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To date the international community has tended to direct HIV prevention programmes, treatment, care and supportive services to young adults and children, with little concern about the impact on older people. Since empirical evidence on the socioeconomic impact of HIV/AIDS on households with older persons is lacking, this paper attempts to fill this gap, using data from a household-based survey conducted in Bhambayi, a mixed formal and informal settlement north of eThekwini, KwaZulu-Natal. The findings highlight the links between the uptake of the South African old age pension, poverty and HIV/AIDS in households with older persons. The paper makes recommendations for both government and non-governmental organisations in respect of community-based support systems for such households affected by HIV/AIDS.  相似文献   

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This paper, based on a case study of a South African contract cleaning company in Durban, KwaZulu-Natal, adds to the recent literature on the management of the financial impact of the HIV/AIDS pandemic. After situating the research alongside recent contributions that have examined large enterprises, and small, medium and micro enterprises, the paper provides a profile of the company and its predominantly female workforce. The company's management of costs incurred due to HIV/AIDS is critically assessed from the perspective of financial sustainability, using an AIDS Projection Model developed by Matthews (2007 Matthews, A. 2007. Computational modelling of the impact of AIDS on business. AIDS, 21(Supplement 3): S917. [Crossref] [Google Scholar]). It was found that while continued employment of this workforce is economically sustainable, both from the perspective of the business and the associated provident fund, the costs to employees are far from equitable. The paper therefore recommends the implementation of a holistic HIV/AIDS management programme, including treatment and prevention activities.  相似文献   

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Household structures in many countries in Africa have been drastically changed by the HIV/AIDS epidemic. Traditionally, orphans were absorbed by members of the extended family but today this safety net no longer works so well and many children are left to fend for themselves. The South African Government recognises the problem, but views differ on the effectiveness of the programmes for assisting these children. This article looks at what is known and what needs further research. It is known that child-headed households do exist in South Africa and that children living in these households are vulnerable. What is not known is the prevalence of these households and how to deal with the children's psycho-social problems. The article argues that the definition of child-headed households needs to be refined if we are to understand the extent of the problem. This will facilitate assessment of the programmes established for these children.  相似文献   

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The transport sector is an integral element of southern Africa's economic development. The impact of HIV/AIDS on the region is therefore a major cause for concern. Using a method of triangulation, we used the findings of a comprehensive literature review, a stakeholder questionnaire and a United Nations regional workshop to take stock of the existing evidence linking HIV/AIDS to the transport sector. This paper outlines the strategies used to address HIV/AIDS by a range of stakeholders in the road, maritime, aviation and railway transport sectors. It highlights regional, national, and intervention-specific good practice examples in the field, suggesting key research gaps and putting forward policy recommendations for the region. As a result, national action plans will hopefully be able to benefit from this knowledge-sharing, enhanced regional cooperation and implementation of more effective responses to the epidemic in this critical sector.  相似文献   

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