|
In collaboration with the Anova Health Institute, Indlela will test whether text messaging using a “fresh start” approach will increase ART re-initiation after treatment interruptions in Capricorn District, Limpopo Province. The “fresh start effect” leverages the importance that individuals may place on specific moments in time (temporal landmarks) that motivate changes in their behaviour or decision making in the pursuit of personal goals (Dai and Li, 2019; Beshears et al., 2021).
This BIT project will be a randomised control trial that includes three study arms: standard of care routine tracing with no SMS message, a standard SMS message and a standard SMS message with a “fresh start” date. The project will take place over approximately 15 months at primary health clinics. Read the full project summary on our website here.
|
|
We are excited to share that enrollment for the Aurum Institute and PREDICT BIT projects were completed in February 2022. We also began enrollment for the FPD project and made available the results from the CVACS project. Read on for more details.
|
|
|
The goal of this study was to rapidly determine whether text messages framed according to behavioural economics principles increased clinic attendance among patients on ART. For this study the primary outcome was a clinic visit on or before the scheduled appointment date. The Aurum Institute enrolled 1,536 care recipients from three clinics into four study arms: 380 (24.7%) in the standard of care, 388 (25.3%) loss aversion, 376 (24.5%) social norms and 392 (25.2%) in altruism framing. We are in the process of data cleaning and analysis. Results are forthcoming.
Watch for more updates on the Aurum project here.
|
|
|
The objective of this BIT was to evaluate the fidelity, feasibility, acceptability, and effectiveness of adherence scorecards and a treatment referral plan focusing on the outcome of clinic visit attendance for people living with HIV (PLHIV).
Right to Care and Palindrome Data reached the recruitment target and enrolled 2,415 care recipients. The Indlela team also completed qualitative interviews with the providers who administered the adherence scorecards and referral plans. We aim to complete data collection for the follow-up visits by May 2022. Look out for more updates on the PREDICT project here.
|
|
|
Our BIT project in partnership with the Foundation for Professional Development (FPD) launched on February 1. The project aims to determine whether HTS demand creation material that leverages behavioural science principles will increase demand for HIV testing at GP practices. In preparation for the launch, we prototyped the marketing material in December and received feedback from care recipients on the content and structure of the brochures. We conducted training in January and piloted the tools over 5 days at all participating GP practices before beginning data collection. Read more about this BIT project here!
|
|
|
Indlela’s Research Faculty, Dr. Brendan Maughan-Brown and Behavioural Design Lead Dr. Alison Buttenheim shared key findings from the COVID-19 Vaccine Survey (CVACS) Survey 1 in February 2022. Here are the links to CVACS Survey 1 Policy Brief and CVACS Survey 1 Slide Deck.
CVACS collects high quality, timely information to inform the development of campaigns and programmes to improve COVID-19 vaccination uptake in South Africa. The policy brief and slide deck are based on the full Survey 1 sample of 3,510, and thus update preliminary findings from the CVACS Survey 1 (December 2021). The anonymised CVACS Survey 1 data will be published in the coming weeks via Data First’s online open data portal.
|
|
|
Preethi Mistri discusses the use of conditional economic incentives (CEIs) to overcome present bias and motivate pre-exposure prophylaxis (PrEP) use. This post focuses on adolescent girls and young women (AGYW) as a priority group for HIV preventative interventions and debates whether CEIs are useful for decision making on PrEP use and sustaining behaviour change. We also explore if the use of CEIs are justifiable and under what circumstances. Our Tiko BIT that is in collaboration with Triggerise and the Institute of Health Programmes and Systems will test the use of CEIs in AGYWs. Read the full post and leave your reply in the comments section!
|
|
Neo Ndlovu
I am a Nudge Associate, have a doctorate degree, and am also a registered nurse with the South African Nursing Council.
|
|
|
My research interests include learning more about behavioural economics principles, technical and operational management of BIT projects, and contributing to the dissemination of findings in the form of publications.
Career nudge: I developed an interest in human behaviour at a young age and continued to pursue a career in Social Sciences. This prompted me to study research psychology until I obtained my doctorate. When the opportunity to develop my skills in behavioural economics presented itself, I didn’t think twice to apply.
|
|
Vision for Indlela: I am excited to learn more about behavioural economics and be part of the Indlela team. I would like to see Indlela lead some of the public health training programmes in collaboration with tertiary institutions that mentor upcoming researchers.
