Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?

Conditional cash transfers (CCTs) have recently received considerable attention as a potentially innovative and effective approach to the prevention of HIV/AIDS. We evaluate a conditional cash transfer program in rural Malawi which offered financial incentives to men and women to maintain their HIV...

Full description

Bibliographic Details
Main Authors: Kohler, Hans-Peter, Thornton, Rebecca L.
Format: Journal Article
Language:en_US
Published: Washington, DC: Oxford University on behalf of the World Bank 2013
Subjects:
Online Access:http://hdl.handle.net/10986/16348
id okr-10986-16348
recordtype oai_dc
spelling okr-10986-163482021-04-23T14:03:28Z Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising? Kohler, Hans-Peter Thornton, Rebecca L. adolescents behavior change Child Health condom condom promotion condom use developing countries diseases epidemic HIV Human Development Population Studies prevention efforts prevention strategies promotion of abstinence respect sex sexual behavior sexual behaviors vaccines Conditional cash transfers (CCTs) have recently received considerable attention as a potentially innovative and effective approach to the prevention of HIV/AIDS. We evaluate a conditional cash transfer program in rural Malawi which offered financial incentives to men and women to maintain their HIV status for approximately one year. The amounts of the reward ranged from zero to approximately 3–4 months wage. We find no effect of the offered incentives on HIV status or on reported sexual behavior. However, shortly after receiving the reward, men who received the cash transfer were 9 percentage points more likely and women were 6.7 percentage points less likely to engage in risky sex. Our analyses therefore question the “unconditional effectiveness” of CCT program for HIV prevention: CCT Programs that aim to motivate safe sexual behavior in Africa should take into account that money given in the present may have much stronger effects than rewards offered in the future, and any effect of these programs may be fairly sensitive to the specific design of the program, the local and/or cultural context, and the degree of agency an individual has with respect to sexual behaviors. 2013-12-04T16:48:42Z 2013-12-04T16:48:42Z 2012-06-01 Journal Article World Bank Economic Review 1564-698X http://hdl.handle.net/10986/16348 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Washington, DC: Oxford University on behalf of the World Bank Journal Article 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 adolescents
behavior change
Child Health
condom
condom promotion
condom use
developing countries
diseases
epidemic
HIV
Human Development
Population Studies
prevention efforts
prevention strategies
promotion of abstinence
respect
sex
sexual behavior
sexual behaviors
vaccines
spellingShingle adolescents
behavior change
Child Health
condom
condom promotion
condom use
developing countries
diseases
epidemic
HIV
Human Development
Population Studies
prevention efforts
prevention strategies
promotion of abstinence
respect
sex
sexual behavior
sexual behaviors
vaccines
Kohler, Hans-Peter
Thornton, Rebecca L.
Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?
geographic_facet Africa
description Conditional cash transfers (CCTs) have recently received considerable attention as a potentially innovative and effective approach to the prevention of HIV/AIDS. We evaluate a conditional cash transfer program in rural Malawi which offered financial incentives to men and women to maintain their HIV status for approximately one year. The amounts of the reward ranged from zero to approximately 3–4 months wage. We find no effect of the offered incentives on HIV status or on reported sexual behavior. However, shortly after receiving the reward, men who received the cash transfer were 9 percentage points more likely and women were 6.7 percentage points less likely to engage in risky sex. Our analyses therefore question the “unconditional effectiveness” of CCT program for HIV prevention: CCT Programs that aim to motivate safe sexual behavior in Africa should take into account that money given in the present may have much stronger effects than rewards offered in the future, and any effect of these programs may be fairly sensitive to the specific design of the program, the local and/or cultural context, and the degree of agency an individual has with respect to sexual behaviors.
format Journal Article
author Kohler, Hans-Peter
Thornton, Rebecca L.
author_facet Kohler, Hans-Peter
Thornton, Rebecca L.
author_sort Kohler, Hans-Peter
title Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?
title_short Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?
title_full Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?
title_fullStr Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?
title_full_unstemmed Conditional Cash Transfers and HIV/AIDS Prevention : Unconditionally Promising?
title_sort conditional cash transfers and hiv/aids prevention : unconditionally promising?
publisher Washington, DC: Oxford University on behalf of the World Bank
publishDate 2013
url http://hdl.handle.net/10986/16348
_version_ 1764432928767475712