AIDS and Food Security: New Directions

Stuart GillespieInternational Food Policy Research Institute

14 March, Geneva

HIV and AIDSHIV and AIDS

Food and nutrition insecurityFood and nutrition insecurity

Vulnerability of Livelihood Systems

Vulnerable Groups - Orphans, Elderly and Youth Headed Households,

Effect on InstitutionsCommunity-based, Civil society, Market, State, Global

OutcomesNutrition, Food Security, Education, Community Cohesion, Income

Effect on AssetsHuman, Financial, Social, Natural, Physical, Political

ResponsesIndividual, Household, Community

Susceptibility

HIV

Stigma and Discrimination

New Directions

Simultaneously:

1. Strengthen household and community:- resistance to HIV and

- resilience to AIDS

2. Preserve and enhance livelihood options and strategies- incentives for community mobilisation and development

- address real constraints (labor-saving or cash-saving?)

3. Ensure social protection- more than “safety nets”

- children affected by HIV and AIDS

4. Build effective governance and capacity

Challenges• Beware AIDS exceptionalism

– Use an HIV lens, not a filter• Think livelihoods, not agriculture• Beware “either/or” mentality

– ARVs are not the (single) answer• Diversity, context-specificity…but need for scale-up• Use/adapt tools to move from understanding to

responding• Evidence-based action (but don’t wait for last 5%!)• Learn by doing (action research), by monitoring,

evaluating and by communicating• Innovate, document and disseminate• Balancing quality, speed, and capacity• Linking food security with nutrition (nutrition security)

The Regional Network on HIV/AIDS, Rural

Livelihoods, and Food Security (RENEWAL)

Facilitated by IFPRI, RENEWAL brings together national networks of researchers, policymakers, public & private

organizations, and NGOs to focus on the interactions between HIV/AIDS and food and nutrition security.

Core pillars/processes of RENEWAL

Action research

CommunicationsCapacity

RENEWAL active in Kenya, Uganda, Malawi, South Africa, Zambia

The Effects of HIV/AIDS on Agricultural Production Systems in Zambia: A Restudy

CARE International ZambiaInternational HIV/AIDS Alliance, FAO

HIV/AIDS and Community Resilience in Zambia: Understanding the Implications for Food and Nutrition Policies

Farming Systems Association of ZambiaMinistry of AgricultureMichigan State UniversityIFPRI Washington DC

HIV/AIDS, Food and Nutrition Security in South Africa: Understanding and Responding

University of Western Cape, South AfricaIFPRI, Washington DC

Promoting agricultural innovation in AIDS affected rural households in KwaZulu-Natal, South Africa

Farmer Support Group, KwaZulu-NatalVrije Universiteit, Amsterdam

HIV/AIDS, land reform and land-based livelihoods in 3 provinces in South Africa

Human Sciences Research Council, South Africa

Impact of HIV/AIDS on inter- and intra-generational information flows among smallholder farmers, Malawi

Chancellor College, MalawiICRISAT-Malawi

HIV/AIDS, rural livelihoods and depeasantisation in Malawi: finding pathways to social recovery

CARE International MalawiCenter of Social Research, MalawiUniversity of Leiden, Netherlands

Farming Systems and Resilience to HIV/AIDS in Malawi

Institute for Policy Research and Analysis for Dialogue, Blantyre, Chancellor College

First Phase RENEWAL Studies (2004-2006)

Dealing with vulnerability: parents efforts to secure the future of their children (regional)

University of Cape Town, University of KwaZulu Natal, IFPRI, Southern Africa Vulnerability Initiative (SAVI)

Tuberculosis: An Additional Tipping Stress to Poor Households in South Africa and Zambia

Stellenbosch University, S.Africa; University Teaching Hospital, Zambia

HIV/AIDS, Food and Nutrition Security and Urban-Rural Linkages in Southern Africa

IFPRI, RENEWAL, Southern African Migration Project

Impact of a Nutrition Intervention for People Living with HIV in Western Kenya, and its Role in their Support Systems

Moi University, AMPATH, IFPRI, Columbia University USA, World Bank

HIV/AIDS Mortality and the Role of Woodland Resources in the Maintenance of Household Food Security in Rural Limpopo Province, South Africa.

SUNRAE Program; University of Witwatersrand, University of Colorado at Boulder, USA

Gender Issues in HIV/AIDS and Food/Nutrition security among Internally Displaced People’s Camps in Uganda

Makerere University

Land Ownership and Food Security in Uganda: A Study of the Use and Control of Land Among Households of Women Affected by HIV/AIDS in Four Districts

Makerere University and National Community of Women Living with HIV/AIDS

The Effects on Rural Livelihoods of Increasing Rates of HIV/AIDS-related Illness and Death in Zomba South, Malawi

Kennedy School of Government, Harvard University, Bunda College of Agriculture, Zomba

Second Phase RENEWAL Studies (2006-2008)