Kim Hyuncheol Bryant, Haile Beliyou, Lee Taewha
Department of Policy Analysis and Management, Cornell University, Ithaca, NY, USA.
International Food Policy Research Institute (IFPRI), Washington, D.C., USA.
Health Econ. 2017 Nov;26(11):1394-1411. doi: 10.1002/hec.3425. Epub 2016 Sep 26.
We use data from a randomized controlled trial in Ethiopia and examine the causal effects of HIV/AIDS education, home-based voluntary HIV counseling and testing (VCT), and conditional cash transfers (CCT) for facility-based VCT on HIV/AIDS knowledge and demand for HIV testing. HIV/AIDS education significantly increases HIV/AIDS knowledge but has a limited effect on testing take-up. However, when HIV/AIDS education is combined with either home-based VCT or CCT for facility-based VCT, take-up increases substantially by about 63 and 57 percentage points, respectively. We also demonstrate evidence of persistence in test-taking behavior, where past HIV testing does not dampen demand for testing. Lastly, we find suggestive evidence that home-based VCT could be more effective at detecting HIV-positive cases relative to CCT for facility-based VCT. Our findings highlight the importance of geographic accessibility in the testing decision and persistence in demand for HIV testing. Copyright © 2016 John Wiley & Sons, Ltd.
我们使用来自埃塞俄比亚一项随机对照试验的数据,研究了艾滋病病毒/艾滋病教育、家庭自愿咨询检测(VCT)以及针对机构自愿咨询检测的有条件现金转移支付(CCT)对艾滋病病毒/艾滋病知识和艾滋病病毒检测需求的因果效应。艾滋病病毒/艾滋病教育显著增加了艾滋病病毒/艾滋病知识,但对检测接受率的影响有限。然而,当艾滋病病毒/艾滋病教育与家庭自愿咨询检测或针对机构自愿咨询检测的有条件现金转移支付相结合时,检测接受率分别大幅提高了约63和57个百分点。我们还证明了检测行为存在持续性,即过去的艾滋病病毒检测并未抑制检测需求。最后,我们发现有暗示性证据表明,相对于针对机构自愿咨询检测的有条件现金转移支付,家庭自愿咨询检测在检测艾滋病病毒阳性病例方面可能更有效。我们的研究结果凸显了地理可及性在检测决策中的重要性以及对艾滋病病毒检测需求的持续性。版权所有© 2016约翰·威利父子有限公司。
J Natl Med Assoc. 2006-12
Cochrane Database Syst Rev. 2010-2-17
Cochrane Database Syst Rev. 2007-10-17
BMC Public Health. 2012-6-15
BMC Public Health. 2019-1-31