Antiretroviral drug access and behavior change

Abstract

Assessing the impact of antiretroviral-drug access on future HIV infections in Sub-Saharan Africa requires identification of the behavioral response. This paper combines geocoded information about the timing of introduction of ARVs in Kenyan health facilities with population surveys to estimate the impact of proximity to ARV providers on adolescent risky sexual behavior. A variety of difference-in-difference strategies yield a range of estimates of behavioral effects on pregnancy rates and self-reported sexual activity among 15-18 year-olds in areas where ARVs were introduced, from small to quite large. A simulation combining estimated behavioral responses with medical evidence regarding HIV transmission suggests increasing ARV access will reduce new HIV infections even with a very large increases in risk-taking.

Publication
Journal of Development Economics, 1(1)
Click the Cite button above to demo the feature to enable visitors to import publication metadata into their reference management software.
Click the Slides button above to demo Academic’s Markdown slides feature.

Supplementary notes can be added here, including code and math.

Avatar
Willa Friedman
Assistant Professor of Economics

I am an Assistant Professor in the Economics Department at the University of Houston. I study development economics with interests in health, education, political economy, and behavioral economics, and a regional focus on Sub-Saharan Africa.