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Antiretroviral Therapy and Demand for HIV Testing: Evidence from Zambia

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Abstract

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.

Suggested Citation

  • Nicholas Wilson, 2010. "Antiretroviral Therapy and Demand for HIV Testing: Evidence from Zambia," Department of Economics Working Papers 2010-23, Department of Economics, Williams College.
  • Handle: RePEc:wil:wileco:2010-23
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    File URL: https://web.williams.edu/Economics/wp/Wilson_HIV_Testing.pdf
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    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Economic booms and risky sexual behavior (Ref. Zambia)
      by UDADISI in UDADISI on 2012-10-12 02:58:00
    2. Economic Growth and the HIV/AIDS Pandemic
      by Ariel Goldring in Free Market Mojo on 2010-11-21 21:00:01

    More about this item

    Keywords

    HIV/AIDS; Beliefs; Selection; Rationing; Zambia;
    All these keywords.

    JEL classification:

    • D45 - Microeconomics - - Market Structure, Pricing, and Design - - - Rationing; Licensing
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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