Free State HIV/AIDS Household Impact Study 2001-2004
Health Survey [hs]
The impact of HIV/AIDS on households in the Free State was assessed by means of a cohort study of households affected by the disease. The survey was conducted in two local communities in the Free State province, one urban (Welkom) and one rural (Qwaqwa), in which the HIV/AIDS epidemic is particularly rife. A survey on the quality of life and household economics was conducted, using the household questionnaire.
Kind of Data
Longitudinal Survey [ls]
Unit of Analysis
v1: Edited, anonymised dataset for public distribution
The survey collected household-level data on a range of social and economic variables, including household finances. Socio-demographic information (all ages) and labour force participation information (ages 15 plus) was collected for those individuals that belonged to interviewed households. Morbidity data included key information about the nature and consequences of illness episodes experienced by household members during the month preceding the interview. Mortality data included key information about the nature and consequences of deaths experienced by households during the six month preceding the interview. Outmigration data included key information about persons that had left the household since the time of the previous interview. Inmigration data included key information about persons that had joined the household since the time of the previous interview.
Due to the sampling design and small sample size, the findings from this household impact study cannot be generalised to households across South Africa, but pertain largely to the experience of poor, African households that utilise public health care services.
The lowest level of geographic aggregation for the data is local community.
Producers and sponsors
Professor Frikkie Booysen
University of the Free State
United Nations Development Program
Australian Government Overseas Aid Program
Department for International Development
United States Agency for International Development
National Research Foundation - South Africa
Andrew W. Mellon Foundation
Funder through SALDRU
The household impact of HIV/AIDS was assessed by means of a cohort study of households affected by the disease. The survey was conducted in two local communities in the Free State province, one urban (Welkom) and one rural (Qwaqwa), in which the HIV/AIDS epidemic is particularly rife. Welkom and Qwaqwa are situated in the Lejweleputswa and Thabo Mofutsanyane districts of the Free
During the first wave of interviews a total of 404 interviews were conducted. During the second wave of data collection, interviews were conducted with 385 households, which translates into an attrition rate of 4.7% (19 households). During wave III, a total of 354 households were interviewed, with 31 households not being reinterviewed (7.7% of the original sample). In wave IV, 55 new households wererecruited into the study, with particular emphasis on an effort to recruit child-headed households into the survey insofar as the sample to date did not include any such households. During waves IV, V and VI a total of 3, 13 and 9 households respectively could not be re-interviewed.
The payment of a minimal participation fee (R150 per household per survey visit) to those households interviewed in each wave, following
the interview and distributed in the form of food parcels, contributed to ensuring sustainability of the sample over the three-year period. The dataset includes data for 331 households interviewed in each of the six rounds of interviews. In almost 90 percent of cases the reasons for attrition are related to migration, given that this study did not intend to follow those households that move outside of the two immediate study areas, i.e. Welkom and Qwaqwa. In the majority of cases, attrition can be ascribed to the failure to establish the current whereabouts of the particular household during follow-up, while in a third of cases it could be established that the household had moved to another country, another province, or another town in the Free State province. Less than ten percent of households had refused to participate in subsequent waves. The reasons for attrition in the original sample illustrate the manner in which migration and the disintegration of households, which are important effects of the epidemic, can act to erode the sample population.
Dates of Data Collection
Data Collection Mode
A household questionnaire on quality of life and household economics was administered. Slight changes were made to the questionnaire during the survey, while certain questions were deleted and others added to the instrument. These changes to the questionnaires are described in the document "SEGA - household AIDS project". Interviews were conducted with one key respondent only, namely the ‘person responsible for the daily organisation of the household, including household finances’. The first four rounds of interviews were completed in May/June and November/December of 2001 and in July/August and November/December of 2002. Rounds five and six of the study were completed in July/August 2003 and May/June 2004 respectively.
Booysen, Frikkie. Free State HIV-AIDS household Impact Study 2001-2004. [dataset]. Version 1. Bloemfontein: University of the Free State, Centre for Health Systems Research & Development [producer], 2004. Cape Town: DataFirst [distributor], 2012. DOI: https://doi.org/10.25828/fkv8-0e63