject
SEXUAL PARTNERS
dc.subject
SEXUAL PRACTICES
dc.subject
SEXUAL RELATIONSHIP
dc.subject
SEXUALLY TRANSMITTED INFECTION
dc.subject
SEXUALLY TRANSMITTED INFECTIONS
dc.subject
SMOKERS
dc.subject
SMOKING
dc.subject
SMOKING CESSATION
dc.subject
SOCIAL NORMS
dc.subject
SOCIAL STATUS
dc.subject
SOCIAL SUPPORT
dc.subject
SPOUSE
dc.subject
SPOUSES
dc.subject
STDS
dc.subject
STERILIZATION
dc.subject
STIS
dc.subject
SUBSTANCE ABUSE
dc.subject
SUBSTANCE ABUSE TREATMENT
dc.subject
SYPHILIS
dc.subject
TEEN
dc.subject
TEEN PREGNANCY
dc.subject
THERAPEUTIC APPROACH
dc.subject
THERAPY
dc.subject
TOBACCO
dc.subject
TOBACCO CONTROL
dc.subject
TOXICOLOGY
dc.subject
TREATMENT
dc.subject
TRICHOMONAS
dc.subject
UNAIDS
dc.subject
USE OF CONDOMS
dc.subject
VACCINATION
dc.subject
VACCINATION PROGRAMS
dc.subject
VACCINE
dc.subject
VACCINES
dc.subject
VIOLENCE
dc.subject
WEIGHT LOSS
dc.subject
WEIGHT REDUCTION
dc.subject
YOUNG ADULTS
dc.subject
YOUNG CHILDREN
dc.subject
YOUNG PEOPLE
dc.subject
YOUNG WOMEN
dc.title
Stimulating Demand for AIDS Prevention : Lessons from the RESPECT Trial
en
okr.date.disclosure
2012-02-01
okr.doctype
Publications & Research :: Policy Research Working Paper
okr.docurl
http://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.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/1813-9450-5973
okr.identifier.externaldocumentum
000158349_20120221132307
okr.identifier.internaldocumentum
15821720
okr.identifier.report
WPS5973
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/02/21/000158349_20120221132307/Rendered/PDF/WPS5973.pdf
en
okr.region.administrative
Africa
okr.region.administrative
Africa
okr.region.country
Tanzania
okr.region.geographical
Sub-Saharan Africa
okr.region.geographical
East Africa
okr.sector
Health and other social services :: Health
okr.topic
Health, Nutrition and Population :: HIV AIDS
okr.topic
Health, Nutrition and Population :: Population Policies
okr.topic
Health, Nutrition and Population :: Adolescent Health
okr.topic
Health, Nutrition and Population :: Disease Control & Prevention
okr.topic
Health, Nutrition and Population
okr.unit
Development Research Group (DECRG)
okr.unit
DECRG: Human Development (DECHD)
okr.volume
1 of 1

Show simple item record



This item appears in the following Collection(s)