Poor livelihood opportunities help to shape patterns of sexual mixing and deplete hope, self-efficacy and trust. This – together with associated migration – can foster risky behaviour and hinder HIV prevention and treatment efforts.
HIV can affect both wealthy and poor groups. But different structural factors shape HIV risks for the poor and the rich. In STRIVE’s focus countries, evidence indicates that the next 1,000 HIV infections will disproportionally affect relatively marginalised populations.
In many settings, employment is limited and poorly paid. Levels of unemployment and out-migration are high. For men, these conditions:
Opportunities for women are even more constrained. These conditions:
Control over income and economic assets, such as housing and land, can protect women from violence and destitution, thereby reducing their vulnerability to HIV.