Cash Incentives Research Articles

Disengagement from Care Among People Co-Infected with HIV and HCV: A Scoping Review.

Disengagement from care among people with HIV (PWH) and hepatitis C (HCV) increases the risks of adverse health outcomes and poses significant barriers to achieving global HIV and HCV elimination goals. In accordance with the Joanna Briggs Institute framework, a scoping review was conducted to synthesize and highlight existing gaps in the literature on (dis)engagement in care among PWH and HCV. We searched for original studies on (dis)engagement in care among PWH and HCV in high-income countries using eight electronic databases from inception to May 2023. Our search yielded 4462 non-duplicated records, which were scoped to 27 studies. Definitions of (dis)engagement in care were diverse, with considerable heterogeneity in how retention was operationalized and temporally measured. Studies identified predictors of (dis)engagement to be related to drug and substance use (n = 5 articles), clinical factors (n = 5), social and welfare (n = 4), and demographic characteristics (n = 2). When engagement in care was treated as an exposure, it was associated with HCV treatment initiation (n = 3), achieving sustained virological response (n = 2), and maintaining HIV viral suppression (n = 1). Interventions to improve care engagement among PWH and HCV were limited to five studies using cash incentives (n = 1) and individual case management (n = 4). (Dis)engagement in care is a dynamic process influenced by shifting priorities that may 'tip the balance' towards or away from regularly interacting with healthcare professionals. However, inconsistent definitions render cross-study comparisons and meta-analyses virtually impossible. Further research needs to establish a standardized definition to identify patients at high risk of disengagement and develop interventions that leverage the nested HIV/HCV care cascades to retain and recover patients lost from care.

Effectiveness of Providing Cash Incentives and Training To Community Health Workers on Active Case Finding for Tuberculosis In Nigeria: A Cluster-Randomized Control Trial

Background Case detection for Tuberculosis remains low in high-burden communities. Community Health Workers (CHWs) are the first point of contact for many rural Nigerians and have been useful in active case finding. This study assessed the effectiveness of cash incentives and training on tuberculosis case detection by CHWs in six Local Government Areas in Nigeria. Materials and Methods A cluster randomized control trial with three arms was conducted. Arm A received cash incentives and training, Arm B received only training, and the control arm (C) received neither. CHWs already working in the communities participated. TB case notification and number of community outreaches held were used to assess intervention effects. Data were analyzed using STATA (v.13) and GraphPad Prism (v.8). Effect sizes were calculated using odds ratios and 95% confidence intervals. Associations were tested using Chi-square (χ²) tests, with significance set at P=0.05. Results Arm A had a 14.4% increase in case notification, Arm B showed a 7.4% increase, and the control arm showed a 39.7% increase from the previous year. Arms A and B had lower odds of TB case notification post-intervention, compared to the control (OR = 0.819 and 0.769, respectively), with no significant difference between them. Arm A also saw a 144.8% increase in community outreaches, compared to 46.7% in Arm B and 22.7% in Control Arm C. Arms A and B had higher odds of carrying out community outreaches post-intervention compared to the control (OR = 1.995 and 1.195, respectively), but no significant differences were found between the groups regarding community outreach. Conclusion While the interventions resulted in an increased number of community outreaches compared to the control, case notification improved more in the control arm than in the intervention arms. Nevertheless, the findings highlight the potential of combining cash incentives with training to improve TB control efforts at the community level. Further exploration of the implementation process may shed light on the observed outcomes and guide future intervention strategies.

Cash Incentive on Remittance Inflow and its Impact on Economic Growth in Bangladesh

Remittances are crucial for driving economic growth in developing countries like Bangladesh, as they effectively influencenearly all macroeconomic indicators within the financial ecosystem. This study examines the impact of remittance inflow on economic growth in Bangladesh considering the cash incentive policy of the government. The ARDL Bound testing approach is employed for the analysis using a monthly dataset covering the period from January 2015 to April 2023. The evidence from the results provides a substantial and favorable influence of remittances on the economic growth of Bangladesh, both in the short term and the long term. According to the expected error correction term, it is projected that the economy will undergo a correction of its imbalances at an annual rate of 58%. Consequently, a strategic blend of short-term policy adjustments and long-term initiatives has the potential to enhance the influence of remittances in fostering sustainable economic growth and elevating the the quality of life for both expatriates and the nation as a whole.

