HIV & Nutrition security Programme implications RENEWAL, Cape Town, November 9-11 2009
HIV & Nutrition Programming; then and now Care & Treatment Livelihoods promotion Social Safety Nets Uptake Retention Drug adherence Nutrition Drug side effects Uptake Retention Asset protection Income Wellbeing Care Long term adherence Asset protection & growth Economic/productive recovery Food & nutrition security HIV, AIDS, Drugs, Food insecurity, Poverty
Nutrition in support of Care & Treatment <ul><li>Nutrition support programmes are designed to achieve one or more (often closely related) objectives, including: </li></ul><ul><li>Nutritional rehabilitation and/or nutrition support to improve individual well-being and treatment success; </li></ul><ul><li>Social safety nets mechanisms to support treatment adherence and protect the household structure; and </li></ul><ul><li>Livelihood activities to encourage a productive recovery and sustain long-term adherence . </li></ul>What, Who, When, How long?
Role of food & nutrition dietary supplement, carrier of micronutrients, enabler, incentive, income transfer, compensation of opportunity cost, social transfer (goodwill, care), household food consumption.... Care & Treatment Social safety nets Livelihoods promotion Exclusive? Inclusive?
Questions… How does food security effect treatment uptake and adherence? What is the prevalence of malnutrition among C&T client groups? How large is the link between malnutrition and food insecurity in care & treatment clients? What is the most effective food product, or combination, for nutrition rehabilitation? What is the most appropriate nutrition rehabilitation protocol for ill adults? How effective is nutrition rehabilitation in improving treatment success? How much recurrence of malnutrition occurs after nutrition rehabilitation? - What are the key reasons? What are the most cost effective intervention approaches? How does the effectiveness of nutrition rehab compare to social assistance and/or livelihood support? What is the chance of livelihood recovery in long term ART? How do we best address nutritional challenges in long term treatment? How do we answer these questions?