Household Level Effects of HIV/AIDS Mortality
Sangeetha Madhavan, PI
Jane Menken, Co-PI
Enid Schatz, Co-PI
Description:
Part I: April-September 2003
Funding: Seed Grant from P30 AG024472-01 National Institute on Aging, Population Aging Center, Population Aging Center (J. Menken PI), and Mellon Foundation, African Demography Research and Training Program (J. Menken PI) ($15,000)
This seed grant pilot project, "Social and Structural Impacts of HIV/AIDS in South Africa," provided the time and resources to respond to an NICHD RFA on the Social and Structural Impacts of HIV/AIDS. The grant proposes to explore existing qualitative and quantitative data from the Agincourt Health and Demographic Surveillance System (AHDSS) in order to investigate the impact of HIV/AIDS on households in this rural area of South Africa (see below).
Part II: March 2005-Feb 2007
Funding: NICHD. First submission, Oct 2003, priority score: 17th percentile. Resubmitted, July 2004, pending. Second submission, July 2004, priority score: 1st percentile. Funding began March 2005.
The existing research on the effects of HIV/AIDS on households in medium and high prevalence countries relies on cross sectional data and small, non-representative samples. This research provides a unique opportunity to use population-based data from a demographic surveillance system to investigate this issue. The research builds on a well-established collaboration among team members based at US institutions, the Agincourt Health and Population Unit (AHPU) located in Mpumalanga Province, South Africa, and the University of the Witwatersrand (WITS) in Johannesburg, South Africa. This project will explore existing quantitative and qualitative data from the AHPU study site, located in South Africa's rural north-east. The project will contribute to ongoing research on mortality and its relationship to social organization using data from the AHDSS, which has collected information annually since 1992, and from its satellite projects. A qualitative pilot study will also be conducted in the study site.
The three aims of the project are:
1) Describe changes in household structure and composition over the 1992-2003 period, compare 2003 households that had experienced HIV/AIDS deaths, deaths from other causes, and no deaths in the previous 10 years, and track mobility of maternal orphans.
2) Understand how households cope and inter-household connections operate in the context of HIV/AIDS-related illness and death.
3) Explore the effects of HIV/AIDS morbidity and mortality on gender and generational dynamics in the household through a qualitative pilot study.
The proposed analyses will lead into future work that will incorporate both qualitative and quantitative methodologies. Two specific directions in which future research will move are: 1) longitudinal analysis of the AHDSS data and 2) prospective follow-up of individuals and households infected and affected by HIV/AIDS. We are particularly interested in the interplay between HIV/AIDS and gendered and generational dynamics at the household level.
Funding: Seed Grant from P30 AG024472-01 National Institute on Aging, Population Aging Center, Population Aging Center (J. Menken PI), and Mellon Foundation, African Demography Research and Training Program (J. Menken PI) ($15,000)
This seed grant pilot project, "Social and Structural Impacts of HIV/AIDS in South Africa," provided the time and resources to respond to an NICHD RFA on the Social and Structural Impacts of HIV/AIDS. The grant proposes to explore existing qualitative and quantitative data from the Agincourt Health and Demographic Surveillance System (AHDSS) in order to investigate the impact of HIV/AIDS on households in this rural area of South Africa (see below).
Part II: March 2005-Feb 2007
Funding: NICHD. First submission, Oct 2003, priority score: 17th percentile. Resubmitted, July 2004, pending. Second submission, July 2004, priority score: 1st percentile. Funding began March 2005.
The existing research on the effects of HIV/AIDS on households in medium and high prevalence countries relies on cross sectional data and small, non-representative samples. This research provides a unique opportunity to use population-based data from a demographic surveillance system to investigate this issue. The research builds on a well-established collaboration among team members based at US institutions, the Agincourt Health and Population Unit (AHPU) located in Mpumalanga Province, South Africa, and the University of the Witwatersrand (WITS) in Johannesburg, South Africa. This project will explore existing quantitative and qualitative data from the AHPU study site, located in South Africa's rural north-east. The project will contribute to ongoing research on mortality and its relationship to social organization using data from the AHDSS, which has collected information annually since 1992, and from its satellite projects. A qualitative pilot study will also be conducted in the study site.
The three aims of the project are:
1) Describe changes in household structure and composition over the 1992-2003 period, compare 2003 households that had experienced HIV/AIDS deaths, deaths from other causes, and no deaths in the previous 10 years, and track mobility of maternal orphans.
2) Understand how households cope and inter-household connections operate in the context of HIV/AIDS-related illness and death.
3) Explore the effects of HIV/AIDS morbidity and mortality on gender and generational dynamics in the household through a qualitative pilot study.
The proposed analyses will lead into future work that will incorporate both qualitative and quantitative methodologies. Two specific directions in which future research will move are: 1) longitudinal analysis of the AHDSS data and 2) prospective follow-up of individuals and households infected and affected by HIV/AIDS. We are particularly interested in the interplay between HIV/AIDS and gendered and generational dynamics at the household level.