| Abstract | costs of labor to the private sector in Africa.  There is little corresponding evidence for the  public sector.  This study evaluated the impact of AIDS on the capacity of a government  agency, the Zambia Wildlife Authority (ZAWA), to patrol Zambia’s national parks.    Methods:  Data were collected from ZAWA on workforce characteristics, recent mortality,  costs, and the number of days spent on patrol between 2003 and 2005 by a sample of 76  current patrol officers (reference subjects) and 11 patrol officers who died of AIDS or  suspected AIDS (index subjects).  An estimate was made of the impact of AIDS on service  delivery capacity and labor costs and the potential net benefits of providing treatment.  Results:  Reference subjects spent an average of 197.4 days on patrol per year.  After  adjusting for age, years of service, and worksite, index subjects spent 62.8 days on patrol in  their last year of service (68% decrease, p<0.0001), 96.8 days on patrol in their second to last  year of service (51% decrease, p<0.0001), and 123.7 days on patrol in their third to last year  of service (37% decrease, p<0.0001).  For each employee who died, ZAWA lost an additional  111 person-days for management, funeral attendance, vacancy, and recruitment and training  of a replacement, resulting in a total productivity loss per death of 2.0 person-years.  Each  AIDS-related death also imposed budgetary costs for care, benefits, recruitment, and training  equivalent to 3.3 years’ annual compensation.  In 2005, AIDS reduced service delivery  capacity by 6.2% and increased labor costs by 9.7%.  If antiretroviral therapy could be  provided for $500/patient/year, net savings to ZAWA would approach $285,000/year.    Conclusion:  AIDS is constraining ZAWA’s ability to protect Zambia’s wildlife and parks.   Impacts on this government agency are substantially larger than have been observed in the  private sector.  Provision of ART would result in net budgetary savings to ZAWA and greatly  increase its service delivery capacity. |