Chris Blattman

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Can we pay people to learn their HIV status?

This paper evaluates an experiment in which individuals in rural Malawi were randomly assigned monetary incentives to learn their HIV results after being tested. Distance to the HIV results centers was also randomly assigned.

That is Rebecca Thornton, in the latest issue of the AER. She offers some hopeful news:

Without any incentive, 34 percent of the participants learned their HIV results. However, even the smallest incentive doubled that share. Using the randomly assigned incentives and distance from results centers as instruments for the knowledge of HIV status, sexually active HIV-positive individuals who learned their results are three times more likely to purchase condoms two months later than sexually active HIV-positive individuals who did not learn their results;

Unfortunately the impacts, while significant statistically, are quite small:

HIV-positive individuals who learned their results purchase only two additional condoms than those who did not. There is no significant effect of learning HIV-negative status on the purchase of condoms.

The paper is very, very good. An older, ungated copy appears to be here.

2 Responses

  1. HIV/AIDS is still rampant today and there is no cure for it. we need to practive safe sex all the time because an ounce of prevention is still better than a pound of cure.

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