Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia

The study is a randomized controlled trial that investigates the impact of four demand-side interventions on health screening for diabetes and hypertension among Armenian adults ages 35-68 who had not been tested in the last 12 months. The interven...

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Main Authors: De Walque, Damien, Chukwuma, Adanna, Ayivi-Guedehoussou, Nono, Koshkakaryan, Marianna
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2020
Subjects:
Online Access:http://documents.worldbank.org/curated/en/672701596200009570/Invitations-Incentives-and-Conditions-A-Randomized-Evaluation-of-Demand-Side-Interventions-for-Health-Screenings-in-Armenia
http://hdl.handle.net/10986/34278
id okr-10986-34278
recordtype oai_dc
spelling okr-10986-342782022-09-20T00:12:13Z Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia De Walque, Damien Chukwuma, Adanna Ayivi-Guedehoussou, Nono Koshkakaryan, Marianna NON-COMMUNICABLE DISEASES HYPERTENSION DIABETES HEALTH SCREENING INCENTIVES CONDITIONAL CASH TRANSFERS PRIMARY HEALTH CARE ACCESS TO HEALTH SERVICES The study is a randomized controlled trial that investigates the impact of four demand-side interventions on health screening for diabetes and hypertension among Armenian adults ages 35-68 who had not been tested in the last 12 months. The interventions are personal invitations from a physician (intervention group 1), personal invitations with information about peer screening behavior (intervention group 2), a labeled but unconditional cash transfer in the form of a pharmacy voucher (intervention group 3), and a conditional cash transfer in the form of a pharmacy voucher (intervention group 4). Compared with the control group in which only 3.5 percent of participants went for both screenings during the study period, interventions 1 to 3 led to a significant increase in the screening rate of about 15 percentage points among participants. The highest intervention impact was measured among recipients in intervention group 4, whose uptake of screening on both tests increased by 31.2 percentage points. The levels of cost-effectiveness of intervention groups 1, 2, and 4 are similar while for intervention group 3 it is about twice more expensive per additional person screened. 2020-08-06T13:40:21Z 2020-08-06T13:40:21Z 2020-07 Working Paper http://documents.worldbank.org/curated/en/672701596200009570/Invitations-Incentives-and-Conditions-A-Randomized-Evaluation-of-Demand-Side-Interventions-for-Health-Screenings-in-Armenia http://hdl.handle.net/10986/34278 English Policy Research Working Paper;No. 9346 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Europe and Central Asia Armenia
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic NON-COMMUNICABLE DISEASES
HYPERTENSION
DIABETES
HEALTH SCREENING
INCENTIVES
CONDITIONAL CASH TRANSFERS
PRIMARY HEALTH CARE
ACCESS TO HEALTH SERVICES
spellingShingle NON-COMMUNICABLE DISEASES
HYPERTENSION
DIABETES
HEALTH SCREENING
INCENTIVES
CONDITIONAL CASH TRANSFERS
PRIMARY HEALTH CARE
ACCESS TO HEALTH SERVICES
De Walque, Damien
Chukwuma, Adanna
Ayivi-Guedehoussou, Nono
Koshkakaryan, Marianna
Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia
geographic_facet Europe and Central Asia
Armenia
relation Policy Research Working Paper;No. 9346
description The study is a randomized controlled trial that investigates the impact of four demand-side interventions on health screening for diabetes and hypertension among Armenian adults ages 35-68 who had not been tested in the last 12 months. The interventions are personal invitations from a physician (intervention group 1), personal invitations with information about peer screening behavior (intervention group 2), a labeled but unconditional cash transfer in the form of a pharmacy voucher (intervention group 3), and a conditional cash transfer in the form of a pharmacy voucher (intervention group 4). Compared with the control group in which only 3.5 percent of participants went for both screenings during the study period, interventions 1 to 3 led to a significant increase in the screening rate of about 15 percentage points among participants. The highest intervention impact was measured among recipients in intervention group 4, whose uptake of screening on both tests increased by 31.2 percentage points. The levels of cost-effectiveness of intervention groups 1, 2, and 4 are similar while for intervention group 3 it is about twice more expensive per additional person screened.
format Working Paper
author De Walque, Damien
Chukwuma, Adanna
Ayivi-Guedehoussou, Nono
Koshkakaryan, Marianna
author_facet De Walque, Damien
Chukwuma, Adanna
Ayivi-Guedehoussou, Nono
Koshkakaryan, Marianna
author_sort De Walque, Damien
title Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia
title_short Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia
title_full Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia
title_fullStr Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia
title_full_unstemmed Invitations, Incentives, and Conditions : A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia
title_sort invitations, incentives, and conditions : a randomized evaluation of demand-side interventions for health screenings in armenia
publisher World Bank, Washington, DC
publishDate 2020
url http://documents.worldbank.org/curated/en/672701596200009570/Invitations-Incentives-and-Conditions-A-Randomized-Evaluation-of-Demand-Side-Interventions-for-Health-Screenings-in-Armenia
http://hdl.handle.net/10986/34278
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