Identifying individuals most at risk of HIV infection is a priority for policymakers. Apart from specific groups, however, little is known about how to identify those at high risk in the population. Research suggests that attitudes toward risk and time preferences may influence risky sexual...

Performance-based financing (PBF) is a complex health systems intervention aimed at improving the coverage and quality of care. Several studies have shown a positive impact of PBF on health service coverage, often coupled with improvements in quality, but relatively little is known about the...

To improve utilization and quality of health services, a growing number of low- and middle-income countries have been experimenting with financial incentives tied to providers' performance. Relying on a difference-in-differences approach, we estimate the impacts of the performance-based...

In many low- and middle-income countries, health coverage has improved dramatically in the past two decades, but health outcomes have not. As such, effective coverage-a measure of service delivery that meets a minimum standard of quality-remains unacceptably low. Improving Effective Coverage in...

Swaziland and Lesotho are the countries with the highest HIV prevalence in the world. These countries have in common another distinguishing feature: during the past century, they sent massive numbers of migrant workers into South African mines. This paper examines whether mining activities in a...

This paper analyzes the socioeconomic determinants of HIV infection and related sexual behaviors using the 2004Lesotho Demographic and Health Survey. The authors find that in Lesotho education appears to have a protective effect: it is negatively associated with HIV infection (although not...

Swaziland and Lesotho have the highest HIV prevalence in the world. They also share another distinct feature: during the last century, they sent a large numbers of migrant workers to South African mines. This paper examines whether participation in mining in a bordering country affects HIV...

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 payments but a chance to win a high prize conditional on negative test results for sexually transmitted infections. The intervention...