Setting Priorities for HIV/AIDS Interventions
Show Less

Setting Priorities for HIV/AIDS Interventions

A Cost–Benefit Approach

Robert J. Brent

HIV/AIDS is much too complex a phenomenon to be understood only by reference to common sense and ethical codes. This book presents the cost–benefit analysis (CBA) framework in a well-researched and accessible manner to ensure that the most important considerations are recognized and incorporated.
Buy Book in Print
Show Summary Details
You do not have access to this content

Chapter 16: Impact of HIV on Agricultural Households

Robert J. Brent


Even if one may doubt that hunger is the main cause of HIV transmission in Africa, it is clear to all that a major consequence of HIV/AIDS in SSA is hunger for many of those remaining alive. HIV affects prime age adults. So when these adults die (and 2 million adults died of AIDS in 2007 alone) this adversely affects the food consumption of others. We look at a typical downward spiral initiated by an HIV infection in an agricultural household and use this to help identify the main groups affected. From there we take these groups and show how they are adversely affected so that one can get a handle on ways to mitigate the harmful effects of the deaths from AIDS. A TYPICAL DOWNWARD SPIRAL FOR AN AGRICULTURAL HOUSEHOLD INFECTED WITH HIV Gillespie et al. (2001) have compiled a list of the typical steps in the progression of the HIV disease on an agricultural household, which is the main social grouping in SSA. These steps are: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Adult becomes sick and he or she reduces work. Replacement labor is “imported”. Adults work longer hours on the farm. Health care expenditures rise and household food consumption is reduced. Switch to labor-extensive crops and farming systems. Nutritional status deteriorates. Adult stops work and increased care given to sick adult. Divisible assets disposed of, for example, livestock. Debts increase and children drop out of school. Adult dies and funeral expenses...

You are not authenticated to view the full text of this chapter or article.

Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.

Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.

Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.

Further information

or login to access all content.