Socioeconomic Impact of HIV and AIDS in India

This comprehensive study on the socioeconomic impact of HIV and AIDS was sponsored by the UNDP and NACO and was undertaken by the NCAER from October, 2004 to May, 2005. The study is based on a survey of 2,068 HIV and 6,224 non-HIV households spread over rural and urban areas of six states with high prevalence of HIV in India – Andhra Pradesh, Tamil Nadu, Karnataka, Maharashtra, Nagaland and Manipur. The impact of HIV and AIDS has been detailed for a cross-section of issues such as household income, savings, consumption as well as education, health, gender and levels of stigma and discrimination. Case studies and focus group discussions (FGDs) were also conducted to supplement the findings of the survey. While the case studies helped in capturing problems like stigma and discrimination, the FGDs were useful in confirming quantitative findings and further analysing data from the household survey. The study reveals that HIV households are more likely to report loss of income, increased expenditure (especially medical expenses), lower savings and higher borrowings and liquidation of assets. The children of HIV households report higher dropout rates and absenteeism due to the ill health of their parents. By demonstrating the wide-ranging negative consequences of HIV on the household, the report underscores the need to respond urgently to the negative impact generated by HIV-AIDS in India.

Basanta K. Pradhan, Ramamani Sundar, Shalabh Kumar Singh