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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Bibliographic Details
Main Author: Nyqvist, Martina Björkman
Other Authors: de Walque, Damien, Svensson, Jakob, Corno, Lucia
Format: eBook
Language:English
Published: Washington, D.C The World Bank 2015
Series:World Bank E-Library Archive
Online Access:
Collection: World Bank E-Library Archive - Collection details see MPG.ReNa
Description
Summary: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
Physical Description:48 p