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Among these are combination prevention programmes, considered to be the most effective initiative, the abstinence, be faithful, use a condom campaign, and the Desmond Tutu HIV Foundation's outreach programs. Botswana, for example, lost 17% of its healthcare workforce due to AIDS between 19. The toll of HIV and AIDS on households can be very severe. [I]t is often the poorest sectors of society that are most vulnerable.... AIDS causes the household to dissolve, as parents die and children are sent to relatives for care and upbringing. Much happens before this dissolution takes place: AIDS strips families of their assets and income earners, further impoverishing the poor. Upon a family member becoming ill, the role of women as carers, income-earners and housekeepers is stepped up. As parents and family members become ill, children take on more responsibility to earn an income, produce food, and care for family members. [M]ore children have been orphaned by AIDS in Africa than anywhere else.

According to a 2013 special report issued by the Joint United Nations Programme on HIV/AIDS (UNAIDS), the number of HIV positive people in Africa receiving anti-retroviral treatment in 2012 was over seven times the number receiving treatment in 2005, "with nearly 1 million added in the last year alone". has caused immense human suffering in the continent. They are often forced to step into roles outside their homes as well. Older people are also heavily affected by the epidemic; many have to care for their sick children and are often left to look after orphaned grandchildren. It is hard to overemphasise the trauma and hardship that children ... Many children are now raised by their extended families and some are even left on their own in child-headed households. HIV and AIDS are having a devastating effect on the already inadequate supply of teachers in African countries.... in 2006 it was estimated that around 45,000 additional teachers were needed to make up for those who had died or left work because of HIV.... has been among adults aged between 20 and 49 years.