Stimulating demand for AIDS prevention : lessons from the RESPECT trial

摘要: HIV-prevention strategies have yielded only limited success so far in slowing down the AIDS epidemic. This paper examines novel intervention that use incentives to discourage risky sexual behaviors. Widely-adopted conditional cash transfer programs offer payments conditioning on easily monitored behaviors, such as well-child health care visits, shown positive impact outcomes. Similarly, contingency management approaches successfully used outcome-based rewards encourage behaviors are not monitored, stopping drug abuse. These been domain, this assesses how can be reduce behavior. After discussing theoretical pathways, it discusses of sexual-behavior Tanzanian RESPECT trial. There, participants who tested negative for sexually transmitted infections eligible rewards. The trial was well-received communities, with high enrollment rates and more than 90 percent viewing favorably. one year, 57 enrollees the"low-value"reward arm stated rewards"very much"motivated behavioral change, rising 79 the"high-value"reward arm. Despite its controversial nature, authors argue further testing incentive-based encouraging reductions