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Food crisis, household welfare and HIV/AIDS treatment : evidence from Mozambique, Volume 1
 
Author:de Walque, Damien; Kazianga, Harounan; Over, Mead; Vaillant, Julia; Country:Mozambique; Africa;
Date Stored:2011/01/05Document Date:2011/01/01
Document Type:Policy Research Working PaperSubTopics:Gender and Health; Health Monitoring & Evaluation; Disease Control & Prevention; Food & Beverage Industry; Food Security
Language:EnglishMajor Sector:Health and other social services
Rel. Proj ID:3A-Evaluation Of Antiretroviral Delivery -- -- P092890;Region:Africa
Report Number:WPS5522Sub Sectors:Health
Collection Title:Policy Research working paper ; no. WPS 5522TF No/Name:TF097048-KCP II - Research on HIV/AIDS Prevention and Treatment; TF094996-The impact of the food and financial crisis on adherence to antiretrovi; TF095555-Impact Evaluation of community-based responses in Burkina Faso, Lesotho; TF054355-BNPP-POVERTY:; TF094627-KCPII-RESEARCH ON HIV/AIDS TREATMENT AND PREVENTION; TF090132-BNPP-HIV/AIDS:; TF093858-MEASURING THE SOCIO-ECONOMIC BENEFITS AND THE POVERTY REDUCTION EFFECTS; TF055268-BNPP-HIV/AIDS:
Volume No:1  

Summary: Using panel data from Mozambique collected in 2007 and 2008, the authors explore the impact of the food crisis on the welfare of households living with HIV/AIDS. The analysis finds that there has been a real deterioration of welfare in terms of income, food consumption, and nutritional status in Mozambique between 2007 and 2008, among both HIV and comparison households. However, HIV households have not suffered more from the crisis than others. Results on the evolution of labor force participation suggest that initiation of treatment and better services in health facilities have counter-balanced the effect of the crisis by improving the health of patients and their labor force participation. In addition, the authors look at the effect of the change in welfare on the frequency of visits to a health facility of patients and on their treatment outcomes. Both variables can proxy for adherence to treatment. This is a particularly crucial issue as it affects both the health of the patient and public health, because sub-optimal adherence leads to the development of resistant forms of the virus. The paper finds no effect of the change in welfare on the frequency of visits, but does find that people who experienced a negative income shock also experienced a reduction or a slower progression in treatment outcomes.

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