Shifting the Burden of HIV/AIDS

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dc.contributor.author Rosen, Sydney
dc.contributor.author Simon, Jonathon L.
dc.date 2002-05-01
dc.date.accessioned 2010-01-28T17:15:59Z
dc.date.available 2010-01-28T17:15:59Z
dc.date.issued 2010-01-28T17:15:59Z
dc.identifier.uri http://sph.bu.edu/cihd/index.php?option=com_content&task=view&id=381&Itemid=617095 en_US
dc.identifier.uri http://hdl.handle.net/2144/1296
dc.description.abstract As the economic burden of HIV/AIDS increases in sub-Saharan Africa, the allocation of the burden among levels and sectors of societies is changing. The private sector has greater scope than government, households, or NGOs to avoid the economic burden of AIDS, and a systematic shifting of the burden away from the private sector is underway. Common practices that shift the AIDS burden from businesses to households and government include pre-employment screening, reduced employee benefits, restructured employment contracts, outsourcing of less skilled jobs, selective retrenchments, and changes in production technologies. In South Africa, more than two thirds of large employers have reduced health care benefits or required larger contributions by employees. Most firms have replaced defined benefit retirement funds, which expose the firm to large annual costs but provide long-term support for families, with defined contribution funds, which eliminate firm risk but provide little to families of younger workers who die of AIDS. Contracting out of previously permanent jobs also shields firms from costs while leaving households and government to care for affected workers and their families. Many of these changes are responses to globalization and would have occurred in the absence of AIDS, but they are devastating for employees with HIV/AIDS. This paper argues that the shifting of the economic burden of AIDS is a predictable response by business to which a thoughtful public policy response is needed. Countries should make explicit decisions about each sector’s responsibilities if a socially desirable allocation is to be achieved. en_US
dc.relation.ispartofseries HDDP No. 1;Health & Development Paper Series
dc.subject HIV/AIDS en_US
dc.subject economic burden en_US
dc.subject business response en_US
dc.subject employee benefits en_US
dc.subject South Africa en_US
dc.title Shifting the Burden of HIV/AIDS en_US
dc.type Working Paper en_US

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