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Poverty and HIV and AIDS

  • Olive Shisana
  • Nompumelelo Zungu
  • Sinawe Pezi
Chapter

Abstract

In recent years there has been an increased interest to study and understand poverty and how it impacts on disease and epidemics (Boucekkine and Laffargue, 2007). In particular, the focus has been to understand the relationship between poverty and HIV/AIDS, especially in sub-Saharan Africa, where HIV prevalence is high and consequences are also harsh on already vulnerable communities (Cohen, 1998). The worsening economic situation is likely to continue to impact negatively on health and development, especially in countries that are already severely affected by HIV and AIDS. In the context of this background, it is important to review the link between HIV and AIDS and poverty in order to further understand the relationship between the two.

Keywords

Food Insecurity Risky Sexual Behaviour Informal Settlement Disability Grant Human Science Research Council 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Bachmann, M., and Booysen, F. (2003). Health and economic impact of HIV/AIDS on South African households: A cohort study. BMC Public Health. http://www.biomedcentral.com/1471-2458/3/14. Accessed 23 November 2008.
  2. Barnett, T., and Whiteside, A. (2002). Poverty and HIV/AIDS: impact, coping and mitigation policy. In G.A. Cornia (Ed.), AIDS, public policy and child well-being. Accessed 23 November 2008. Google Scholar
  3. Barnett, T., and Whiteside, A. (2006). AIDS in the Twenty First Century: disease and globalization. Basingstoke: Palgrave Macmillan.Google Scholar
  4. Béné, C., and Merten, S. (2007). Women and fish for sex: transactional sex, HIV/AIDS and gender in African fisheries. World Development, 36(5), 875–899.CrossRefGoogle Scholar
  5. Bloom, D.E., Associates, R.P., and Sevilla, J. (2001). Health, wealth, AIDS, and poverty -the case of Cambodia, Asian Development Bank, Sept 2001.Google Scholar
  6. Bollinger, L., Stover, J., Kerkhoven, R., Mutangadura, G., and Mukurazita, D. (1999). The Economic Impact of AIDS in Zimbabwe. The Futures Group International in collaboration with Triangle Institute (RTI). The Centre for Development and Population Activities (CEDPA). http://pdf.dec.org/pdf_docs/Pnacm926.pdf. Accessed 3 February 2009.
  7. Boucekkine, R., and Laffargue, J. (2007). A theory of dynamics and inequalities under epidemics. CORE Discussion paper 2007/37. http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1010593. Accessed 8 January 2009.
  8. Cohen, D. (1998). Poverty and HIV/AIDS in Sub-Saharan Africa. HIV and Development Programme. Issue Paper no. 27, UNDP.Google Scholar
  9. Coombe, C. (2000). Keeping the education system healthy: managing the impact of HIV/AIDS on education. Current Issues in Comparative Education (CICE), 3(1).Google Scholar
  10. Corbett, E.L., Watt, C.J., Walker, N., Maher, D., Williams, B.G., Raviglione, M.C., and Dye, C. (2003). The growing burden of Tuberculosis: Global trends and interactions with HIV epidemic. Archives of Internal Medicine, 163(9), 1009–1021.PubMedCrossRefGoogle Scholar
  11. Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18. Atlanta: U.S. Department of Health and Human Services.Google Scholar
  12. Crampin. A.C., Floyd, S., Glynn JR., Madise, N., Kondowe, M., Sibande, F., Zaba, B., and Fine, P.E. (2004). The long-term impact of HIV on household socio-economic status and age at which children are orphaned in northern Malawi. International Conference, AIDS, London, United Kingdom.Google Scholar
  13. Deacon, H., and Stephen, I. (2007). HIV/AIDS, stigma and children: A literature review. Cape Town: HSRC Press.Google Scholar
  14. De Waal, A., and Whiteside, A. (2003). New variant famine: AIDS and food crisis in Southern Africa. The Lancet, 362(9391), 1234–1237.CrossRefGoogle Scholar
  15. Dinkelman, T., Lam, D., and Leibbrandt, M. (2007). Household and community income, economic shocks and risky sexual behavior of young adults: evidence from the Cape Area Panel Study 2002 and 2005. AIDS, 21, S49–S56.PubMedCrossRefGoogle Scholar
  16. Dunkle, K.L., Jewkes, R.K., Brown, H.C., Gray, G.E., Mcintrye, J.A., and Siobon, D. (2004). Gender-based violence, relationship power and risk of HIV infection in women attending Antenatal clinics in South Africa. The Lancet, 363(9419), 1415–1421.CrossRefGoogle Scholar
  17. Ellis, L., and Terwin, J. (2004). The impact of HIV/AIDS on selected business sectors in South Africa. Bureau for Economic Research: University of Stellenbosch.Google Scholar
