The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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Financial incentives are a promising HIV
prevention strategy. This paper assesses the effect on HIV
incidence of a lottery program in Lesotho with low expected
paym... Show More +ents but a chance to win a high prize conditional on
negative test results for sexually transmitted infections.
The intervention resulted in a 21.4 percent reduction in HIV
incidence over two years. Lottery incentives appear to be
particularly effective for individuals willing to take
risks. This paper estimates a model linking sexual behavior
to HIV incidence and finds that risk-loving individuals
reduce the number of unprotected sexual acts by 0.3/month
for every $1 increase in the expected prize. Show Less -
De Walque also compared and contrasted the lessons of this epidemic with the recent outbreak of Ebola, and emphasized the need for governments to effectively communicate information and reduce public ... Show More +fear that leads to aversion behavior and exacerbates economic costs.Discussant Marelize Gorgens, HIV Trust Fund Program Manager, spoke about the “continual challenge of taking research findings and applying them to policies.” She identified four key areas for continued efforts: Improving the translation of the policy implications of research to governments; better analysis of the cost effectiveness of policies that have multiple benefits, for example, increased education and lower HIV transmission rates; incentives that can promote uptake of biomedical interventions, for example male circumcision; and an increased reliance on biomedical data rather than self-reported sexual or intervention-uptake behavior, which can be unreliable. Show Less -