Socioeconomic Impact Among HIV, Food Security, and Nutrition

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Delivered as part of the satellite session on "Integrating Nutrition Assessment, Counseling and Support (NACS) into HIV Services" at the XIX International AIDS Conference in Washington, DC on July 22, 2012

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Socioeconomic Impact Among HIV, Food Security, and Nutrition

  1. 1. HIV, Food Security & Nutrition Socioeconomic Impact Jason Wolfe USAID Office of HIV/AIDS AIDS 2012 - Turning the Tide Together
  2. 2. HIV & Food SecurityHIV exacerbates food insecurity & vulnerability:• Increased costs• Reduced labor• Diminished earnings• Liquidated assets• Stressed safety nets
  3. 3. Food Security & HIVFood insecurity & vulnerability exacerbates HIV :• Inhibited health-seeking behavior• Reduced access to services• Limited follow-up and adherence• Increased opportunistic infections• Diminished community support
  4. 4. Food Security before HIVCyclical fluctuations driven by seasonalitymoderated by income diversity, assets, food storage, and safety nets
  5. 5. Food Security after HIV increased costsfor food & healthcare sale of assets facilitates recovery reduced labor sale of assets limits food access limits future productivity Prolonged downward trajectory reduced ability to buffer and bounce back from shocks
  6. 6. Coping Strategies• Before the shock: Risk Reduction – Low risk (low return) income generation activities – Diversification of income generation activities – Insurance mechanisms: savings & assets, social ties, credit access• After the shock: Loss Management – Stage 1: Insurance & reversible mechanisms – Stage 2: Disposal of key productive assets – Stage 3: Destitution: charity, household breakup, migration
  7. 7. Segmenting by Vulnerability FoodVulnerability Security Expenses Income AssetsLow Mild Some lumpsum Fluctuating ConsistentMedium Moderate No lumpsum Fluctuating FluctuatingHigh Severe Little/none Little/none None
  8. 8. Implications for SupportVulnerability Strategy InterventionsLow Promotion Income diversificationMedium Protection Savings & asset managementHigh Provision Consumption support
  9. 9. Pathway Approach promotion protection restores livelihoods builds assets provision smooths consumption nutrition supportimproves productivity Sustainable graduation out of extreme vulnerability with nutrition, food security, and livelihoods support

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