  18. Font, A., Puigpinas, R., Chicango, I.E., and Cabrero, N. (2006). AIDS-related knowledge and behaviours in Mozambique. Rev Epidemiol Sonte Publique, 54(4), 341–354.CrossRefGoogle Scholar
  19. Foster, G., and Williamson, J. (2000). A review of current literature of the impact of HIV/AIDS on children in sub-Saharan Africa. AIDS, 14, S275–284.PubMedGoogle Scholar
  20. Freire, S. (2003). Affected households and Temporal Impacts. In J.P. Moatti, T. Barnett, B. Coriat, Y. Souteyrand, J. Dumoulin, and Y.A. Flori (Eds.), Economics of AIDS and access to HIV/AIDS care in developing countries: Issues and challenges (pp. 365–381). ANRS, France.Google Scholar
  21. Ganyaza-Twalo, T., and Seager, J. (2005). Literature review on poverty and HIV/AIDS: measuring the social and economic impacts on households. http://www.Sahara.org.za Accessed 15 March 2008.
  22. Gebrekristos, H. (2001). Implications of family housing on HIV/AIDS among migrants in South Africa. Yale University, Department of epidemiology and Public Health Master’s Thesis.Google Scholar
  23. Greener, R. (2002). AIDS and macroeconomic impact. State of the art: AIDS and economics. Special series prepared for the International AIDS Economics Network, Barcelona Symposium, http://www.iaen.org/conferences/state of epidemic.php
  24. Greener, R., Jefferis, K., and Siphambe, H. (2005). The Economic impact of the HIV epidemic. South African Journal of Economics, 68(5), 393–404.CrossRefGoogle Scholar
  25. Greener, R., (2008). HIV, growth, poverty and inequality in sub-Saharan Africa. Draft Paper, UNAIDS.Google Scholar
  26. Gregson, S., Nyamukapa, C.A., Garnett, G.P., Mason, P.R., Zhuwau, T., Caraël, M., Chandiwana, S.K., and Anderson, R.M. (2002). Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe. The Lancet. 359:1896.PubMedCrossRefGoogle Scholar
  27. Gillespie, S., Kadiyala, S., and Greener, R. (2007). Is poverty or wealth driving HIV transmission? AIDS, 21(7), S5–S16.PubMedCrossRefGoogle Scholar
  28. Hallman, K. (2004). Socioeconomic disadvantage and unsafe sexual behaviors among young women and men in South Africa. Policy Research Division working paper number 190. New York: Population Council.Google Scholar
  29. Haram, L. (1995). Negotiating sexuality in times of economic want: The young and modern Meru women. In K.I. Klepp, P.M. Biswalo, and A. Talle (Eds.), Young people at risk: fighting AIDS in Northern Tanzania. Oslo: Scadinavian University Press.Google Scholar
  30. Hargreaves, J.R., Bonell, C.P., Morison, L.A., Kim, J.C., Phetla, G., Porter, J.D.H., Watts, C., and Pronyk, P.M. (2007). Explaining continued high HIV prevalence in South Africa: socioeconomic factors, HIV incidence and sexual behaviour change among rural cohort, 2001–2004. AIDS, 21, S39–S48.PubMedCrossRefGoogle Scholar
  31. Harries, A.D., Hargreaves, N.J., Chimzizi, R., and Salaniponi, F.M. (2002). Highly Active Antiretroviral Therapy and Tuberculosis control in Africa: Synergies and Potential. Bulletin of the World Health Organization, 80(6).Google Scholar
  32. HSRC (2005). Nelson Mandela/HSRC study of HIV/AIDS: South African national HIV prevalence, behaviour risks and mass media household survey 2002. Pretoria: HSRC, MRC, CADRE, ANRS.Google Scholar
  33. Hunter, M. (2007). The changing political economy of sex in South Africa: The significance of unemployment and inequalities to the scale of the AIDS pandemic. Social Science and Medicine, 64(3), 689–700.PubMedCrossRefGoogle Scholar
  34. Jewkes, R.K., Levin, J.B., and Penn-Kekana, L.A. (2003). Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study. Social Science and Medicine, 56(1), 125–134.PubMedCrossRefGoogle Scholar
  35. Kalichman, S.C., Simbayi, L., Kagee, A., Toefy, Y., Jooste, S., Cain, D., and Cherry, C. (2006). Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities. Social Science and Medicine, 62(7), 1641–164.PubMedCrossRefGoogle Scholar
  36. Kalipeni, E., and Ghosh, J. (2005). Women in Chinsapo, Malawi: vulnerability and risk to HIV/AIDS. Journal of Social Aspects of HIV/AIDS, 2(3), 320–332.PubMedCrossRefGoogle Scholar
  37. Kurschner, E. (2002). The poverty-HIV/AIDS-interface lessons and needs in the context of the Poverty Reduction Strategy Paper (PRSP) Process with a focus on the African continent Eschborn: German Technical Cooperation.Google Scholar
  38. LaFraniere, S. (2006). Sex abuse of girls is stubborn scourge in Africa. New York Times. http://www.nytimes.com/2006/12/01/world/africa/olmadagascar.html?ex=1166158800&en=d854bb7b20 ode 752 & ei=5070. Accessed 23 September 2007.
