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Socio-Economic Impact of HIV and AIDS in Tamil nadu

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Table 7.9<br />

Distribution <strong>of</strong> non-hospitalised illness episodes by source <strong>of</strong> treatment for male<br />

<strong>and</strong> female PLWHA<br />

(<strong>in</strong> Percentages)<br />

Source <strong>of</strong> treatment Male Female All<br />

1. Government 49.5 60.8 53.7<br />

2. Private 40.7 24.7 34.8<br />

3 Charitable trust/NGO 7.6 12.9 9.6<br />

4. Faith healer/religious person -- -- --<br />

5 Others 2.1 1.5 1.9<br />

Total 100 100 100<br />

Number <strong>of</strong> episodes 329 194 523<br />

Table 7.10<br />

Distribution <strong>of</strong> non-hospitalised illness episodes by source <strong>of</strong> treatment <strong>and</strong><br />

by annual household <strong>in</strong>come groups<br />

Source <strong>of</strong> treatment<br />

Upto 20,000 20,001-<br />

30,000<br />

Annual household <strong>in</strong>come (Rs.)<br />

30,001-<br />

41,000<br />

41,001-<br />

84,000<br />

(<strong>in</strong> Percentages)<br />

>84,000 All<br />

1 Government 54.6 56.9 59.4 51.6 28.0 53.7<br />

2 Private 25.4 31.9 31.9 45.3 72.0 34.8<br />

3 Charitable trust/NGO 17.3 9.5 5.8 2.3 -- 9.6<br />

4 Faith healer/religious<br />

-- -- -- -- -- --<br />

person<br />

5 Others 2.7 1.7 2.9 0.8 -- 1.9<br />

Total 100 100 100 100 100 100<br />

It is seen that at the lowest level,<br />

treatment has been sought mostly from<br />

government facilities <strong>and</strong> NGOs (72% <strong>in</strong><br />

toto). However, go<strong>in</strong>g upwards on the<br />

<strong>in</strong>come scale, this percentage decreases<br />

<strong>and</strong> the percentage <strong>of</strong> episodes for<br />

which treatment has been received from<br />

private facilities <strong>in</strong>creases. At the highest<br />

<strong>in</strong>come stage level, only 28 percent<br />

<strong>of</strong> the episodes have been treated at<br />

government facilities, <strong>and</strong> the rema<strong>in</strong><strong>in</strong>g<br />

72 percent have received treatment at<br />

private health facilities.<br />

7.2.6 Out-<strong>of</strong>-pocket expenses<br />

<strong>in</strong>curred on treatment<br />

In Table 7.11, the average expenditure<br />

<strong>in</strong>curred by the PLWHA on the treatment<br />

<strong>of</strong> illness episodes is presented with<br />

reference to the source <strong>of</strong> treatment.<br />

The expenditure <strong>in</strong>curred by households<br />

<strong>in</strong>cludes amount spent on fees, medic<strong>in</strong>es<br />

<strong>and</strong> cl<strong>in</strong>ical tests, transport costs, as well<br />

as bribes <strong>and</strong> tips. It is seen from the table<br />

that whatever the source <strong>of</strong> treatment,<br />

the households have to make a certa<strong>in</strong><br />

<strong>Impact</strong> <strong>of</strong> <strong>HIV</strong> <strong>and</strong> <strong>AIDS</strong> on the Health<br />

97

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