The Association between Financial and Non-Financial Incentives and Performance of Posyandu Cadres

Penajam Paser Utara was the first district to provide cash incentives to Posyandu cadres for infants and toddlers and was the district with the largest incentive in 2010 at IDR 200,000 per month. However, the provision of incentives is still uneven. There are still differences in the amount of cash incentives received by cadres. This study aims to determine whether there is a relationship between incentives and the performance of Posyandu cadres in Penajam Paser Utara District. This type of research is quantitative using correlational analysis method and cross sectional approach with a sample size of 303 respondents. The research was conducted in the Posyandu working area in Penajam Paser Utara Regency in November - December 2023. Data collection was done online using a Google form link given to respondents via WhatsApp. Data were analyzed using the chi-square test. The results found that 251 cadres (82.8%) performed well. There were three types of non-cash incentives associated with performance, namely health benefits, uniforms and neighborhood support (p value <0.05). The conclusion of this study is that there is a positive relationship between cash and non-cash incentives on cadre performance in Penajam Paser Utara Region.

Health and non-health benefits and equity impacts of individual-level economic relief programs during epidemics/pandemics in high income settings: a scoping review

BackgroundEconomic relief programs are strategies designed to sustain societal welfare and population health during a regional or global scale infectious disease outbreak. While economic relief programmes are considered essential during a regional or global health crisis, there is no clear consensus in the literature about their health and non-health benefits and their impact on promoting equity.MethodsWe conducted a scoping review, searching eight electronic databases from January 01, 2001, to April 3, 2023, using text words and subject headings for recent pathogens (coronavirus (COVID-19), Ebola, Influenza, Middle East Respiratory Syndrome (MERS), severe acute respiratory syndrome (SARS), HIV, West Nile, and Zika), and economic relief programs; but restricted eligibility to high-income countries and selected diseases due to volume. Title and abstract screening were conducted by trained reviewers and Distiller AI software. Data were extracted in duplicates by two trained reviewers using a pretested form, and key findings were charted using a narrative approach.ResultsWe identified 27,263 de-duplicated records, of which 50 were eligible. Included studies were on COVID-19 and Influenza, published between 2014 and 2023. Zero eligible studies were on MERS, SARS, Zika, Ebola, or West Nile Virus. We identified seven program types of which cash transfer (n = 12) and vaccination or testing incentive (n = 9) were most common. Individual-level economic relief programs were reported to have varying degrees of impact on public health measures, and sometimes affected population health outcomes. Expanding paid sick leave programs had the highest number of studies reporting health-related outcomes and positively impacted public health measures (isolation, vaccination uptake) and health outcomes (case counts and the utilization of healthcare services). Equity impact was most often reported for cash transfer programs and incentive for vaccination programs. Positive effects on general well-being and non-health outcomes included improved mental well-being and quality of life, food security, financial resilience, and job security.ConclusionsOur findings suggest that individual-level economic relief programs can have significant impacts on public health measures, population health outcomes and equity. As countries prepare for future pandemics, our findings provide evidence to stakeholders to recognize health equity as a fundamental public health goal when designing pandemic preparedness policies.

The effect of incentives and procedure simplification in policy implementation: evidence from a survey experiment on waste sorting

ABSTRACT To encourage residents to sort their waste, governments can use incentives such as cash rewards or social reinforcement. The effect of such incentives remains unclear, and residents often are deterred by the complexity of procedures to obtain their rewards. Based on positive reinforcement theory and using a survey experiment, we study the effect of types and procedures of incentives on waste sorting behavioural intentions in a large Chinese city. We find that cash incentives have a stronger effect on waste sorting behavioural intentions than incentives based on social reinforcement such as a certificate of merit. Cash-based incentives also have a stronger effect on perceived probability to obtain the incentive and on perceptions of procedure difficulty. More simple procedures to obtain the incentive does not seem to have an effect on waste sorting behavioural intentions, neither direct nor in an interaction. However, the simplification of the procedure through which an incentive can be obtained is positively correlated with perceived probability to obtain the incentive.

