HIV/Aids
Social protection mechanisms have a significant AIDS mitigation impact

HIV and AIDS have devastating effects on health systems. Strengthened health systems are crucial to the realisation of universal access to HIV prevention, treatment, care and support. Strong health systems in high prevalence countries are the key to the achievement of Millennium Development Goals in terms of halting and reversing the spread of HIV and AIDS by 2015.

Recent research has demonstrated that cash transfer programmes piloted in countries with high HIV prevalence have a significant impact on poverty reduction in households affected by HIV and AIDS, while supporting livelihoods, enabling access to education and improving nutrition. Cash transfers may prevent households affected by AIDS from adopting non-reversible coping strategies. They may prevent diversion away from household savings to pay for medical or funeral expenses. They may further prevent the sale of livestock or the removal of children from school to care for sick adults or to engage in income earning activities. In this regard, AIDS-sensitive rather than AIDS-specific targeting criteria should be applied.

To read more about HIV/AIDS and Social Protection, please read:

Social Protection in the Context of HIV and AIDS, Ann Nolan, Irish Aid.

Declarations made at international summits on the fight against HIV/AIDS through social protection:

  • The Declaration of Commitment on HIV/AIDS signed at the United Nations General Assembly Special Session (2001) commits governments to ‘review the social and economic impact of HIV/AIDS at all levels of society, especially on women and the elderly, particularly in their role as caregivers.’ It commits member states to implement by 2005 ‘national policies and strategies that provide a supportive environment for orphans and girls and boys infected and affected by HIV/AIDS.’
  • The Madrid International Plan of Action on Ageing (2002) also commits member states to ‘introduce policies to provide support, health care and loans to older caregivers to assist them in meeting the needs of children and grandchildren in accordance with the Millennium Declaration.’
     
  • The Millennium Development Goals commit UN member states to halving, by 2015, the number of people living in extreme poverty and halting and reversing the spread of HIV/AIDS.

 

Main Resources

Links

Statistics

HIV/AIDS and work: global estimates, impact and response
ILO/AIDS, 2004
AIDS epidemic statistics 2007
UNAIDS, WHO, 2007

Library

Contributing to the fight against HIV/AIDS within the informal economy: The existing and potential role of decentralized systems of social protection
ILO, 2002
HIV Financing and Social Health Protection Mechanisms
Kadris Group, Imeda Global Medical Alliance, 2008
Social security health insurance. Social security and HIV/AIDS
ILO, 2005

Legislation

Déclaration de Consensus national tripartite sur le VIH/SIDA dans le Monde du Travail
République du Burundi, Ministère de la Fonction publique, du Travail et de la Sécurité sociale, 2007
Guide to Social Security Benefits for People Living With HIV/AIDS in the United States of America
Social Security Administration, USA, 2005
South Africa, Medical Schemes Act 131 of 1998
Republic of South Africa, 1998

Glossary

adverse selection
prevalence rate