Impact of legislation for infectious disease control: evidence from HIV testing in Mali

Yuya Kudo

No 839, IDE Discussion Papers from Institute of Developing Economies, Japan External Trade Organization(JETRO)

Abstract: I examine the impact of human immunodeficiency virus ( HIV)-specific laws criminalizing HIV non-disclosure, exposure, and tr ansmission on women's voluntary testing, using a regression discontinuity d esign that exploits the enaction timing of such legislation in Mali during a nationally representative household survey. On the day of legislation, the test u ptake and the rate of identifying HIV positives declined. The impact was arguably stronger for rural females with media access near the capital. A dditionally, self-reported HIV-related discrimination increased on that day. I n summary, the law discouraged test uptake among HIV-positive females by r einforcing HIV stigma and/or fear of legal punishment.

Keywords: Communicable diseases; HIV criminalization; public health; stigma; voluntary testing; Diseases (search for similar items in EconPapers)
JEL-codes: H51 I12 I18 (search for similar items in EconPapers)
Date: 2022-03
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Published in IDE Discussion Paper = IDE Discussion Paper, No. 839. 2022-03

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