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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, Volume 1
Author:Packel, Laura; Dow, William H.; de Walque, Damien; Isdahl, Zachary; Majura, Albert; Collection Title:Impact Evaluation series ; no. IE 53Policy Research working paper ; no. WPS 5997Paper is funded by the Knowledge for Change Program (KCP)
Country:Tanzania; Date Stored:2012/03/14
Document Date:2012/03/01Document Type:Policy Research Working Paper
SubTopics:Gender and Health; Health Monitoring & Evaluation; Population Policies; Adolescent Health; HIV AIDSLanguage:English
Major Sector:Health and other social servicesRel. Proj ID:TZ-Conditional Cash Transfers For Hiv/Sti Prevention- -- P113775;
Region:AfricaReport Number:WPS5997
Sub Sectors:HealthTF No/Name:TF097789-Evaluating conditional cash transfers schemes in Africa as safety net m; TF092758-EVALUATING CONDITIONAL CASH TRANSFERS TO HIV AND OTHER SEXUALLY TRANMIT; TF011308-BNPP-SEXUAL
Volume No:1  

Summary: 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.

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