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Using lotteries to incentivize safer sexual behavior: evidence from a randomized controlled trial on HIV prevention

Martina Björkman Nyqvist, Lucia Corno, Damien de Walque and Jakob Svensson

No 7215, Policy Research Working Paper Series from The World Bank

Abstract: 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.

Date: 2015-03-18
New Economics Papers: this item is included in nep-exp and nep-hea
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Citations: View citations in EconPapers (10)

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