AN ANALYSIS OF OVERALL TECHNICAL, PURE AND SCALE EFFICIENCIES OF RICE FARMS IN SATKHIRA DISTRICT OF BANGLADESH: A DATA ENVELOPMENT APPROACH

This study measures efficiency of Aman rice farms and assesses the effect of farm-specific variables on the efficiencies using cross-section data in Bangladesh. Data envelopment analysis (DEA) method is used to measure the efficiency levels of Aman rice farms in Bangladesh. We used multi-stage sampling technique to collect the data of 455 rice farms using face to face interview method. The results show that the mean overall technical efficiency, pure technical efficiency, and scale efficiency are 0.75, 0.91, and 0.83, respectively. The beauty of this article is the use of scale efficiency which identifies the three different stages of production. The finding of the scale efficiency shows that about 0.89 percent of the Aman rice farm is operating at economies of scale that is really higher than optimal level. The Tobit regression model is employed in order to assess the cause of inefficiencies of rice farms. The results of Tobit regression implies that agriculture policy variable, farmers having bank account for receiving government agricultural assistance, positively relates to the technical efficiency of Aman rice farms. The policy implication of these findings implies government assistance such as cash incentive, and extension service need to be extended and implemented with proper targeting.

The effect of prepaid incentives on panelists’ response across survey modes in a sequential mixed-mode design

AbstractWhile the use of prepaid incentives and data collection in a sequential mixed-mode survey design is standard in cross-sectional and longitudinal studies, little is known about the interaction of these strategies and how this affects target persons’ survey participation. Therefore, based on a panel study, this study investigates whether such unconditional prepayments—monetary or non-monetary incentives—increase the efficiency of a sequential mixed-mode survey design in regard to boosted response rates and speed of return after receipt of an invitation to participate in a survey. While the survey design is always identical, the different incentives vary across the waves considered. Different prepayments, such as cash or in-kind incentives, have different effects on invitees’ participation in different survey modes. In particular, non-monetary incentives seem to work only in a sequential mixed-mode design, while cash, as a universal medium, always works in the expected way, across different survey modes. In sum, the study finds that when a single sequential mixed-mode design is used across panel waves the overall response rates are rather similar, even when different incentives are provided.

Perspectives and possibilities for developing ride-sharing services to promote sustainable mode of transport: Bangladesh perspective

The ride-sharing trend is booming because of modern technologies and plays a significant role in transitioning to sustainable transportation methods. This study utilizes a comprehensive dataset collected from an online survey administered to over 1300 individuals in Bangladesh in 2023. Its specific focus is to examine the usage patterns of ride-sharing applications, such as Pathao and Uber. It builds upon previous research to analyze the factors influencing the use of these services and current trends in shared transportation. Additionally, it investigates the challenges associated with utilizing shared transportation amenities and proposes potential improvements to make ride-sharing or pooling more attractive. The study diligently worked to establish an inclusive framework and terminology to enhance policies and gain a more detailed understanding of the transportation choices and requirements of communities. To bridge the gap between theory and practice, we adopted an implementation-oriented research approach and conducted a comprehensive quantitative and inferential analysis of the survey data. The inclination of an individual to opt for or perceive collective or merged services depends on several demographic, geographical, and built-environment factors. The findings highlight the necessity of enhanced security measures, increased public awareness of ride-sharing benefits, and the formulation of legislative measures to promote sustainable mobility. Two examples of potential measures we have found to improve and encourage the use of ride-sharing services include reducing uncertainty about shared rides and minimizing passenger discomfort. These measures can be implemented through operational adjustments, government regulations, and employer programs. An essential conclusion was reached regarding the importance of prioritizing improvements in ride-sharing operations, rather than relying solely on cash incentives to promote behavioral change. Furthermore, it was determined that regardless of the changes, policies, or programs implemented, it is imperative to enhance public awareness and education.

