Disability grants and individual and household welfare among HAART patients in South Africa
| dc.contributor.author | Venkataramani, Atheendar | |
| dc.contributor.author | Maughan-Brown, Brendan | |
| dc.contributor.author | Nattrass, Nicoli | |
| dc.contributor.author | Ruger, Jennifer | |
| dc.date.accessioned | 2016-04-26T14:27:41Z | |
| dc.date.available | 2016-04-26T14:27:41Z | |
| dc.date.issued | 2009 | |
| dc.date.updated | 2016-04-26T14:26:36Z | |
| dc.description.abstract | Objective: To examine whether the loss of disability grants creates perverse incentives to forego treatment and negatively impacts health and economic welfare among individuals on highly active antiretroviral therapy (HAART) in South Africa. Design: Three-year panel study of a sample of individuals in Khayelitsha (a large poor, black township in Cape Town, South Africa) on HAART. Methods: Descriptive cross-tabulations and multivariate individual fixed effects regressions using self-reported health status, adherence to treatment, individual and household incomes and employment status as dependent variables and a binary indicator of disability grant status as the main independent variable. Results: We found no statistically significant association between grant receipt and adherence to treatment, self-reported health status, or side effects from HAART. None of the individuals in the sample reported that they would be willing to forego treatment to remain eligible for grants and all respondents reported perfect or near perfect adherence to treatment. However, a loss of a disability grant was associated with substantial decreases ion individual and household incomes, respectively. Conclusion: While we found no evidence of people trading off their health for income, there still appears to be a large financial burden associated with disability grant loss, which could increase the salience of perverse incentives, especially among those who are unable to find employment. Future research should examine alternative social welfare programs for AIDS-sick individuals that minimize incentives to trade-off health for economic security. | en_ZA |
| dc.identifier.apacitation | Venkataramani, A., Maughan-Brown, B., Nattrass, N., & Ruger, J. (2009). <i>Disability grants and individual and household welfare among HAART patients in South Africa</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR). Retrieved from http://hdl.handle.net/11427/19244 | en_ZA |
| dc.identifier.chicagocitation | Venkataramani, Atheendar, Brendan Maughan-Brown, Nicoli Nattrass, and Jennifer Ruger <i>Disability grants and individual and household welfare among HAART patients in South Africa.</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR), 2009. http://hdl.handle.net/11427/19244 | en_ZA |
| dc.identifier.citation | Venkataramani, A. (2009). Disability grants and individual and household welfare among HAART patients in South Africa. Centre for Social Science Research: University of Cape Town. | en_ZA |
| dc.identifier.ris | TY - Working Paper AU - Venkataramani, Atheendar AU - Maughan-Brown, Brendan AU - Nattrass, Nicoli AU - Ruger, Jennifer AB - Objective: To examine whether the loss of disability grants creates perverse incentives to forego treatment and negatively impacts health and economic welfare among individuals on highly active antiretroviral therapy (HAART) in South Africa. Design: Three-year panel study of a sample of individuals in Khayelitsha (a large poor, black township in Cape Town, South Africa) on HAART. Methods: Descriptive cross-tabulations and multivariate individual fixed effects regressions using self-reported health status, adherence to treatment, individual and household incomes and employment status as dependent variables and a binary indicator of disability grant status as the main independent variable. Results: We found no statistically significant association between grant receipt and adherence to treatment, self-reported health status, or side effects from HAART. None of the individuals in the sample reported that they would be willing to forego treatment to remain eligible for grants and all respondents reported perfect or near perfect adherence to treatment. However, a loss of a disability grant was associated with substantial decreases ion individual and household incomes, respectively. Conclusion: While we found no evidence of people trading off their health for income, there still appears to be a large financial burden associated with disability grant loss, which could increase the salience of perverse incentives, especially among those who are unable to find employment. Future research should examine alternative social welfare programs for AIDS-sick individuals that minimize incentives to trade-off health for economic security. DA - 2009 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Disability grants and individual and household welfare among HAART patients in South Africa TI - Disability grants and individual and household welfare among HAART patients in South Africa UR - http://hdl.handle.net/11427/19244 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/19244 | |
| dc.identifier.vancouvercitation | Venkataramani A, Maughan-Brown B, Nattrass N, Ruger J. Disability grants and individual and household welfare among HAART patients in South Africa. 2009 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/19244 | en_ZA |
| dc.language | eng | en_ZA |
| dc.publisher.department | Centre for Social Science Research(CSSR) | en_ZA |
| dc.publisher.faculty | Faculty of Humanities | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) | |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.title | Disability grants and individual and household welfare among HAART patients in South Africa | en_ZA |
| dc.type | Working Paper | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Research paper | en_ZA |