Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention

Financial incentives are a promising HIV prevention strategy. This paper assesses the effect on HIV incidence of a lottery program in Lesotho with low expected payments but a chance to win a high prize conditional on negative test results for sexually transmitted infections. The intervention resulte...

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Main Authors: Björkman Nyqvist, Martina, Corno, Lucia, de Walque, Damien, Svensson, Jakob
Format: Working Paper
Language:en_US
Published: World Bank Group, Washington, DC 2015
Subjects:
Online Access:http://hdl.handle.net/10986/21654
id okr-10986-21654
recordtype oai_dc
spelling okr-10986-216542021-04-23T14:04:03Z Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention Björkman Nyqvist, Martina Corno, Lucia de Walque, Damien Svensson, Jakob HIV AIDS conditional cash transfers financial incentives safe sexual behavior sexually transmitted infection school enrollment lottery program Financial incentives are a promising HIV prevention strategy. This paper assesses the effect on HIV incidence of a lottery program in Lesotho with low expected payments but a chance to win a high prize conditional on negative test results for sexually transmitted infections. The intervention resulted in a 21.4 percent reduction in HIV incidence over two years. Lottery incentives appear to be particularly effective for individuals willing to take risks. This paper estimates a model linking sexual behavior to HIV incidence and finds that risk-loving individuals reduce the number of unprotected sexual acts by 0.3/month for every $1 increase in the expected prize. 2015-03-31T15:34:35Z 2015-03-31T15:34:35Z 2015-03 Working Paper http://hdl.handle.net/10986/21654 en_US Policy Research Working Paper;No. 7215 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank Group, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language en_US
topic HIV
AIDS
conditional cash transfers
financial incentives
safe sexual behavior
sexually transmitted infection
school enrollment
lottery program
spellingShingle HIV
AIDS
conditional cash transfers
financial incentives
safe sexual behavior
sexually transmitted infection
school enrollment
lottery program
Björkman Nyqvist, Martina
Corno, Lucia
de Walque, Damien
Svensson, Jakob
Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention
geographic_facet Africa
relation Policy Research Working Paper;No. 7215
description Financial incentives are a promising HIV prevention strategy. This paper assesses the effect on HIV incidence of a lottery program in Lesotho with low expected payments but a chance to win a high prize conditional on negative test results for sexually transmitted infections. The intervention resulted in a 21.4 percent reduction in HIV incidence over two years. Lottery incentives appear to be particularly effective for individuals willing to take risks. This paper estimates a model linking sexual behavior to HIV incidence and finds that risk-loving individuals reduce the number of unprotected sexual acts by 0.3/month for every $1 increase in the expected prize.
format Working Paper
author Björkman Nyqvist, Martina
Corno, Lucia
de Walque, Damien
Svensson, Jakob
author_facet Björkman Nyqvist, Martina
Corno, Lucia
de Walque, Damien
Svensson, Jakob
author_sort Björkman Nyqvist, Martina
title Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention
title_short Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention
title_full Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention
title_fullStr Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention
title_full_unstemmed Using Lotteries to Incentivize Safer Sexual Behavior : Evidence from a Randomized Controlled Trial on HIV Prevention
title_sort using lotteries to incentivize safer sexual behavior : evidence from a randomized controlled trial on hiv prevention
publisher World Bank Group, Washington, DC
publishDate 2015
url http://hdl.handle.net/10986/21654
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