Passing the message: Peer outreach about COVID-19 precautions in Zambia

During public health emergencies, spreading accurate information and increasing adherence to recommended behaviors is critical for communal welfare. However, uncertainty, mistrust, and misinformation can slow the adoption of best practices. Preexisting social networks can amplify and endorse information from authorities, and technology makes peer-to-peer messaging scalable and fast. Using text messages and small cash incentives, we test a peer-based information campaign to encourage adherence to recommended COVID-19-related health behaviors in Zambia. None of the treatments affected health behavior among primary study participants or their peers. The suggestion to pass messages to peers increases dissemination, but financial incentives do not have any additional impact.

Evaluation of a Project Integrating Financial Incentives into a Hepatitis C Testing and Treatment Model of Care at a Sexual Health Service in Cairns, Australia, 2020–2021

Background: Understanding the effectiveness of novel models of care in community-based settings is critical to achieving hepatitis C elimination. We conducted an evaluation of a hepatitis C model of care with financial incentives that aimed to improve engagement across the hepatitis C cascade of care at a sexual health service in Cairns, Australia. Methods: Between March 2020 and May 2021, financial incentives were embedded into an established person-centred hepatitis C model of care at Cairns Sexual Health Service. Clients of the Service who self-reported experiences of injecting drugs were offered an AUD 20 cash incentive for hepatitis C testing, treatment initiation, treatment completion, and test for cure. Descriptive statistics were used to describe retention in hepatitis C care in the incentivised model. They were compared to the standard of care offered in the 11 months prior to intervention. Results: A total of 121 clients received financial incentives for hepatitis C testing (antibody or RNA). Twenty-eight clients were hepatitis C RNA positive, of whom 92% (24/28) commenced treatment, 75% (21/28) completed treatment, and 68% (19/28) achieved a sustained virological response (SVR). There were improvements in the proportion of clients diagnosed with hepatitis C who commenced treatment (86% vs. 75%), completed treatment (75% vs. 40%), and achieved SVR (68% vs. 17%) compared to the pre-intervention comparison period. Conclusions: In this study, financial incentives improved engagement and retention in hepatitis C care for people who inject drugs in a model of care that incorporated a person-centred and flexible approach.

Introducing professional managers, salary incentive and family business innovation

This paper provides an in-depth discussion of the impact of introducing professional managers on the innovation of family firms for a sample of A-share listed companies in China from 2017 to 2022. The findings show that introducing professional managers in family firms significantly positively contributes to corporate innovation. In addition, the study finds that both equity and cash incentives given to professional managers are conducive to further promoting corporate innovation. The results of this study are of great practical significance for how family firms can rationally utilize professional managers to enhance corporate innovation.

Guaranteed Cash Incentives Boosted COVID-19 Vaccinations Of Young Adults: Evidence From West Virginia.

Guaranteed small cash incentives were widely employed by policy makers during the COVID-19 vaccination campaign, but the impact of these programs has been largely understudied. We were the first to exploit a statewide natural experiment of one such program implemented in West Virginia in 2021 that provided a $100 incentive to fully vaccinated adults ages 16-35. Using individual-level data from the Census Bureau's Household Pulse Survey, we isolated the policy effect through a difference-in-discontinuities design that exploited the discontinuity in incentive eligibility at age thirty-five. We found that the $100 incentive was associated with a robust increase in the proportion of people ever vaccinated against COVID-19 and the proportion who completed or intended to complete the primary series of COVID-19 vaccines. The policy effects were also likely to be more pronounced among people with low incomes, those who were unemployed, and those with no prior COVID-19 infection. The guaranteed cash incentive program may have created more equitable access to vaccines for disadvantaged populations. Additional outreach may also be needed, especially to unvaccinated people with prior COVID-19 infections.

Are cash incentives always king? A randomized controlled trial evaluating hedonic versus cash incentives (TEH-C).

