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BRIEF April 29, 2021

Armenia: Comparing Different Demand-Side Incentives for Health Screenings

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In Armenia, despite repeated efforts to encourage providers to screen for diabetes and hypertension and to encourage adults to go for testing, screening rates are still low for adults between the ages of 35 and 68. Using administrative data from health clinics and payment data, this evaluation will measure the impact of different approaches to increase take-up of screening, including a personal invitation sent in the mail, one-time cash payments, or lottery tickets for a prize.

Study title: Comparing Different Demand-Side Incentives for Health Screenings.
Research question:What demand-side incentives increase screening rates?
Policy problem:Low screening rates for diabetes and hypertension despite mass media campaigns for many years.
Evaluation design:

Treatment 1 Individuals receive personal invitations to visit health clinics for diabetes and hypertension screening, which also include details on how and where they can access screening services. 

Treatment 2 Individuals receive the same personal invitations as in the first treatment group with an added mention about aggregate screening rates among peers in the same area who are the same age and gender. 

Treatment 3 Individuals receive the same personal invitations as in the first treatment group as well as a pharmacy voucher that can be used only after they take the screening test.

Treatment 4 Individuals receive the same personal invitations as in the first.

Data sources:Socio-demographic survey and the Armenian eHealth database. 
Researchers:Damien de Walque