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Unpaid HIV/AIDS Care in Southern Africa: Forms, Context, and Implications

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  • Olagoke Akintola

Abstract

Across southern Africa, policy-makers are promoting home-based care for HIV/AIDS patients as a cheaper alternative to hospital care. However, cost studies have not sufficiently considered the costs and benefits to all stakeholders in home-based care.1 Drawing on existing literature, this study shows that available data are grossly inadequate for a comprehensive assessment of the cost-effectiveness of home-based care. Previous studies have largely ignored many of the costs associated with home-based care, which is currently borne by unpaid caregivers - predominantly women - as well as the value of their unpaid labor. This study questions the assumption that home-based care is cheaper than hospital care and the wisdom of enacting home-based care policies. This study argues that conclusions about the cheaper form of care can be drawn only by assessing all of the costs, benefits, and utility derived by all stakeholders in home-based care.

Suggested Citation

  • Olagoke Akintola, 2008. "Unpaid HIV/AIDS Care in Southern Africa: Forms, Context, and Implications," Feminist Economics, Taylor & Francis Journals, vol. 14(4), pages 117-147.
    • Handle: RePEc:taf:femeco:v:14:y:2008:i:4:p:117-147
    DOI: 10.1080/13545700802263004
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    Citations

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    Cited by:

    1. Enid Schatz & Janet Seeley & Flavia Zalwango, 2018. "Intergenerational care for and by children: Examining reciprocity through focus group interviews with older adults in rural Uganda," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(63), pages 2003-2026.
    2. Lucilla Maria Bruni & Jamele Rigolini & Sara Troiano, 2016. "Forever Young?," World Bank Publications - Reports 24996, The World Bank Group.
    3. Maes, Kenneth C. & Hadley, Craig & Tesfaye, Fikru & Shifferaw, Selamawit, 2010. "Food insecurity and mental health: Surprising trends among community health volunteers in Addis Ababa, Ethiopia during the 2008 food crisis," Social Science & Medicine, Elsevier, vol. 70(9), pages 1450-1457, May.
    4. Maes, Kenneth & Kalofonos, Ippolytos, 2013. "Becoming and remaining community health workers: Perspectives from Ethiopia and Mozambique," Social Science & Medicine, Elsevier, vol. 87(C), pages 52-59.
    5. THIVILLON, Thomas, 2022. "Demand for informal caregiving and human capital accumulation: Evidence from elderly deaths in Senegal," SocArXiv m8k6b, Center for Open Science.

    More about this item

    Keywords

    Care cost; unpaid care; home-based care; PLWHA; caregiving; HIV/AIDS; JEL Codes: H31; I18; J17;
    All these keywords.

    JEL classification:

    • H31 - Public Economics - - Fiscal Policies and Behavior of Economic Agents - - - Household
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J17 - Labor and Demographic Economics - - Demographic Economics - - - Value of Life; Foregone Income

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