Physical inactivity is a risk factor for obesity and non-communicable diseases. Despite myriad health and non-health benefits resulting from physical activity (PA), most individuals do not meet PA recommendations. Providing an incentive for meeting activity goals may increase activity levels. Classical economists argue that cash is the best incentive. Behavioral economists have posited that hedonic (pleasurable) incentives (e.g., massages, restaurant meals) may be superior to cash when incentives are offered over multiple time periods. To date, no studies have directly compared the effectiveness of cash versus hedonic incentives in promoting PA across multiple time periods. We conducted a two-arm, parallel, 4-month randomized controlled trial with healthy adults in Singapore where participants were randomized to either cash or hedonic incentives. Participants could earn up to SGD50 (≈USD37) in cash or hedonic incentives each month they met the study's step target of 10,000 steps daily on at least 20/25 days out of the first 28 days of a month. The primary objective was to compare the mean proportion of months that participants met the step target between the two arms. By month 4, participants in the cash (N = 154) and hedonic incentive (N = 156) arms increased their mean daily steps by 870 (p < 0.001) and 1,000 steps (p < 0.001), respectively. The mean proportion of months the step target was achieved was 90.53 and 88.34 for participants in the cash and hedonic incentive arms respectively, but differences across arms were small and not statistically significant for this or any outcome assessed. Our findings suggest that both cash and hedonic incentives are effective at promoting physical activity but that neither strategy is clearly superior.Clinical trial registration: ClinicalTrials.gov, NCT04618757 registered on November 6, 2020.

Adapting a Financial Incentives Intervention for Smoking Cessation With Alaska Native Families: Phase 1 Qualitative Research to Inform the Aniqsaaq (To Breathe) Study.

Alaska Native and American Indian (ANAI) peoples in Alaska currently experience a disproportionate burden of morbidity and mortality from tobacco cigarette use. Financial incentives for smoking cessation are evidence-based, but a family-level incentive structure has not been evaluated. We used a community-based participatory research and qualitative approach to culturally adapt a smoking cessation intervention with ANAI families. We conducted individual, semistructured telephone interviews with 12 ANAI adults who smoke, 12 adult family members, and 13 Alaska Tribal Health System stakeholders statewide between November 2022 and March 2023. Through content analysis, we explored intervention receptivity, incentive preferences, culturally aligned recruitment and intervention messaging, and future implementation needs. Participants were receptive to the intervention. Involving a family member was viewed as novel and aligned with ANAI cultural values of commitment to community and familial interdependence. Major themes included choosing a family member who is supportive and understanding, keeping materials positive and encouraging, and offering cash and noncash incentives for family members to choose (eg, fuel, groceries, activities). Participants indicated that messaging should emphasize family collaboration and that cessation resources and support tips should be provided. Stakeholders also reinforced that program materials should encourage the use of other existing evidence-based cessation therapies (eg, nicotine replacement, counseling). Adaptations, grounded in ANAI cultural strengths, were made to the intervention and recruitment materials based on participant feedback. Next steps include a beta-test for feasibility and a randomized controlled trial for efficacy. This is the first study to design and adapt a financial incentives intervention promoting smoking cessation among ANAI peoples and the first to involve the family system. Feedback from this formative work was used to develop a meaningful family-level incentive structure with ANAI people who smoke and family members and ensure intervention messaging is supportive and culturally aligned. The results provide qualitative knowledge that can inform future family-based interventions with ANAI communities, including our planned randomized controlled trial of the intervention.

Assessment on Benefits of Conditional Cash Transfer Program as an Aid in Alleviating the Life of the Poorest of the Poor at Santa Maria Bulacan

The major purpose of this study is to determine the implementation Conditional Cash Transfer Program as perceived by the beneficiaries. Descriptive method was used in this study. Conditional Cash Transfer Program is one of the shortest ways to address the increasing frequency of poverty. This program undertakes to lift poor families from poverty, other things constant, and as long as the cash grant is continued. In the long run, however, cash transfers alone are less likely to suffice to stop the recurrence of poverty. Conditional Cash Transfer Program was known by most of the respondents through the DSWD employees. Findings showed that (1) most of the respondents highly allocated their cash incentives in food and education of their children; (2) “It Provides Income Support to Our Family” and “It Provides Our Children the Basic Education” were the most effective benefits as perceived by the respondents. (3) All of the aspects in measuring the effectiveness of the program were rated very much effective (4) The respondents want the continuity of the Conditional Cash Transfer Program from the existing to the next administration and they are anticipating much more livelihood project should be anchored on this program as the years go by.

