HI VIA IDS is the most pressing problem in the lI'orld sillce 'he las I 111 '0 to ,"ree decades,'rnparticlI/arly ill Ihe third lI 'orid cOlln/ries. 11 has a devastating impact all Jhe flea"" and socioecol/rnolllic ll'el/ being of population ill many parIs oj (he developing lI'Orld. J;{ost ob,';01/5Iyrn1-1/1'IAfDS a!Jects hlllllan health and infected people are eithereventually die pre-Illaturely; or theyrnare less praductive due ta serious a/ different opportunistic infections. In addition, /-IlVIAfDSrnincreases pover,y in the long run by diminishing assets of households including human physical,rnsOcia/,financial Clnd natural capacities. II increases the relative costs o/bolh avoiding and treatingrnthe illlless and damages the jinclllcial assets.rn/-Iol 'e ver, to reduce the long terlll impacts 0/ /-IrV/A rDS pandemic, the Ethiopian govemmel1lrn/orlllulates policies and programs to participate PLW/-IA in developmel1l programs like ICA. Suchrnprogram are highly practiced ill Adama to",n /ell' years ago by different governmel1lal and NCOs.rnThe basic objective o/this study is there/ore, to examine the e!Jectiveness of these rCA ill bringillgrnchanges in the livelihoods 0/ PL W/-IA in comparison to non rCA participants. It is conducted /Isingrnpl'imOlJ' source of data. The dala was collected by administering questionnaire, focus grouprndisclissions and ill depth illlerview. The study is based on both qualitative and qual1titolive methods.rnP L IVI-IA participating in ICA alld same number of PLWIIA lIot partiel/Joting in IGA are included inrnthe study. The survey questionnaires were el/ectively administered to 446 (223 PLWHA ill rCA andrn223 PLWHA not in rCA), and six FCD and six in-depth interview were held with both ICA groupsrnand non rCA groups. The data are processed and analyzed using Ihe Slatistical Package/or SocialrnScience (SPSS) computer software and descriptive, analytical and inferential techniques Vasrnelllployed to explain the comparison 0/ PLWHAs participating ill rCA and PLI-vI-fAs 1I0trnparticipating iIlICA.rnThe study has assessed the major household consumption needs and contribution of ICA tornco ver household expenses in comparison with PLWHA not participating in ICAs. Civenthernsmall amount of financial support as Ivell as shortages of technical supports, PLWHArnparticipating in ICA has better economic advantages to cover their household expenses asrncompared to PLI'JIf-rA not participating in ICA. However, rCA has its own drall'backs.rnBased on the finding providing technical suppart such as training, a thorough monitoringrnand evaluation of the program and networking among concemed government and NCOsrnare major recommendations of the researcher. The effort will bring valuable changernprovided that there is a strong working relationship among all cancerned parties;rngovernmental, non-govcmmental and call1munity based e!Jorts.