Designing a Behaviorally Informed Incentive and Monitoring Scheme for a National Health Education Program

Background: The prevalence of HIV/AIDs is alarmingly high in many sub-saharan African nations.  High transmission rates can be attributed to a number of factors, but evidence has shown that high incidences of inter-generational sex can be a main cause of high infection.  A simple intervention explaining the relative risk of different age groups to adolescent girls was proven to be an effective and affordable solution to deter the spread of HIV in Kenya.  

Scope: Busara consulted for a scale up initiative from these findings that is working closely with government officials to conduct national workshops and training sessions for young females informing them of the relative risk of older partners.  Guidance counselors and secondary school teachers were recruited to conduct a national based training, but the implementing partner needed a low-cost, proven method of incentivizing participation of the teachers and standardization of the content.  Busara was hired to develop a set of behavioral interventions that were cheap and easy to implement but built an effective incentive and monitoring scheme to ensure maximum coverage.