by Hally Mahler and Eva Bazant
International Initiative for Impact Evaluation (3ie) Report 51, October 2016
To reduce the incidence of HIV in Tanzania, in 2010 the Ministry of Health and Social Welfare (MOHSW) set regional targets for voluntary medical male circumcision (VMMC) service uptake in Iringa, Njombe and Tabora – regions with recent efforts targeting men aged 20 to 34 years. Because targets for this age group were not being met, the use of financial or in-kind incentives in the form of lotteries or raffles was thought to be an innovative approach well-suited to promoting VMMC services to men aged 20 years and older. The qualitative research suggests that the introduction of a financial or in-kind incentive for an already ‘free’ service may have potential negative effects. Policymakers seeking to increase VMMC uptake should conduct formative research to better understand community perceptions around VMMC and incentives for VMMC uptake, and may wish to repeat this study in different seasons and regions and with different types of incentives.