the spread of hivaids reverses that process as organisations experience disruption and declining income undercuts the earlier gains achieved through specialisation and the division of labour the potential fall in income for the individual arising from hivaidsrelated expenditure can result in a decrease in savings and a reorganisation of consumption patterns often it is the case that households are forced to redirect funds away from education general healthcare for uninfected family members and even from food into treatment and care for the people living with hivaids plwha