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HIV/AIDS+WORK Swaziland

HIV/AIDS, work and development - (NERCHA), the Info Centre

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not immediately reach the same levels ofproductivity, due to less experience. Theeffect will be more pronounced where on-thejoblearning is important. There is a lack ofinformation on prevalence rates in differentsegments of the labour force, and the impactof <strong>HIV</strong> infection on the productivity of infectedworkers.iii. Poverty<strong>HIV</strong>/AIDS deepens poverty and increasesinequalities at every level—household,community, regional and sectoral. Povertycontributes to epidemic disease, whichcontributes to poverty, thereby creating avicious circle. For example, loss of labour in afarming system may result in failure to maintaininfrastructures such as terracing, leadingto soil erosion, and decreasing agriculturalproductivity. This will impoverish householdsand communities, reduce their ability to sustainthemselves and result in poorer socialization,less formal education and, ultimately, cultural aswell as material impoverishment. In 1997, thefood poverty line 14 included 48% of the nationalpopulation (29.7% of the urban and 55% of therural), and the total poverty line included 65.5%(45.4 % urban and 70.6% rural).2. Impact on specific economic sectorsThere is ample evidence to substantiate thatAIDS-related mortality is incrementally erodingthe capacity of various economic sectors and,inevitably, has dramatic repercussions. Theimpact of the epidemic has been studied inthe private sector as well. Businesses have feltthe socio-economic impact of the epidemic.The excess morbidity and mortality due toAIDS have significantly reduced productivity,increased production costs (due to highabsenteeism and funeral attendance) andcaused disruptions in business operations. Themain causes of increase in cost for companiescan be attributed to increased death benefits,medical costs, training costs and funeral costs.There has also been an increase in recruitmentcosts; costs due to reasonable accommodation,catering for employees’ families and orphans;and extended succession plans.i. Public sectorThe public sector in <strong>Swaziland</strong> has felt theimpact of <strong>HIV</strong>/AIDS, as evidenced by firm-levelstudies. These studies have empirical dataon the actual impact of AIDS on depletionof resources. In 2001, an assessmentwas commissioned by the Government of<strong>Swaziland</strong> to determine the impact of <strong>HIV</strong>/AIDSTable 1: <strong>HIV</strong> prevalence (%) in <strong>Swaziland</strong>, by regionYear 1998 1999 2000 2001Private sector 59 983 61 003 61 613 60 381Public sector 31 891 32 210 32 693 33 216Total formal employment 91 874 93 213 94 306 93 597% change 1.46 1.17 -0.75Informal sector 11 8244 12 6175 13 5509 14 5925Source: Central Bank <strong>Swaziland</strong>on the three Central Agencies of the country.These are the Ministries of Finance, EconomicPlanning and Development, and Public Serviceand Information. This study concluded that, asa result of <strong>HIV</strong>/AIDS alone, the three ministrieswill lose 32% of their staff to the epidemic over20 years. Moreover, it will result in increasedpension fund contributions, sick leave,compassionate leave, training and other costs.The current value base cost of the epidemic tothe three central agencies is (conservatively)estimated to be (in local Lilangeni) E 10,535,994 over the period 2002–2010. Thisequates to 1.5% of the annual salary budgetfor the three ministries 15 .These ministries employ an essential partof the labour force in the country. Over 70%of <strong>Swaziland</strong>’s labour force works on land andthe Ministry of Agriculture and Cooperatives(MOAC) is mandated with ensuring that the landremains productive and continues to serve thepopulation. The MOAC is faced with increasedmorbidity and mortality among its employees.While not all of these deaths or illnesses canbe attributed to <strong>HIV</strong>/AIDS, there is a definiteincrease in retirements, pension payouts andexpenditure on health care by government (SeeFigure 7).Figure 7. Trend in pension payout by the public service fund to its members(1995-2001)1001010.11995 1996 1997 1998 1999 2000 200114 UN Common Country Assessment: http://www.ecs.co.sz/cca(Logarithmic scale)pension annuitydeath annuityretirementgratuitySource: Government of <strong>Swaziland</strong>, Assessment of the Impact of <strong>HIV</strong>/AIDS on the Central Agencies of the Government of the Kingdom of<strong>Swaziland</strong>.15 Government of <strong>Swaziland</strong>, Assessment of the Impact of <strong>HIV</strong>/AIDS on the Central Agencies ofthe Government of the Kingdom of <strong>Swaziland</strong>: Executive Summary. 2002.<strong>Swaziland</strong>: <strong>HIV</strong>/AIDS work and development9

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