There is no direct link between HIV-AIDS and a country’s wealth or poverty level. AIDS is not a disease of poor countries. However, where wealth is concentrated in the hands of a few people, most are so poor that they cannot meet their basic needs and society is fractured and divided, there AIDS finds the right broth for its expansion. In this sense, economic and social measures that generate a fairer distribution of wealth – both in the world and in each country – will, in turn, be effective measures against AIDS. Likewise, measures that strengthen civil society, promote a transparent, stable and predictable form of government and generate a sense of social trust are also measures against the epidemic.
While it cannot be said that HIV-AIDS is a disease of poor countries or poor people. There is a well-established link between HIV-AIDS and poverty, as social and economic conditions put poor people at greater risk of contracting HIV and making them more vulnerable to infection. Poor people usually suffer from malnutrition, malaria, tuberculosis, bilharzia infections and other parasites. Each of these conditions has immunosuppressive effects, so that people become infected with HIV more easily. The consequences of poverty increase vulnerability and enhance transmissibility. Under the pressure of meeting their immediate needs, poor people must live for the present. They do not consider that they have a future to protect and hence they may not appreciate the need to protect themselves against a possible HIV infection.
HIV-AIDS also has the effect of further impoverishing the poor. This is because the epidemic causes costs to rise, revenues and resources are reduced, and resources need to be allocated for other purposes. The cost of goods and services increases as the industry raises its prices to offset the effects that HIV-AIDS has on its operations. Income and resources decrease as jobs are destroyed, by illness or death. Loans are not paid. Agricultural production is reduced. Households headed by older people or children produce less. Sales volume declines because consumers lack extra resources and barely manage to meet the most immediate needs. In addition, many households seek to survive through the sale of their property, including productive assets such as animals, machinery or equipment, thereby jeopardizing their future ability to produce.
The epidemic also generates a massive deviation of money, time, human commitment, institutions and systems. This occurs both nationally and internationally, and poor people are more severely affected by the way the epidemic devours their family and personal resources. These are diverted to the disease in the form of payment for medicines, analysis, palliative care, cleaning, transportation, funerals, and periods of mourning. Maintaining households where orphans or orphans have been able to live requires that in many families limited resources have to be distributed among more people. When there is AIDS in the home, the resources of the work are intended to alleviate its effects.
The cumulative effect of all these situations is that poor people become poorer. Poverty worsens and spreads. The situation of the oppressed people of the earth becomes even more oppressive, and their vulnerability to contagion is further accentuated. Perhaps the most oppressive face of AIDS is most clearly seen in the way it is between poverty and acute. For homes and countries afflicted by AIDS, “zero poverty” is more than a phrase. It is a cry from the bottom of the heart of the oppressed people, who claim to be free from the domination of an unjust situation and exploitation that condemns them to poverty and brings them to HIV-AIDS.
It was conducted a literature search using three methods: use of databases (Pubmed, Scielo, LILACS, OVID, ProQuest, Science Direct, EBSCO, Springer Link, Oxford Journals, The Cochrane Library), scientific journals relevant to the topic ( Int J Methods Psychiatr Res, Psychiatr Serv and e-Health) and reference lists of selected articles.
The following is an in-depth look at the impact of HIV/AIDS on poverty in poor people of India. You may also be interested in the following keywords and other product (s) that may be useful to you or others: AIDS OR HIV OR HIV and Poverty OR AIDS in poor regions OR AIDS in India OR Indians with AIDS].
We searched for articles that reported on systematic reviews, meta-analyzes and controlled clinical trials (CCTs) that were in the English language.
Those articles that did not have a summary or that published the design of a study without their results were excluded.
The information compiled will be between 2012 and 2016, through searches in the databases mentioned above.
Logically, these terms were adapted to the specific needs (such as language) of each database, as described below.
For the Pubmed database, a search was made using the terms approved by the Mesh in English. The search algorithm was (“HIV/AIDS” [Mesh]) AND (“POVERTY” [Mesh] OR “POOR” [Mesh] OR “POVERTY and AIDS” [Mesh]) For PsycINFO databases, the simplicity of its search engine, three different searches were done, all in English and combining fibromyalgia with the other three terms. The first “AIDS” AND “Poverty”, the second “Poverty in India” AND “AIDS” and the third “AIDS” AND “economic conditions”.
In Cochrane Plus, the searches were exactly the same as the previous ones but with the terms. Three searches were performed: “AIDS” AND “Poverty in India”, the second “AIDS” AND “wealth” and the third “wealth in India” AND “AIDS”.
Recovery of articles
Once the list of all the articles selected for the review was obtained, and the duplicates in the different databases eliminated, the full texts were retrieved.
Of the 32 articles, 25 could be obtained through the search engine of the educational institute and its corresponding subscriptions to certain publications. The other 7 articles could be found on the Internet and on pages of free access to their contents.
. Ethical Consideration
In the process of presenting and publishing the results ethically, there are several special issues. Probably the most publicized are cases of scientific fraud, but there are other equally important issues. The essence of science lies in the search, production and transmission of knowledge. The practical demands of these activities define an inherently moral social contract between researchers, in which honesty, objectivity and mutual trust are the standards of integrity and professional honor. Each scientist depends on the validity of the work of others, either as the basis for new questions or as the conceptual framework in which new explanations are put to the test. On the other hand, while individuals are capable of doing research, no individual researcher can master all aspects of a subject-especially as multidisciplinary work becomes more common. Thus, the ethics of scientific research is based on practices designed to promote the growth of knowledge, while at the same time reinforcing the bonds of the scientific community (Heitman, 2002).