Acceptability and Feasibility of a Financial Incentive Intervention to Improve Retention in HIV Care among Pregnant Women in Johannesburg, South Africa
Clouse, K., Mongwenyana, C., Musina, M., et al. AIDS Care (October 2017), doi:10.1080.09540121.2017.1394436.
This study in South Africa examined the acceptability and feasibility of a one-time supermarket voucher of US$4 as an incentive for women to attend a postpartum visit within 10 weeks of giving birth. Among the 100 participants, 71 percent had been diagnosed during antenatal care for the pregnancy under study, 81 percent described the pregnancy as unplanned, and all participants had been prescribed antiretroviral treatment. Sixty-four percent of women attended a postpartum visit within 10 weeks, making them eligible for the voucher; of these, nearly 80 percent received the voucher. Thirty participants did not return within the 10-week time period and did not receive vouchers. At study enrollment, 86 percent reported that the voucher would give them incentive to return for a postpartum check. Most women (71%) stated that they would use the voucher to buy products for the baby; 20.3 percent stated that they would buy food. Most participants who stated that the voucher would not serve as an incentive said that it was because they already felt motivated to maintain their health. The authors concluded that though financial incentives is acceptable and feasible for retaining women in postpartum care, many participants said that they preferred improved integrated services, HIV counseling, and health education.