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Last Published April 24, 2023 02:20 AM June 11, 2025 03:12 AM
Public Data URL https://doi.org/10.25625/SE4IDP
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Paper Abstract As cardiovascular diseases (CVD) become the leading cause of death in low- and middleincome countries (LMICs), this raises new challenges for health systems. Regular screening is a key measure against CVD risk factors, but the uptake of such services remains low despite free provision. We conducted a randomized controlled trial in Indonesia to assess whether personalized and targeted text messages increase the usage of public screening services for diabetes and hypertension in the at-risk population. Our intervention increased screening uptake by 6.6 percentage points. Among those who received and read the messages, the effect size was 17 percentage points. We show that text messages can be effective in a context of a relatively new disease burden in LMICs, where population responses may still be shaped by low salience and missing screening routines. As cardiovascular diseases (CVD) become the leading cause of death in low- and middle-income countries (LMICs), this raises new challenges for health systems. Regular screening is a key measure to manage CVD risk, but the uptake of such services remains low. We conducted a randomized controlled trial in Indonesia to assess whether personalized and targeted text messages increase the usage of public screening services for diabetes and hypertension in the at-risk population. Our intervention increased screening uptake by 6.6 percentage points. We show that text messages can be effective in the context of a relatively new disease burden in LMICs, where population responses may still be shaped by low salience and missing screening routines.
Paper Citation Marcus, M.E., Reuter, A., Rogge, L., Vollmer, S., 2023. The Effect of SMS Reminders on Health Screening Uptake: A Randomized Experiment in Indonesia (No. 284), Discussion papers. Courant Research Centre: Poverty, Equity and Growth, Göttingen. Marcus, M. E., Reuter, A., Rogge, L., & Vollmer, S. (2024). The effect of SMS reminders on health screening uptake: A randomized experiment in Indonesia. Journal of Economic Behavior & Organization, 227, 106715.
Paper URL http://www2.vwl.wiso.uni-goettingen.de/courant-papers/CRC-PEG_DP_284.pdf https://doi.org/10.1016/j.jebo.2024.106715
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