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Socio-Economic Impact of HIV and AIDS in Tamil nadu

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Table 4.6<br />

Change <strong>in</strong> job due to <strong>HIV</strong> <strong>and</strong> <strong>AIDS</strong><br />

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

Number <strong>of</strong> workers who changed jobs after be<strong>in</strong>g<br />

detected positive<br />

Rural Urban Total<br />

22 21 43<br />

Average monthly <strong>in</strong>come <strong>of</strong> those who changed jobs 2,470 2,652 2,559<br />

Number that received any benefit 3 4 7<br />

Average benefit received at the time <strong>of</strong> leav<strong>in</strong>g the job 1,333 28,000 16,571<br />

for those who received benefit<br />

Average number <strong>of</strong> times people changed jobs after<br />

be<strong>in</strong>g tested positive<br />

4 6 10<br />

The impact <strong>of</strong><br />

<strong>HIV</strong> <strong>and</strong> <strong>AIDS</strong><br />

on employment<br />

can <strong>in</strong>fluence<br />

the pattern <strong>of</strong><br />

employment/<br />

non-employment<br />

<strong>of</strong> other members<br />

<strong>of</strong> the household<br />

as well<br />

1.47 percent were unemployed but<br />

after test<strong>in</strong>g around 11.37 percent are<br />

unemployed. The number <strong>of</strong> unemployed<br />

could well have <strong>in</strong>creased <strong>in</strong> another way.<br />

If any <strong>of</strong> the female PLWHA were work<strong>in</strong>g<br />

before the test <strong>and</strong> had to give up work, it<br />

would be reflected <strong>in</strong> the <strong>in</strong>crease <strong>in</strong> the<br />

category <strong>of</strong> ‘others’, <strong>and</strong> the table shows<br />

that such a difference exists.<br />

Similarly, the difference <strong>in</strong> the sectoral<br />

pattern <strong>of</strong> employment is ma<strong>in</strong>ly <strong>in</strong><br />

terms <strong>of</strong> much higher proportion <strong>of</strong><br />

those for whom the sector is “Not<br />

available” <strong>in</strong> the case <strong>of</strong> non-<strong>HIV</strong><br />

households (Table 4.8). Here the term<br />

“Not Available” refers to all those who<br />

are <strong>in</strong> labour force but unemployed,<br />

as well as students, housewives etc.<br />

The percentage <strong>of</strong> <strong>HIV</strong> “Not available”<br />

<strong>in</strong>creased after the test. The change <strong>in</strong><br />

jobs was ma<strong>in</strong>ly out <strong>of</strong> agriculture <strong>and</strong><br />

allied services, manufactur<strong>in</strong>g, trade,<br />

transport, communication <strong>in</strong>to “Not<br />

available” category due to <strong>in</strong>crease <strong>in</strong><br />

unemployment <strong>and</strong> a marg<strong>in</strong>al <strong>in</strong>crease<br />

<strong>in</strong> health related <strong>and</strong> other services. Some<br />

<strong>of</strong> the PLWHA are currently work<strong>in</strong>g <strong>in</strong><br />

NGO sectors provid<strong>in</strong>g services to <strong>HIV</strong><br />

<strong>in</strong>fected persons. The decrease <strong>in</strong> the<br />

percentage <strong>of</strong> people <strong>in</strong> agriculture <strong>and</strong><br />

allied activities from 24.42 percent (before<br />

test) to 19.58 percent (after test) is clearly<br />

seen <strong>in</strong> the decrease <strong>in</strong> the percentage<br />

<strong>of</strong> people <strong>in</strong> ‘cultivation’ <strong>and</strong> ‘agriculture<br />

wage labour’ occupation groups.<br />

The impact <strong>of</strong> <strong>HIV</strong> <strong>and</strong> <strong>AIDS</strong> on<br />

employment does not rema<strong>in</strong> limited to<br />

only those who are <strong>HIV</strong>-positive. It can<br />

<strong>in</strong>fluence the pattern <strong>of</strong> employment/<br />

non-employment <strong>of</strong> other members <strong>of</strong><br />

the household as well. This is particularly<br />

true <strong>of</strong> the person who provides care to<br />

the PLWHA. However, the direction <strong>of</strong><br />

this impact is not clear. The pressure on<br />

the time <strong>of</strong> the caregiver can result <strong>in</strong><br />

that person’s withdrawal from the work<br />

force. On the other h<strong>and</strong>, loss <strong>of</strong> <strong>in</strong>come<br />

due to withdrawal <strong>of</strong> PLWHA from work<br />

force or the <strong>in</strong>creased consumption<br />

expenditure requirements (especially<br />

medical expenses) can result <strong>in</strong> greater<br />

participation <strong>of</strong> other members <strong>of</strong> the<br />

household <strong>in</strong> the work force. It needs to<br />

be noted here that not all PLWHA require<br />

care. It is only at very advanced stages <strong>of</strong><br />

the <strong>in</strong>fection that some form <strong>of</strong> care is<br />

required by the PLWHA. In the sample,<br />

out <strong>of</strong> the total <strong>of</strong> 475 PLWHA <strong>in</strong> the age<br />

group 18 to 60 years, 123 reported that<br />

they needed someone to take care <strong>of</strong><br />

them. Some <strong>of</strong> the PLWHA have more<br />

than one family member tak<strong>in</strong>g care <strong>of</strong><br />

them <strong>and</strong> hence the number <strong>of</strong> caregivers<br />

is 128. Almost 58 percent <strong>of</strong> the caregivers<br />

were employed at the time <strong>of</strong> the survey.<br />

However there is no report <strong>of</strong> anyone<br />

38 <strong>Socio</strong>-<strong>Economic</strong> <strong>Impact</strong> <strong>of</strong> <strong>HIV</strong> <strong>and</strong> <strong>AIDS</strong> <strong>in</strong> <strong>Tamil</strong> Nadu, India

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