Socio-Economic Impact of HIV and AIDS in Tamil nadu
Socio-Economic Impact of HIV and AIDS in Tamil nadu
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