Evidence map›Paper›PMID 34148206›Full record

ArticleAIDS and behavior2022

"The Money, It's OK but It's not OK": Patients' and Providers' Perceptions of the Acceptability of Cash Incentives for HIV Treatment Initiation in Cape Town, South Africa.

Alison Swartz, Brendan Maughan-Brown, Shehani Perera, Abigail Harrison, Caroline Kuo, Mark N Lurie, Philip Smith, Linda-Gail Bekker, Omar Galárraga

Abstract read
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In one paragraph

Article in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alison SwartzDivision of Social and Behavioural Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa. Alison.swartz@uct.ac.za.ORCID http://orcid.org/0000-0002-4021-9838
Brendan Maughan-BrownSouthern Africa Labour and Development Research Unit, School of Economics, University of Cape Town, Cape Town, South Africa.
Shehani PereraDivision of Social and Behavioural Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Abigail HarrisonSchool of Public Health, International Health Institute, Brown University, Providence, RI, USA.
Caroline KuoSchool of Public Health, International Health Institute, Brown University, Providence, RI, USA.
Mark N LurieSchool of Public Health, International Health Institute, Brown University, Providence, RI, USA.
Philip SmithThe Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Linda-Gail BekkerThe Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Omar GalárragaSchool of Public Health, International Health Institute, Brown University, Providence, RI, USA.

Funding

Science/Technical CoreP2CHD041020 · NICHD · BROWN UNIVERSITY · PI ZHENCHAO QIAN · 2016 to 2026
$7.6M
Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI LOGAN, JOHN R · 2001 to 2016
$7.4M
Using Information to Align Services and Link and Retain Men in the HIV CascadeR01MH106600 · NIMH · UNIVERSITY OF CAPE TOWN · PI COLVIN, CHRISTOPHER JAMES, LURIE, MARK NATHAN · 2015 to 2019
$2.1M
Partnerships for the Next Generation of HIV Social Science in South AfricaR24HD077976 · NICHD · BROWN UNIVERSITY · PI COLVIN, CHRISTOPHER JAMES, LURIE, MARK NATHAN · 2013 to 2017
$1.9M
Building Research in Inter-Disciplinary Gender and HIV through the Social Sciences (The BRIDGES Programme)D43TW011308 · FIC · UNIVERSITY OF CAPE TOWN · PI COLVIN, CHRISTOPHER JAMES · 2019 to 2023
$1.7M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R24HD077976FIC NIH HHS D43 TW011308National Research Foundation of South Africa #118533National Research Foundation of South Africa Unique grant #111678NICHD NIH HHS P2C HD041020NICHD NIH HHS R24 HD041020NICHD NIH HHS R24 HD077976NIH HHS P2CHD041020-16NIMH NIH HHS R01 MH106600
6 · The paper itself

Abstract

Incentive-based interventions are used to encourage HIV testing, linkage to HIV care, and antiretroviral therapy (ART) adherence. Studies assessing efficacy of cash incentives have raised questions about the perceived ethicality of and attitudes towards incentives. Here we explore patients' and health providers' perspectives of the acceptability of a conditional cash transfer for ART initiation after receiving a positive HIV test through community-based services in resource-poor communities in Cape Town, South Africa. Drawing on in-depth interviews with patients and health care workers (HCWs), we find that, despite the perception that cash incentives are effective in promoting ART initiation, significant ambivalence surrounds the acceptability of such incentives. The receipt of a financial incentive was highly moralized, and fraught with challenges. Increasing the acceptability of cash incentives through careful design and delivery of interventions is central to the potential of this type of intervention for improving outcomes along the HIV care continuum.

Indexed as

HIV InfectionsMotivationAnti-Retroviral AgentsContinuity of Patient CareHumansSouth AfricaAnti-Retroviral AgentsAntiretroviral therapyConditional cash transfersConditional economic incentivesContingency managementHIV/AIDSHIV care continuumLinkage to careSouth Africa

Identifiers

PMID34148206
PMCPMC8685299

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.