Crowding Out Temptation: Experimental Evidence on Savings and Health Behaviors in Kenya
Working Paper 35833
DOI 10.3386/w35833
Issue Date
Alcohol use, transactional sex, and gambling carry significant health and economic consequences. We conducted a randomized controlled trial in
Kenya to assess whether these behaviors could be altered with a savings intervention that provided lottery-based interest, goal-setting support, and
savings reminders. Over 24 months, the intervention increased formal savings and assets, financed primarily by lower spending on alcohol, transactional sex, and gambling. It also reduced hazardous drinking by 26 percent and intimate partner violence by 15 percent. HIV/STI incidence declined by 8 percent, though this was not statistically significant. Savings interventions can simultaneously boost financial security and change health behavior.
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Copy CitationHarsha Thirumurthy, Elizabeth F. Bair, Dean Yang, Teniola I. Egbe, Benard Ayieko, Julius Wesonga, Sue Napierala, Connie Celum, Mary E. Putt, Carol S. Camlin, and Mark Ayallo, "Crowding Out Temptation: Experimental Evidence on Savings and Health Behaviors in Kenya," NBER Working Paper 35833 (2026), https://doi.org/10.3386/w35833.Download Citation
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