Nov 28th, 2012 5:01 PM UTC
For this World AIDS Day, ONE agriculture expert Kelly Hauser highlights four stellar agriculture programs that are working to improve the incomes and nutrition of people living with HIV and their families.
I’m no HIV/AIDS expert, but I know that it’s incredibly hard for people living with HIV and their families to rise out of poverty for many reasons: decreased productivity as a result of being sick, stigma and discrimination, or the death of family members who would have helped young people to learn a trade. Agriculture, which is a source of income and food for two-third of Africans, and nutrition, which is key to getting well, staying well and being productive, are intricately linked to poverty in Africa.
Thus, for World AIDS Day, I’m highlighting four programs that address both incomes and nutrition of HIV-affected people in Africa: a village poultry project in Mozambique, a horticulture growing association in Kenya, a permaculture training program for orphans in Malawi, and hospital gardening in South Africa.
Kyeema Foundation: The Kyeema Foundation’s Village Poultry Project is working with women in Mozambique who are both farmers and caregivers for family members with HIV/AIDS. Kyeema is working with the women to help them raise chickens – which provide nutritious meat, eggs and fertilizer. Chicken farming is a great option for these burdened women since chickens, which eat insects and kitchen scraps, are relatively easy to raise and they provide a much-needed source of protein for sick family members, who require more protein than healthy family members.
Chepterit Horticultural Growers Organization: This organization is made up of Kenyan women living with HIV who are working together to increase their incomes. The US government’s global food security initiative, Feed the Future, helped the organization set up a passion fruit nursery, taught them about drip irrigation and sustainable pest control, and linked them to a reliable market. Last year, the nursery sold $16,000 worth of seedlings and 7,500 kilograms of passion fruit. Many members are now saving money and several joined together to purchased land to expand their farming. “This project brought hope back into our community,” Irine Zippy Kalamai says. “I now believe that if farmers can easily access quality seeds, they will have a better yield and ultimately high incomes.”
Permaculture for Orphans and Vulnerable Children: Worldwide, 16.6 million children have lost parents due to HIV. In losing their parents, most of these children also lose their access to farming knowledge. Feed the Future is working to counteract that by teaching permaculture, a type of sustainable agriculture that includes eating nutritious and local foods, to orphaned and vulnerable children in Malawi and elsewhere. Permaculture emulates natural ecosystems while providing food for consumption and sale, creating a self-sustaining system that is quite different from the monocropping of industrial agriculture. In the backyard of the Malawi program managers, children learn about nutrition and how to intersperse trees and indigenous crops, raise bees to pollinate, recycle used kitchen water and compost toilet waste to help fertilize crops. Not only are they learning to make a living, they are also learning to live healthier.
GardenAfrica: GardenAfrica is a UK-based organization that works with the organization South Africa HIV to train HIV patients to garden and supply them with healthy foods. They work behind the courtyard walls of clinics and hospitals to maintain training gardens, where patients learn and grow food. Participants learn about organic gardening, irrigation, nutrition, medicinal plants and new styles of cooking. They take home vegetables and starter packs with instructions and seeds for tomatoes, spinach, chard, broccoli, cabbage and many other vegetables and herbs.
These are only a few of the programs out there, but around the world nutrition and self-sustaining agriculture are making people stronger and healthier in the fight to end AIDS and extreme poverty.
Dec 3rd, 2010 7:15 PM UTC
By Dr. Sipho Moyo
This post by Dr. Sipho Moyo, ONE’s Africa director, was first published in the South African national paper The Mail & Guardian on 3 December.
The 2010 World Cup was a moment of great pride for all Africans. It provided an opportunity to show the world the incredible progress that has been achieved across the continent and demonstrated the unyielding spirit of optimism that is quintessentially African. With World AIDS Day this week, perhaps we should similarly take stock of the progress and how far we have come in the fight against this deadly disease.
