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Policy implications<br />

The findings of this study call for urgent<br />

policy action in order to mitigate the<br />

negative impact generated by HIV and<br />

AIDS. This response needs to be multipronged<br />

as the issues are diverse and<br />

complicated. In addition to the scaling up<br />

of national poverty reduction strategies,<br />

special social protection programmes<br />

are required to support the people,<br />

households and communities that are<br />

hardest hit by the epidemic. The scale<br />

of impact is likely to increase in the<br />

future as the number of households<br />

affected would increase. Greater number<br />

of currently working PLWHA would<br />

withdraw from labour force due to<br />

illness. This is accompanied by reduced<br />

income and savings, liquidation of assets<br />

and increased indebtedness of HIV<br />

households. Reduction of human capital<br />

not only due to death and morbidity<br />

of PLWHA but also due to reduced<br />

investment in education of children<br />

will only increase the impact of the<br />

epidemic.<br />

The study clearly brings out the deplorable<br />

condition of HIV-positive widows. In the<br />

absence of the bread-earner, the widow<br />

households are much worse off than<br />

the other HIV households, in terms<br />

of household income, expenditure,<br />

borrowings and liquidation of assets.<br />

Denial of share in the property and lack of<br />

any other avenue of income could push<br />

these widows into risky behaviour.<br />

Executive Summary<br />

xxix

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