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.
Bibliographical noteFunding Information:
The authors would like to thank John Cawley, Booyuel Kim, Leigh Linden, Michael Lovenheim, Eric McDer-mott, Cristian Pop-Eleches, Eric Verhoogen, and William D. White as well as the seminar participants at Columbia University, Cornell University, the Myoungsung Christian Medical School in Ethiopia, and the sixth annual meeting of the Economics of Risky Behaviors (AMERB). We acknowledge the financial support from the Korea International Cooperation Agency (KOICA), the Program for Economic Research at Columbia University, the Center for the Study of Development Strategies, and the Applied Statistics Center. We acknowledge technical and material support from the Arsi Zone and Hetosa District Heath Bureaus, Adama University Department of Public Health, Ethiopian AIDS Resource Center, and Population Services International in Ethiopia. We thank Kyun Suk Chang, Senait Assefa, and Kassahun Mengistie for their excellent research assistance. All errors and omissions are our own.
Copyright © 2016 John Wiley & Sons, Ltd.
All Science Journal Classification (ASJC) codes
- Health Policy