My biggest achievement is obtaining a PhD and working full-time in public health while raising my three children. This life experience has taught me to be hard-working and disciplined.
|
|
|
Jacqui Miot
I am a Health Economist, Division Director of HE2RO and the Strategic Advisor for Indlela.
|
|
|
My research interests include economic evaluations of public health interventions and programmes with a focus on HIV, TB and oncology. More recently I have become involved with various aspects of COVID-19 research and costing analyses.
Career Nudge: After completing my pharmacy degree and internship, I was looking for a job as a research lab assistant in my gap year in the UK and my boss-to-be mistakenly thought I was applying for a PhD. He put my name forward and I received a scholarship for my doctoral studies in pharmacology at London University. Since then I’ve been passionate about academics and healthcare research.
|
Vision for Indlela: To be the go-to place for research and generating evidence in behavioural health economics in Africa, expanding beyond HIV and TB to other clinical areas. Indlela is recognised as a centre of excellence in training and mentorship for aspiring BE scientists.
My biggest achievement: Professionally, this includes appointment as division director and getting up to speed with the diverse, wide-ranging and fascinating research studies especially in HIV, and continuing to grow my own research interests that includes behavioural sciences. Personally, it is raising my two sons who have turned out to be smart, kind, funny and insightful young men.
|
|
Averi Chakrabarthi
I am a Postdoctoral Researcher at the Department of Medical Ethics and Health Policy at the University of Pennsylvania.
|
|
|
My research interests include health, nutrition, gender and poverty alleviation in low- and middle-income countries. My current projects are: 1) the linkages between health and poverty/financial equity, 2) the consequences of environmental degradation for the wellbeing of women, children and households, and 3) the patterns and drivers of malnutrition and overnutrition.
Vision for Indlela: I am thrilled to be affiliated with Indlela and envisage that the unit can help build the efficacy of HIV service delivery in SA. Dissemination of the findings from Indlela’s BIT projects can also help inform the operations of health systems in comparable settings
|
|
Career Nudge: My interest in international health research was sparked while pursuing a Master’s degree in Public Policy at Johns Hopkins University, which has a fabulous public health school. I subsequently spent two years with the research organization J-PAL in India working on empirical research and primary data collection operations, which solidified my desire to work on policy-relevant and impactful research.
My biggest achievement: Professionally, being a part of great research teams such as the one in Indlela. Personally, staying super close with friends and family despite geographic distance and busy schedules.
|
|
|
Indlela team achievements
|
|
|
|
In South Africa, men are less likely than women to know their HIV status or take antiretroviral treatment and often experience higher mortality. This 3-minute animated video describes a study led by the Desmond Tutu Health Foundation and UPenn which found that peer-delivered messaging about HIV being untransmissable if undetectable when on treatment (U=U) increased men’s HIV testing uptake.
The study showcases the hallmarks of a BIT project: a rapid, low-cost intervention built upon an existing program and utilising a rigorous study design. You can read more about the results in AIDS & Behavior and the methodology in AIDS Patient Care and STDs.
|
|
The editorial of When pandemics collide highlights the negative impact of SARS-CoV-2 on HIV prevention programmes, reduced engagement in care of people living with HIV and on health systems in settings with high HIV burden.
|
|
|
What are we listening to?
|
|
|
In this podcast by the Decision Lab, Dilip Soman talks about Bringing behavioural science to the real world. During this interview, we learn about the importance of taking context into account, how to translate nudges to specific context, how to scale up the nudges and challenges that could occur. (est. listening time 39 minutes)
|
|
|
ICAP and the Columbia Mailman School Public Health commemorated World AIDS Day 2021 with a discussion on HIV & COVID 19: When Pandemics Collide highlighting lessons learned from the global HIV response that could inform the COVID-19 response, and how COVID-19 impacted HIV programs. (est. viewing time 94 min).
|
|
|
Announcing new BIT awards
---------
Upcoming results from current BIT projects
---------
New posts on Indlela’s Viewpoint
---------
Updates on Indlela’s publications
|
|
|
|
|
|