Cash or Non-Cash? Exploring Ideators’ Incentive Preferences in Crowdsourcing Contests

ABSTRACT Even though research has repeatedly shown that non-cash incentives can be effective, cash incentives are the de facto standard in crowdsourcing contests. In this multi-study research, we quantify ideators’ preferences for non-cash incentives and investigate how allowing ideators to self-select their preferred incentive—offering ideators a choice between cash and non-cash incentives—affects their creative performance. We further explore whether the market context of the organization hosting the contest—social (non-profit) or monetary (for-profit)—moderates incentive preferences and their effectiveness. We find that individuals exhibit heterogeneous incentive preferences and often prefer non-cash incentives, even in for-profit contexts. Offering ideators a choice of incentives can enhance creative performance. Market context moderates the effect of incentives, such that ideators who receive non-cash incentives in for-profit contexts tend to exert less effort. We show that heterogeneity of ideators’ preferences (and the ability to satisfy diverse preferences with suitably diverse incentive options) is a critical boundary condition to realizing benefits from offering ideators a choice of incentives. We provide managers with guidance to design effective incentives by improving incentive-preference fit for ideators.

Corporate social responsibility and the executive-employee pay disparity

We examine the impact of employee-related Corporate Social Responsibility (ER-CSR) on pay disparity between top management and the average worker. Firms with higher ER-CSR ratings have a lower pay disparity and the effect is greatest when executives are paid the most. ER-CSR is associated with a lower ratio of top management's cash and long-term incentive compensation, relative to the average employee's pay. We find that the negative relation is driven by socially responsible firms paying their average employees more. Finally, we document that CSR activities related to employee relations and diversity are those leading to a significant pay disparity reduction.

From ‘intuitive’ pragmatic interventions to a systematic approach – Using implementation science to improve childhood cancer survival in low-income settings: The CANCaRe Africa experience

Implementation science is a relatively young field of study and is the science of delivering evidence-based interventions into routine health care. RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) is an evaluation-type implementation science framework. CANCaRe Africa is preparing a project to assess the implementation and effectiveness of a cash incentive intervention to support families with out-of-pocket costs to prevent treatment abandonment and increase childhood cancer survival in sub-Saharan Africa. Our strategy is to enhance the dissemination of our research findings to local policymakers who can support the scale-up of evidence-based clinical interventions and locally effective implementation strategies. It can be done best by embedding implementation science into our clinical research approaches.

Политика в отношении рождаемости и здорового образа жизни в России: особенности стимулирования граждан

Social and demographic problems associated with an increase in the birth rate and the number of citizens leading a healthy lifestyle have many intersection points both in the field of health and in the field of socio-economic relations. Projects to improve fertility indicators and healthy lifestyles, presented in strategic documents and relevant policies, reflect different attitudes of the authorities towards stimulating citizens. Unlike having children, maintaining a healthy lifestyle by citizens does not provide for material or non-material incentives from the state. At the same time, the currently existing material incentives for the birth rate show their insufficiency, which raises the question of additional or alternative ways to motivate citizens. The solution to this approach requires an integrated approach. On the one hand, the use of an information resource available through the education system and the media space opens up the opportunity for the authorities to influence the attitude of citizens towards issues of fertility, values and status of the family and health. In this context, the attitude of citizens towards the promotion of a healthy lifestyle, as one of the conditions for strengthening the family and maintaining reproductive health, would also change. On the other hand, the media must popularize the idea that individual unlimited consumption also has a limit in the form of health and life expectancy. Consumption can be expanded at the expense of families if the state stimulates family consumption, and not just distributes one-time cash incentives.