  39. Lary, H., Maman, S., Katebalila M., McCauley, A., and Mbwambo, J. (2004). Exploring the association between HIV and violence: young people’s experiences with Infidelity, violence and forced sex in Dar es Salaam, Tanzania. International Family Planning Perspectives, 30(4), 200–206.PubMedCrossRefGoogle Scholar
  40. Lawn, S.D., Bekker, L.G., Middelkoop, K., Myer, L., and Wood, R. (2006). Impact of HIV infection on the epidemiology of Tuberculosis in Peri-urban community in South Africa: The need for age specific interventions. Clinical Infectious Disease, 42(7), 1040–1047.CrossRefGoogle Scholar
  41. Leclerc-Madlala, S. (2006). “We will eat when I get the grant: negotiating AIDS, poverty and antiretroviral treatment in South Africa.” African Journal of AIDS Research, 8, 249–256.CrossRefGoogle Scholar
  42. Loewenson, R. (2007). Exploring equity and inclusion in the responses to AIDS. AIDS, 19, S2–S11.Google Scholar
  43. Lurie, M., Williams, B., Mkaya-Mwamburing, D., Garnett, G., Sturm, A.W., Sweat, M.D., Gittelsohn, J., and Karim, S.A. (2003). The Impact of migration on HIV-transmission in South Africa. Sexually Transmission Diseases, 30(2), 149–156.CrossRefGoogle Scholar
  44. Makame V., Ani C., and Grantham-Mc Gregor S. (2007). Psychological well-being of orphans in Dar Es Salaam, Tanzania. ACTA Paediatrica, 91(4), 459–465.CrossRefGoogle Scholar
  45. Mishra, V., Bignami-Van Assche, S., Greener, R., Vaessen, M., Hong, R., Ghys, P.D., Ties Boerma, J., Van Assche, A., Khan, S., and Rutstein, S. (2007). HIV infection does not disproportionately affect the poorer in sub-Saharan Africa. AIDS, 21, S17–S28.PubMedCrossRefGoogle Scholar
  46. Mutangadura, G.B. (2000). Household welfare impacts of adult females in Zimbabwe: Implications for policy and program development, Paper presented at the IAEN Symposium, Durban.Google Scholar
  47. Nattrass, N. (2004). The Moral Economy of AIDS in South Africa. United Kingdom: Cambridge University Press.Google Scholar
  48. Nattrass, N. (2005). AIDS, unemployment and disability in South Africa: The case for welfare reform. AIDS and Society Research Unit, Centre for Social Science Research, University of Cape Town.Google Scholar
  49. Oyefara, J.L. (2005). Poverty, food insecurity and HIV/AIDS pandemic: evidence of relationship from reproductive behaviour of commercial sex workers in Lagos Metropolis, Nigeria. International Conference on HIV/AIDS, Food and Nutrition Security, Durban.Google Scholar
  50. Pettifor, A.E., Measham, D.M., Rees, H.V., and Padian, N.S. (2004). Sexual Power and HIV Risk, South Africa. http://origin.cdc.gov/ncidod/eid/vol10no11/04-0252.htm. Accessed 3 February 2009.
