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The Impact of AIDS on Rural Households in Africa: A Shock Like Any Other?

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  • Carolyn Baylies

Abstract

In areas where HIV prevalence is high, household production can be significantly affected and the integrity of households compromised. Yet policy responses to the impact of HIV/AIDS have been muted in comparison to outcomes of other shocks, such as drought or complex political emergencies. This article looks at the reasons for the apparent under–reaction to AIDS, using data from Zambia, and examines recent calls to mitigate the effects of AIDS at household level. Critical consideration is directed at proposals relating to community safety nets, micro–finance and the mainstreaming of AIDS within larger poverty alleviation programmes. It is argued that effective initiatives must attend to the specific features of AIDS, incorporating both an assault on those inequalities which drive the epidemic and sensitivity to the staging of AIDS both across and within households. A multi–pronged approach is advocated which is addressed not just at mitigation or prevention, but also at emergency relief, rehabilitation and development.

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  • Carolyn Baylies, 2002. "The Impact of AIDS on Rural Households in Africa: A Shock Like Any Other?," Development and Change, International Institute of Social Studies, vol. 33(4), pages 611-632, September.
    • Handle: RePEc:bla:devchg:v:33:y:2002:i:4:p:611-632
    DOI: 10.1111/1467-7660.00272
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    Cited by:

    1. Thomas, Felicity, 2006. "Stigma, fatigue and social breakdown: Exploring the impacts of HIV/AIDS on patient and carer well-being in the Caprivi Region, Namibia," Social Science & Medicine, Elsevier, vol. 63(12), pages 3174-3187, December.
    2. Rutakumwa, Rwamahe & Pain, Adam & Bukenya, Dominic & Tumwekwase, Grace & Ssembajja, Fatuma & Seeley, Janet, 2017. "Gender, land and responses to health and environmental shocks in rural South Western Uganda," Journal of Gender, Agriculture and Food Security (Agri-Gender), Africa Centre for Gender, Social Research and Impact Assessment, vol. 2(2), April.
    3. Christopher Hearle & Kanchana Ruwanpura, 2009. "Contentious Care: Foster Care Grants and the Caregiver-Orphan Relationship in KwaZulu-Natal Province, South Africa," Oxford Development Studies, Taylor & Francis Journals, vol. 37(4), pages 423-437.
    4. Nicola Ansell & Elsbeth Robson & Flora Hajdu & Lorraine van Blerk & Lucy Chipeta, 2009. "The new variant famine hypothesis," Progress in Development Studies, , vol. 9(3), pages 187-207, July.
    5. King, Brian & Winchester, Margaret S., 2018. "HIV as social and ecological experience," Social Science & Medicine, Elsevier, vol. 208(C), pages 64-71.
    6. Te Lintelo, D., 2009. "SΘcuritΘ alimentaire, nutrition et VIH/SIDA dans les pΩcheries africaines: information Θmergente et direction de la recherche: ╔tude documentaire," Monographs, The WorldFish Center, number 38697, April.
    7. Pauline Peters & Peter A. Walker & Daimon Kambewa, 2008. "Striving for Normality in a Time of AIDS in Malawi," CID Working Papers 167, Center for International Development at Harvard University.
    8. Janet Bujra, 2004. "AIDS as a crisis in social reproduction," Review of African Political Economy, Taylor & Francis Journals, vol. 31(102), pages 631-638, December.
    9. Saenz, Mayra A., 2020. "Extreme Weather and Food Security: The Case of Malawi," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304626, Agricultural and Applied Economics Association.
    10. Donovan, Cynthia & Bailey, Linda & Mpyisi, Edson & Weber, Michael T., 2003. "Prime-Age Adult Morbidity and Mortality in Rural Rwanda: Effects on Household Income, Agricultural Production, and Food Security Strategies," Food Security Collaborative Working Papers 55387, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    11. Mason, Nicole M. & Jayne, T.S. & Chapoto, Antony & Myers, Robert J., 2010. "A Test of the New Variant Famine Hypothesis: Panel Survey Evidence from Zambia," World Development, Elsevier, vol. 38(3), pages 356-368, March.
    12. Seeley, Janet & Biraro, Samuel & Shafer, Leigh Anne & Nasirumbi, Pamela & Foster, Susan & Whitworth, Jimmy & Grosskurth, Heiner, 2008. "Using in-depth qualitative data to enhance our understanding of quantitative results regarding the impact of HIV and AIDS on households in rural Uganda," Social Science & Medicine, Elsevier, vol. 67(9), pages 1434-1446, November.
    13. Mataria, Awad & Giacaman, Rita & Khatib, Rana & Moatti, Jean-Paul, 2006. "Impoverishment and patients' "willingness" and "ability" to pay for improving the quality of health care in Palestine: An assessment using the contingent valuation method," Health Policy, Elsevier, vol. 75(3), pages 312-328, February.

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