Barrett P. Brenton and John Mazzeo

Community and Household-Based Strategies for Confronting Food Insecurity and HIV/AIDS in Southern Africa

Barrett P. Brenton and John Mazzeo, Department of Sociology and Anthropology, St. John’s College of Liberal Arts and Sciences

Abstract
The synergism between nutritional status, immune function, and disease are known to increase susceptibility to HIV and accelerate its progression. In addition to traditional HIV/AIDS prevention strategies there is great need for developing policy, as well as holistic community and household-based programs that aim to reduce and eliminate food and nutrition insecurity in resource poor countries affected by the HIV/AIDS pandemic. The specific impact of HIV/AIDS on food assistance needs in southern Africa has created what may or may not be seen as a new emergent variant of famine. This paper provides two case studies that reveal contested strategies for both defining and confronting food insecurity and HIV/AIDS. One case study reviews current research in Zambia on coordinated responses to the expanding HIV/AIDS health and nutrition crisis in light of the country’s resistance to genetically modified (GM) food aid. The other case study from rural Zimbabwe examines household level data relevant to understanding the two way linkages between HIV/AIDS and the current food crisis in southern Africa.  Analysis of data from 2005 and 2006 assessments identify the impacts of HIV/AIDS on livelihood systems and some of the coping strategies employed by households to survive.  Overall, best practices are presented for data collection, analysis and the application of findings for targeting community and household development resources.