  51. River, K., and Aggleton, P. (2001). Men and the HIV Epidemic. New York, NY: UNDP and Development Programme.Google Scholar
  52. Shisana, O., Zungu-Dirwayi, N., and Shisana, W. (2002). AIDS: A threat to human security. Human security background paper. Global Equity Initiative, Harvard University: Cambridge Mass.Google Scholar
  53. Shisana, O., and Letlape, L. (2004). The Impact of HIV/AIDS on the Sub-Saharan Economy. http://www.commissionforafrica.org/english/report/background/shisana_and.letlapeAccessed 24 October 2008.
  54. Shisana, O., Peltzer, K., Zungu-Dirwayi, N., and Louw, J. (2005a). The Health of our Educators: A Focus on HIV/AIDS in South African Public Schools, 2004/5 Survey. Cape Town: HSRC Press.Google Scholar
  55. Shisana, O., Rehle, T., Simbayi, L.C., Parker, W., Zuma, K., Bhana, A., Connolly, C., Jooste, S., and Pillay, V. (2005b). South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey 2005. Cape Town: Human Sciences Research Council.Google Scholar
  56. Skinner, D., Tsheko, N., Mtero-Munyati, S., Segwabe, M., Chibatamoto, P., Mfecane, S., Chandiwana, B., Nkomo, N., Tlou, S., and Chitiyo, G. (2004). Defining orphaned and vulnerable children. AIDS and Behavior 10 (6), 619–625CrossRefGoogle Scholar
  57. Stillwaggon, E. (2001). AIDS and Poverty in Africa. The Nation, 272(20), 22.Google Scholar
  58. The Forum for Collaborative HIV Research and TB/HIV Working Group of the Stop TB Partnership Symposium and Round Table Discussion HIV/TB. (2007). HIV-TB Co-infection: Meeting the challenge. Sydney, Australia.Google Scholar
  59. Tladi, L.S. (2006). Poverty and HIV/AIDS in South Africa: An empirical contribution. Journal of Social Aspects of HIV/AIDS. 3(1), 369–381.PubMedCrossRefGoogle Scholar
  60. UNAIDS (2000). Report on Global HIV/AIDS Epidemic. Geneva: UNAIDS.Google Scholar
  61. UNAIDS (2006). Report on the Global HIV/AIDS Epidemic. Geneva: UNAIDS.Google Scholar
  62. UNAIDS (2008). Report on the Global HIV/AIDS Epidemic. Geneva: UNAIDS.Google Scholar
  63. Unicef (undated). Child-headed households. Available from http://www.unicef.org.nz/school-room/hivaids/childheadedhouseholds.html. Accessed 27 July 2008.
  64. Van Donk, M. (2002). HIV/AIDS and Urban Poverty in South Africa, Draft Paper. http://www.sacities.net/downloads/Van_Donk.doc. Accessed 3rd Februaary
  65. Weiser, S.D., Leiter, K., Bangsberg, D.R., Butler, M.L., Percy-de Korte, F., Hlanze, Z., Phaladze, N., Iacopino, V., and Heisler, N. (2007). Food insufficiency is associated with high risk of sexual behaviour among women in Botswana and Swaziland. PLOS Medicine, 4, e260.CrossRefGoogle Scholar
  66. Wojcicki, J.M. (2002a). Commercial sex workers or ukuphanda? Sex-for-money exchange in Soweto and Hammanskraal Area, South Africa. Culture, Medicine and Psychiatry, 26(3), 339–370.PubMedCrossRefGoogle Scholar
  67. Wojcicki, J.M. (2002b). She Drank His Money: Survival Sex and the Problem of Violence in Taverns in Gauteng Province, South Africa. Medical Anthropology Quarterly, 16, 267–293.PubMedCrossRefGoogle Scholar
  68. World Health Organization (2006). Global tuberculosis control: WHO Report. Document no WHO/HTM/TB/2006.362. Geneva: WHO.Google Scholar
  69. Williams, B., Gouws, E., Lurie, M., and Crush, J. (2002). Spaces of vulnerability: Migration and HIV/AIDS in Southern Africa. Migration Policy Series Number 24. Google Scholar
  70. Zungu-Dirwayi, N., Shisana, O., Louw, J., and Dana, P. (2007). Social determinants for HIV prevalence among South African educators. AIDS Care, 19(10), 1296–13.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Olive Shisana
    • 1
  • Nompumelelo Zungu
    • 1
  • Sinawe Pezi
    • 2
  1. 1.Human Sciences Research CouncilDurbanSouth Africa
  2. 2.University of Cape TownCape TownSouth Africa

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