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Impacts of an HIV Counselling and Testing Initiative: Results from an Experimental Intervention in South Africa

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  • Arimoto, Yutaka
  • Hori, Narumi
  • Ito, Seiro
  • Kudo, Yuya
  • Tsukada, Kazunari

Abstract

We have run experimental interventions to promote HIV tests in a large firm in South Africa. We combined HIV tests with existing medical check programs (MSP and HCT) to increase the uptake. We have implemented three interventions intended to reduce fears and stigma for HIV tests: opt out, risk assessment, supportive information. Opt out asks subjects to opt out the test if one does not to take one. Risk assessment involves nurses to give immediate feedback on the set of questions on risky behavior. Under supportive information, subjects are shown five minute DVD to encourage testing. Uptake rate increased dramatically, but not only under experimental arms but also under the control arm. We find substantial heterogeneity in responses by ethnicity. In particular, supportive information increased the uptake of Whites-Others by almost 100% at the margin. Generally, experimental arms were ineffective in increasing the uptake of Africans and Colored. This general ineffectiveness against Africans and Colored is common among both MSP and HCT samples whose educational and household background differ significantly. We thus conjecture that factors related to their ethnic background to be the possible deterrents to tests.

Suggested Citation

  • Arimoto, Yutaka & Hori, Narumi & Ito, Seiro & Kudo, Yuya & Tsukada, Kazunari, 2012. "Impacts of an HIV Counselling and Testing Initiative: Results from an Experimental Intervention in South Africa," CEI Working Paper Series 2011-13, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.
    • Handle: RePEc:hit:hitcei:2011-13
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    References listed on IDEAS

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    3. Arimoto, Yutaka & Ito, Seiro & Kudo, Yuya & Tsukada, Kazunari, 2013. "Stigma, Social Relationship and HIV Testing in the Workplace: Evidence from South Africa," CEI Working Paper Series 2012-06, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.
    4. Simbayi, Leickness C. & Kalichman, Seth & Strebel, Anna & Cloete, Allanise & Henda, Nomvo & Mqeketo, Ayanda, 2007. "Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 64(9), pages 1823-1831, May.
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    1. Arimoto, Yutaka & Ito, Seiro & Kudo, Yuya & Tsukada, Kazunari, 2013. "Stigma, Social Relationship and HIV Testing in the Workplace: Evidence from South Africa," CEI Working Paper Series 2012-06, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.

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