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New Evidence on Food Security & HIV/AIDS in Southern & Eastern Africa. Robin Jackson HIV/AIDS Service WFP, Rome. Measurement challenges. Methodological hurdles Proxy Indicators Chronic Illness HH food consumption Coping strategy index. HIV affected. Food security.
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New Evidence on Food Security & HIV/AIDS in Southern & Eastern Africa Robin Jackson HIV/AIDS Service WFP, Rome
Measurement challenges Methodological hurdles Proxy Indicators • Chronic Illness • HH food consumption • Coping strategy index HIV affected Food security
Community Household Surveillance Study (WFP & C-SAFE) 4 rounds • Sep-Oct 03 • Feb-Mar 04 • Sep-Oct 04 • Feb-Mar 05
Households with chronically ill members are consistently worse off (WFP and C-SAFE 2005)
35% of HH with chronic illness had borrowed money compared to 26% non-affected HH 60% of loans used for food More affected HH borrowed money (WFP and C-SAFE 2005)
Food assistance helps households cope (WFP and C-SAFE 2005)
Comprehensive Food Security Vulnerability Analysis (WFP 2006) • Sample: 2783 rural HH in Rwanda • HH divided into: • HIV affected and non-affected • Gender of HH head • Number of fostered orphans • Food access, consumption and security profiles used to determine food insecurity
Affected HH are more food insecure (WFP 2006)
Affected HH sold assets twice as frequently as the general population More affected HH sold productive assets compared to non-affected ones Affected HH sold more assets (WFP 2006)
As anticipated, more orphans means poorer food consumption… (WFP 2006)
…however, the opposite is true for the richest households (WFP 2006)
Programmatic implications • There are good proxy indicators we can use to understand food-security and HIV dynamics • Direct food delivery makes a difference for HIV affected population • Certain kinds of households are more vulnerable– female headed, HIV affected