Notes

Outline

Slide 1

HIV/AIDS and Nutrition Security Addressing the Interactions Stuart Gillespie International Food Policy Research Institute 2 April 2004

Slide 3

Slide 4

Slide 5

Slide 6

Nutrition is fundamental… …to all 4 pillars of a comprehensive response to HIV/AIDS Prevention Care Treatment Mitigation

Nutrition in prevention and care Prevention Malnutrition.. compromises immunity increases risk of genital ulcers, STDs, mastitis increases risk of mother-to-child transmission. Care HIV raises energy requirements by 10-30% Malnutrition hastens onset and severity of opportunistic infections Malnutrition hastens onset of AIDS & death

Nutrition in treatment  and mitigation Treatment Antiretrovirals may be less efficacious if person is malnourished Side effects may be worse, reducing compliance Mitigation Malnutrition and associated ill-heath reduces resilience through compromising ability to work, energy to innovate and to ‘cope’

Using an HIV/AIDS lens

Principles for action Strengthen individual, hh, community capacities: to resist HIV and to recover (resilience) from AIDS impacts Ensure safety nets for those who cannot ‘cope’ From ‘individual infected’      ‘community affected’ Balance short-term and long-term Learn from the micro-level, but scale up Scale up organizationally through mainstreaming, using the HIV lens

Direct nutrition interventions Focus on women Ensure dietary quantity and quality Micronutrient supplementation Nutrient-rich food aid for acutely food insecure Integrate information and communications into health care outreach Link nutritional support with ARV therapy, within a comprehensive home-based care program

Food security interventions Maximize efficiency of labor and time Labor management Community labor and childcare pooling Ensure access to land and finance Land tenure and credit policies, access to inputs Preserve knowledge Farmer life schools, HIV-relevant agricultural extension, schooling incentives, rural radio