Demographic and poverty dynamics in an African population with high AIDS mortality and implications for social policy

Lead Research Organisation: London Sch of Hygiene and Trop Medicine
Department Name: Epidemiology and Population Health

Abstract

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.

Publications

10 25 50
 
Description The project investigated the impact of deaths of working-age adults on household welfare and the determinants of differential vulnerability and resilience. It analysed two
longitudinal studies from KwaZulu-Natal, South Africa, where mortality has risen massively since the late 1990s and most working-age adult deaths are now from AIDS. Because both studies have collected demographic and economic data from households at least three times, we could use more sophisticated statistical methods than earlier studies to tease out the consequences of these deaths.

The effects of adult deaths vary according to the characteristics of dead person, their household, and their cause of death. Poverty in South Africa is linked closely to unemployment and, in poor households whose income derives largely from pensions and welfare grants to children, the death of working-age adults often benefits per capita consumption. By contrast, in better-off households working-age deaths reduce consumption, with their impact being largest when young adults die or the death is from AIDS. But even better-off households hit by deaths regain their earlier standard of living within a few years.
Exploitation Route The statistical models that we used had not been applied to this kind of research question before and are of more general value.
Sectors Communities and Social Services/Policy,Education,Healthcare

 
Description The project has advanced study of three topics. It forms part of a revisionist body of work (including that of Gillespie, Seeley et al., Grimm, and others) finding that the medium-term impact of AIDS and other adult deaths on households is less severe than was feared. Second, it contributes to research revealing that, although being orphaned has severe consequences for children, the primary mechanism involved is not heightened poverty. Third, our research on welfare policy and AIDS in South Africa adds to growing evidence that the government's major fiscal commitment to social grants has been of substantial benefit to poor households. Thus, our research identified two key areas in which government action could mitigate the misery caused by AIDS in South Africa. First, targeted support services would benefit orphans more than additional financial support. Second, making it easier for people living with AIDS to access Disability Grants - or a new Illness Grant - would both improve their treatment outcomes and greatly reduce hardship in their households. These arguments have influenced the policy debate in South Africa, if not yet government policy itself. More generally, our findings contributed to the mainstreaming of HIV and AIDS issues across government, and particularly in the Social Protection and Community Development Cluster of Ministries, after the lack of attention that they received from President Mbeki's administration.
First Year Of Impact 2010
Sector Communities and Social Services/Policy,Education,Healthcare
Impact Types Societal,Economic

 
Description Adult deaths, poverty dynamics and child welfare in KwaZulu-Natal : evidence from a household panel survey 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact AIDS, Demographic and Poverty Trends (ADaPT) / Strengthening Analytical Capacity and Evidence Based Decision Making (SACED) research dissemination workshop. Co-sponsored by the Department of Social Development (DSD), Government of South Africa; School of Development Studies (SDS), University of KwaZulu-Natal; and Department of Population Studies (PSD), London School of Hygiene & Tropical Medicine

Section not completed
Year(s) Of Engagement Activity 2009,2010
 
Description Assessing the changing dynamics of child grants in South Africa in the context of high HIV/AIDS mortality : a projection to 2015 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact AIDS, Demographic and Poverty Trends (ADaPT) / Strengthening Analytical Capacity and Evidence Based Decision Making (SACED) research dissemination workshop. Co-sponsored by the Department of Social Development (DSD), Government of South Africa; School of Development Studies (SDS), University of KwaZulu-Natal; and Department of Population Studies (PSD), London School of Hygiene & Tropical Medicine

Section not completed
Year(s) Of Engagement Activity 2010
 
Description Deaths in the family : AIDS, demography and poverty in Africa 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Professorial Inaugural Lecture

Section not completed
Year(s) Of Engagement Activity 2008
 
Description Female labour force participation and the child support grant in South Africa 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Presented at the third meeting of the ERSA Public Economics Workgroup

Section not completed
Year(s) Of Engagement Activity 2011
URL http://www.econrsa.org/papers/Eyal%20and%20Woolard%202010.pdf
 
Description HIV-related deaths and economic shocks : does survivors' consumption recover over time in KwaZulu-Natal? 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact AIDS, Demographic and Poverty Trends (ADaPT) / Strengthening Analytical Capacity and Evidence Based Decision Making (SACED) research dissemination workshop. Co-sponsored by the Department of Social Development (DSD), Government of South Africa; School of Development Studies (SDS), University of KwaZulu-Natal; and Department of Population Studies (PSD), London School of Hygiene & Tropical Medicine

Section not completed
Year(s) Of Engagement Activity 2010
 
Description The role of social grants in mitigating the impacts of HIV and AIDS-related illness in rural South African households 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact AIDS, Demographic and Poverty Trends (ADaPT) / Strengthening Analytical Capacity and Evidence Based Decision Making (SACED) research dissemination workshop. Co-sponsored by the Department of Social Development (DSD), Government of South Africa; School of Development Studies (SDS), University of KwaZulu-Natal; and Department of Population Studies (PSD), London School of Hygiene & Tropical Medicine

Section not completed
Year(s) Of Engagement Activity 2010