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Asia Pacific Disability Rehabilitation Journal
HEALTH ECONOMICS OF HIV IN RURAL INDIA
S. Sabhesan,* S. Parthasarathy**
ABSTRACT
Like in most chronic illnesses, economic stability is a major anchor to
continued compliance in HIV treatment and follow-up. The affected male
is usually the major breadwinner. Number of man-days lost by the affected
person and the caretaker, expenses due to treatment and related issues,
physical and emotional consequences on family members, magico-religious
approaches, trials with undocumented alternate systems of medicines and
other unwarranted approaches cause an immense burden on the meagre
resources of the family. In a study of families of 30 male HIV affected
persons with a longitudinal clinical follow-up, evaluation of health-
behaviour, attitude of the family members, burden on the family and
financial coping as an unit was done using standard methods. Results
indicated that nuclear families with a single earning member suffered the
most. Financial status and family attitudes were significant factors in
decision-making. The burden experienced by the families, including the
financial burden, was a function of length of sickness, the clinical staging
of the illness, nature and extent of complications and presence of
behavioural sequelae. The results showed that simple psycho-educational
methods and therapeutic family inter
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