Financial incentives influence behavioural changes and the current review was done to assess the effectiveness of this intervention in improving HIV care continuum. We conducted systematic searches in MEDLINE, Cochrane library, ScienceDirect and Google Scholar from inception until July 2019. We carried out a meta-analysis with random-effects model quantifying inconsistency (I2) for heterogeneity and reported pooled Risk Ratios (RR) with 95% confidence intervals (CIs). A total of 22 studies with 38,119 participants were included. All the six outcomes showed better results in financial incentive arm compared to standard care with statistical significance in three outcomes-HIV testing uptake (pooled RR: 2.42; 95%CI 1.06-5.54; I2 = 100%), antiretroviral therapy (ART) adherence (pooled RR: 1.30; 95%CI 1.13-1.50; I2 = 44%), and continuity in care (pooled RR: 1.24; 95%CI 1.09-1.41; I2 = 86%). To summarize, financial incentives can be helpful in improving the uptake of HIV testing, ART adherence and continuity of care while it was better for achieving viral load suppression among studies conducted in high-income countries.

中文翻译：

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财务奖励措施在实现UNAID快速追踪90-90-90和95-95-95 HIV护理连续性目标方面的有效性：随机对照试验的系统评价和荟萃分析。

经济刺激因素影响行为改变，目前的评估旨在评估这种干预措施在改善HIV护理连续性方面的有效性。从开始到2019年7月，我们在MEDLINE，Cochrane库，ScienceDirect和Google Scholar中进行了系统的搜索。我们使用随机效应模型进行了荟萃分析，量化了异质性的不一致性（I2），报告的合并风险比（RR）为95％置信区间（CI）。总共进行了22项研究，共有38,119名参与者。与标准治疗相比，所有六个结果在财务激励方面均显示出更好的结果，在三个结果中具有统计学意义-HIV检测摄入量（合并RR：2.42； 95％CI 1.06-5.54； I2 = 100％），抗逆转录病毒疗法（ART）依从性（合并的RR：1.30； 95％CI 1.13-1.50； I2 = 44％），和护理的连续性（合并RR：1.24； 95％CI 1.09-1.41； I2 = 86％）。总而言之，在高收入国家进行的研究中，经济上的激励措施可以帮助提高对HIV检测，抗逆转录病毒疗法依从性和护理连续性的接受程度，同时更好地实现病毒载量的抑制。