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Sexual behavior change intentions and actions in the context of a randomized trial of a conditional cash transfer for HIV prevention in Tanzania

Author

Listed:
  • Packel, Laura
  • Dow, William H.
  • de Walque, Damien
  • Isdahl, Zachary
  • Majura, Albert

Abstract

Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper addresses this issue by exploring the link between action and the intention to change behaviors. In Africa, uncertainty in the lives of those at risk for HIV may affect how intentions are formed. Characterize this uncertainty by understanding the reasons for discrepancies between intentions and actions may help improve the design of HIV-prevention interventions. Based on an incentives-based HIV prevention trial in Tanzania, the longitudinal dataset in this paper allows the exploration of intended strategies for changing sexual behaviors and their results. The authors find that gender, intervention groups and new positive diagnoses of sexually transmitted infections can significantly predict the link between intent and action. The paper examines potential mediators of these relationships.

Suggested Citation

  • Packel, Laura & Dow, William H. & de Walque, Damien & Isdahl, Zachary & Majura, Albert, 2012. "Sexual behavior change intentions and actions in the context of a randomized trial of a conditional cash transfer for HIV prevention in Tanzania," Policy Research Working Paper Series 5997, The World Bank.
    • Handle: RePEc:wbk:wbrwps:5997
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    Cited by:

    1. Arimoto, Yutaka & Ito, Seiro & Kudo, Yuya & Tsukada, Kazunari, 2013. "Stigma, social relationship and HIV testing in the workplace : evidence from South Africa," IDE Discussion Papers 386, Institute of Developing Economies, Japan External Trade Organization(JETRO).
    2. Bénédicte de la Brière & Deon Filmer & Dena Ringold & Dominic Rohner & Karelle Samuda & Anastasiya Denisova, 2017. "From Mines and Wells to Well-Built Minds," World Bank Publications - Books, The World Bank Group, number 26490.

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    Keywords

    Population Policies; HIV AIDS; Adolescent Health; Health Monitoring&Evaluation; Gender and Health;
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