Social Aspects of Health/Social impact of the HIV epidemic

Lead Research Organisation: MRC/UVRI Uganda Research Unit on AIDS

Abstract

As the HIV epidemic intensified in the 1990s, a growing number of studies documented aspects of its impact on households, businesses and national economies. However many of the initial studies of rural societies and of the impact of HIV and AIDS were essentially short-term cross-sectional views from which long-range conclusions and generalizations were made. The complexity of determinants of household vulnerability to HIV and the capacity to resist or recover from the impact of AIDS-related disease and the trajectories such recovery (or none thereof) take, remain unclear. Similarly, less is known about the long term impacts of HIV and AIDS on agricultural practices and productivity and livelihood of households and how such impacts affect wider community relationships, operations, systems and structures. Five research projects have been conducted or are currently being executed under this theme looking at demographic change, impacts on education and child care and support, and the effects on agricultural systems and food production.

Technical Summary

As the HIV epidemic intensified in the 1990s, a growing number of studies documented aspects of its impact on households, businesses and national economies. However many of the initial studies of rural societies and of the impact of HIV and AIDS were essentially short-term cross-sectional views from which long-range conclusions and generalizations were made. The complexity of determinants of household vulnerability to HIV and the capacity to resist or recover from the impact of AIDS-related disease and the trajectories such recovery (or none thereof) take, remain unclear. Similarly, less is known about how the long term impacts of HIV and AIDS on agricultural practices and productivity and livelihood of households and how such impacts affect wider community relationships, operations, systems and structures. Five research projects have been conducted or are currently being executed under this theme. The first assessed the impact of HIV-infection on households over a 15-year period (1991-2006) in a rural setting in Uganda (identical with the study area of the General Population Cohort). The second examined the decisions around foster care for orphans and non-orphans within the extended family. It focused on the process leading to the fostering decisions in rural Uganda and the experience of children and families affected by this process. The third seeks to establish the relationship between orphanhood and education outcomes in a cluster of rural villages in Uganda; and to investigate the roles that parental characteristics, childrens attributes and fostering arrangements play in this relationship. The fourth focuses more specifically on the impact on agriculture and seeks to determine the impact of HIV and AIDS in Uganda on rural livelihoods for the past 20 years in order to understand the long-term impact of the epidemic and to contribute to the design of policies and programmes for impact mitigation. The fifth project is nested within the fourth, and examines household food production and consumption longitudinally and the impact on food security.| |The complementary components of this programme of work is funded by different sources which include the core budget of the MRC/UVRI Uganda Unit, the Economic and Social Research Council (ESRC) and the Food and Agriculture Organisation of the United Nations (FAO).

Publications

10 25 50
 
Description Food and Agriculture Organisation of the United Nations/United Nations
Amount £80,000 (GBP)
Organisation United Nations (UN) 
Sector Public
Country Global
Start  
 
Description Rakai 
Organisation Johns Hopkins University
Department Johns Hopkins Bloomberg School of Public Health
Country United States 
Sector Academic/University 
PI Contribution Collaborative research project with the RHSP team
Collaborator Contribution Study undertaken in the RHSP study area and in a MRC/UVRI study area -- collaborative project
Impact na
Start Year 2008