Less than a decade ago, AIDS was moving unchecked through our communities, leaving death and suffering in its path. Fewer than 50,000 Africans were receiving life-saving antiretroviral treatment. Now, thanks in part to programs such as the Global Fund, and the strong commitment of our governments, nearly 4 million Africans—enough to fill Soccer City Stadium more than 44 times—are able to access the treatment they need to live longer, more productive lives. Our governments’ collective leadership on HIV/AIDS is strengthening, the stigma toward those living with the disease is declining, and 22 countries in sub-Saharan Africa have reduced new HIV infections by more than 25 percent. The South African Government’s new policy in particular, which has significantly increased its investments in treatment for AIDS and prevention of HIV, has already begun to show positive results. Specifically it has reduced the numbers of babies born with HIV transmitted from their mothers; increased the numbers of people receiving ARVs treatment and living longer with HIV/AIDS, when in the past it would have been a sure death sentence.
But there is a grave threat to this progress: a global recession that has tightened the budgets of African and donor governments alike. The tremendous gains we’ve made over the last decade in the fight against HIV/AIDS are now in jeopardy, and recent global financial meetings in Canada and New York have shown that even donors who understand the importance of global health investments are seeing aid budgets increasingly squeezed. At least for now, large donor funding increases for AIDS seem to be a distant dream.
So what does this mean for Africans and African leaders? To maintain progress, we must continue to insist on the resources needed to keep our people alive, while at the same time taking a very hard look at how we can do even better with what we have. Indeed, there is much we can do to improve both the efficiency and effectiveness of the resources that are allocated towards the prevention, treatment and care of HIV/AIDS. There are three steps we can take.
Firstly, we must improve prevention. The promise of treatment for everyone living with AIDS cannot be fulfilled until we slow substantially the rate of new infections. Funding must be focused on interventions that are proven to be effective and are targeted to those who are most at risk. We must overcome cultural barriers to reaching young people with accurate information about HIV, and we must provide them with access to condoms if they are sexually active.
We now have the tools to virtually eliminate mother-to-child transmission of HIV, so there is no excuse in 2010 other than our own inaction for children being born HIV positive. Ensuring that mothers have access to anti-retroviral drugs during pregnancy and teaching mothers how to minimize the chances of passing the virus on to their newborn can cut the risk of infection almost entirely. We need to seek out HIV-positive women, offer them quality family planning services, and provide education and treatment for those who become pregnant.
For young men living in countries with high rates of HIV, male circumcision by a trained medical provider needs to be widely available – it can reduce by over 60% the risk of a man getting infected from an HIV-positive woman.
Secondly we must improve governance and transparency. Even with all the resources and good intentions, programmes will only be successful if they are well managed and citizens are fully informed and engaged. Primary responsibility lies with our Ministries of Health and of Finance who must work together to prioritize domestic spending for HIV/AIDS; and to report on where the funds are going and what results they are producing. Where external aid is utilized, our leaders at all levels need to get tough on criminals who try to siphon off resources for AIDS treatment, and work in partnership with donors and civil society to ensure that our in-country capacity to track and evaluate funding is as strong as possible. The citizens of donor countries that provide assistance are also entitled to know that we have an aggressive intolerance for corruption of any kind. Equally importantly donors should seek to ensure that national health systems are not undermined, while delivering or implement HIV/AIDS programs on the ground.
Thirdly, we must make the case for Africa. Far from advocating perpetual indefinite donor dependence, but so long as we continue to rely on their assistance to aggressively fight AIDS, it is in our interest to be more vocal about the successes of these funds and how they can be best utilized. Indeed, as resources become increasingly tight, and donors change eligibility and prioritization criteria, it will become ever more important for our leaders, celebrities, and citizens when they travel abroad to represent us, to be unabashed in detailing both how effective investments have been saving lives as well as sharing what works and has not worked in each of our countries. It is up to the leaders to partner with civil society so as to be able to advise donors on such key issues as when integration should be a focus, where clinics are best situated, how cultural practices should influence policy, which local partners are strong. We are our own best advocates, and donors need to hear from us.
On World AIDS Day I hope that we can all make a commitment to fulfilling our responsibilities to help end AIDS in Africa in our lifetime. It will take all of us, working together as one, to make a difference.
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