Template-type: ReDif-Paper 1.0
Author-Name: Tirivayi, Nyasha
Author-workplace-name: UNU-MERIT
Author-Name: Koethe, John R. 
Title: HIV disease severity and employment outcomes in affected households in Zambia
Abstract: The relationship between immune status and employment outcomes in HIV-infected
	 patients on long-term antiretroviral therapy (ART) in sub-Saharan Africa and their
	 HIV-affected households is not well understood. We assessed the relationship between
	 CD4+ T-cell counts of ART-treated adults at public-sector clinics in Lusaka, Zambia
	 (median treatment duration 973 days) and labour force participation in the
	 HIV-affected households using clinical and survey data. In multivariable models,
	 patients with a CD4+ count >350 cells/µl were 22 percentage points more likely to be
	 engaged in labour (95% CI: 0.02, 0.42) and worked approximately 6 more days per
	 month compared to patients with a CD4+ count <350 cells/µl. A similar relationship
	 between patient CD4+ count and labour participation was observed for other adult
	 family members in the HIV-affected household, but it was not statistically
	 significant. These findings suggest interventions that promote and maintain robust
	 immune recovery on ART may confer economic benefits. 
Keywords: HIV, Aids, Africa, Zambia, CD4 count, employment, labour force, household,
	 household welfare 
Classification-JEL: I10, I18, J22
Series: UNU-MERIT Working Papers
Creation-Date: 2015
Number: 2015-018
File-URL: https://unu-merit.nl/publications/wppdf/2015/wp2015-018.pdf
File-Format: application/pdf
File-Size: 275 kb
Handle: RePEc:unm:unumer:2015018