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Potential applications of conditional cash transfers for prevention of sexually transmitted infections and HIV in Sub-Saharan Africa

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  • Medlin, Carol
  • de Walque, Damien

Abstract

A growing number of developing countries have introduced conditional cash transfer programs that provide money to poor families with certain contingencies attached - such as requiring school attendance or regular immunization and health check-ups. As the popularity of conditional cash transfer programs has grown, experimentation with potential applications in other areas of health, such as sexual and reproductive health, and HIV prevention, in particular, has also increased. Evaluations of conditional cash transfer programs have focused almost exclusively on uptake of health and educational services, which make relatively low demands of participants compared with more complex interventions, which require the cessation of risky behaviors, such as smoking, obesity, and substance abuse. The literature on contingency management - based on the principle that behavioral change occurs when appropriate behaviors are reinforced and rewarded - provides a richer picture of the complexity of the use of conditionality to encourage healthy behavioral change. This paper examines developing countries'experiences with conditional cash transfer programs and the results of trials in clinical settings on the efficacy of contingency management, and addresses their relevance for designing conditional cash transfer programs to address risky sexual behavior and promote the prevention of sexually transmitted infections and HIV in Sub-Saharan Africa.

Suggested Citation

  • Medlin, Carol & de Walque, Damien, 2008. "Potential applications of conditional cash transfers for prevention of sexually transmitted infections and HIV in Sub-Saharan Africa," Policy Research Working Paper Series 4673, The World Bank.
  • Handle: RePEc:wbk:wbrwps:4673
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    References listed on IDEAS

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    1. Ted O'Donoghue & Matthew Rabin, 2001. "Risky Behavior among Youths: Some Issues from Behavioral Economics," NBER Chapters,in: Risky Behavior among Youths: An Economic Analysis, pages 29-68 National Bureau of Economic Research, Inc.
    2. Schady, Norbert & Rosero, José, 2008. "Are cash transfers made to women spent like other sources of income?," Economics Letters, Elsevier, vol. 101(3), pages 246-248, December.
    3. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications, The World Bank, number 2597, April.
    4. Nanak Kakwani & Fabio Veras Soares & Hyun H. Son, 2005. "Conditional cash transfers in African countries," Working Papers 9, International Policy Centre for Inclusive Growth.
    5. Laura B. Rawlings, 2005. "Evaluating the Impact of Conditional Cash Transfer Programs," World Bank Research Observer, World Bank Group, vol. 20(1), pages 29-55.
    6. Paul Gertler, 2004. "Do Conditional Cash Transfers Improve Child Health? Evidence from PROGRESA's Control Randomized Experiment," American Economic Review, American Economic Association, vol. 94(2), pages 336-341, May.
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    Cited by:

    1. Mateusz J. Filipski & J. Edward Taylor & Karen E. Thome & Benjamin Davis, 2015. "Effects of treatment beyond the treated: a general equilibrium impact evaluation of Lesotho's cash grants program," Agricultural Economics, International Association of Agricultural Economists, vol. 46(2), pages 227-243, March.
    2. Damien de Walque & William H. Dow & Carol Medlin & Rose Nathan, 2014. "Stimulating Demand for AIDS Prevention: Lessons from the RESPECT Trial," NBER Chapters,in: African Successes, Volume II: Human Capital, pages 85-112 National Bureau of Economic Research, Inc.
    3. repec:eee:socmed:v:181:y:2017:i:c:p:148-157 is not listed on IDEAS
    4. Schultz Hansen, Kristian & Hjernø Lesner, Tine & Østerdal, Lars Peter, 2013. "Incentivising appropriate malaria treatment-seeking behaviour with price subsidies," COHERE Working Paper 2013:8, University of Southern Denmark, COHERE - Centre of Health Economics Research.

    More about this item

    Keywords

    Health Monitoring&Evaluation; Population Policies; Adolescent Health; Disease Control&Prevention; HIV AIDS;

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