Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the Cameroon

Health Econ. 2010 Sep;19 Suppl:36-54. doi: 10.1002/hec.1643.


We assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, we find that 15-17 year old girls in teacher training schools are between 7 and 10 percentage points less likely to have started childbearing, an objective proxy for the incidence of unprotected sex. They are also significantly more likely to have used a condom during their last sexual intercourse. For 12-13 year old girls, the likelihood of self-reported abstinence and condom use is also significantly higher in treated schools, while the likelihood of having multiple partners is significantly lower.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Cameroon
  • Child
  • Condoms / statistics & numerical data
  • Faculty
  • Female
  • HIV Infections / prevention & control*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Marital Status
  • Pregnancy
  • Pregnancy in Adolescence / prevention & control
  • Pregnancy in Adolescence / statistics & numerical data
  • Program Evaluation
  • Regression Analysis
  • Sexual Behavior*
  • Socioeconomic Factors
  • Students
  • Surveys and Questionnaires
  • Teaching / methods