Filed under: Health Economics, Health Research
This article was published in the Asia Pacific Disability Rehabilitation Journal in 2007.
“Like in most chronic illnesses, economic stability is a major anchor to continued compliance in HIV treatment and follow-up. The affected male is usually the major breadwinner. Number of man-days lost by the affected person and the caretaker, expenses due to treatment and related issues, physical and emotional consequences on family members, magico-religious approaches, trials with undocumented alternate systems of medicines and other unwarranted approaches cause an immense burden on the meagre resources of the family. In a study of families of 30 male HIV affected persons with a longitudinal clinical follow-up, evaluation of health behaviour, attitude of the family members, burden on the family and financial coping as an unit was done using standard methods. Results indicated that nuclear families with a single earning member suffered the most. Financial status and family attitudes were significant factors in decision-making. The burden experienced by the families, including the financial burden, was a function of length of sickness, the clinical staging of the illness, nature and extent of complications and presence of behavioural sequelae. The results showed that simple psycho-educational methods and therapeutic family intervention would help in managing the situation more optimally with judicious use of the family’s limited resources and effective care of the affected person.”
Read full article on: Health Economics of HIV in Rural India