Antiretroviral Therapy and Demand for HIV Testing: Evidence from Zambia
This paper examines the effects of antiretroviral therapy (ART) on demand for HIV testing and of ART-induced testing on demand for risky sexual behavior. I provide a model of sexual behavior decision-making under uncertainty and estimate the structural parameters of the model using nationally representative survey data from Zambia on HIV testing decisions before and after the introduction of ART. The empirical results indicate that although the introduction of ART increased demand for HIV testing, the ART allocation process limited the prevention benefit of ART-induced testing. Simulation results show that eliminating this prevention inefficiency while holding the supply of ART constant would increase the prevention impact of ART-induced testing more than four-fold. More generally, the analysis indicates that existing studies which examine "universal" testing or quasi-experimental testing programs understate the efficacy of standard voluntary counseling and testing programs.
|Date of creation:||Oct 2010|
|Date of revision:|
|Contact details of provider:|| Postal: Williamstown, MA 01267|
Phone: 413 597 2476
Fax: 413 597 4045
Web page: http://econ.williams.edu
More information through EDIRC
|Order Information:|| Email: |
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Emily Oster, 2007.
"HIV and Sexual Behavior Change: Why Not Africa?,"
NBER Working Papers
13049, National Bureau of Economic Research, Inc.
- Jonathan Robinson & Ethan Yeh, 2011.
"Transactional Sex as a Response to Risk in Western Kenya,"
American Economic Journal: Applied Economics,
American Economic Association, vol. 3(1), pages 35-64, January.
- Robinson, Jonathan & Yeh, Ethan, 2008. "Transactional Sex as a Response to Risk in Western Keny," MPRA Paper 7350, University Library of Munich, Germany.
- Robinson, Jonathan & Yeh, Ethan, 2009. "Transactional sex as a response to risk in western Kenya," Policy Research Working Paper Series 4857, The World Bank.
- Emily Oster, 2012.
"Routes Of Infection: Exports And Hiv Incidence In Sub-Saharan Africa,"
Journal of the European Economic Association,
European Economic Association, vol. 10(5), pages 1025-1058, October.
- Emily Oster, 2007. "Routes of Infection: Exports and HIV Incidence in Sub-Saharan Africa," NBER Working Papers 13610, National Bureau of Economic Research, Inc.
- Lena Edlund & Evelyn Korn, 2002. "A Theory of Prostitution," Journal of Political Economy, University of Chicago Press, vol. 110(1), pages 181-214, February.
- Chinhui Juhn & Sebnem Kalemli-Ozcan & Belgi Turan, 2013.
"HIV and fertility in Africa: first evidence from population-based surveys,"
Journal of Population Economics,
Springer;European Society for Population Economics, vol. 26(3), pages 835-853, July.
- Chinhui Juhn & Sebnem Kalemli-Ozcan & Belgi Turan, 2008. "HIV and Fertility in Africa: First Evidence from Population Based Surveys," NBER Working Papers 14248, National Bureau of Economic Research, Inc.
- Sebnem Kalemli-Ozcan & Belgi Turan & Chinhui Juhn, 2009. "HIV and Fertility in Africa: First Evidence from Population Based Surveys," 2009 Meeting Papers 650, Society for Economic Dynamics.
- Juhn, Chinhui & Kalemli-Ozcan, Sebnem & Turan, Belgi, 2009. "HIV and Fertility in Africa: First Evidence from Population Based Surveys," IZA Discussion Papers 4473, Institute for the Study of Labor (IZA).
- Laura N. Beny & Lisa D. Cook, 2009. "Metals or Management? Explaining Africa's Recent Economic Growth Performance," American Economic Review, American Economic Association, vol. 99(2), pages 268-74, May.
- Paul Gertler & Manisha Shah & Stefano M. Bertozzi, 2005. "Risky Business: The Market for Unprotected Commercial Sex," Journal of Political Economy, University of Chicago Press, vol. 113(3), pages 518-550, June.
When requesting a correction, please mention this item's handle: RePEc:wil:wilcde:2011-01. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Stephen Sheppard)
If references are entirely missing, you can add them using this form.