Community Nutrition Programmes for HIV/AIDS Cade Fields-Gardner The

Community Nutrition Programmes for HIV/AIDS Cade Fields-Gardner The Cutting Edge

Contributors to Malnutrition Economic Destitution Social Stigma Infection Co-infection Treatment Access Education / Awareness Food Security

Community Programme Development Needs Assessm ent C u rre n t S ta tu s N u tr itio n a l Needs R e s o u rc e s R e q u ir e d C o n tr ib u to r s to n u tr itio n a l n e e d s a n d s ta tu s G e n e ra l a n d D is e a s e S p e c ific M e d ic a l S o c ia l E c o n o m ic

Community Programs Based on needs assessment Tailored to target audiences Includes – Education – Intervention – Monitoring

Step 1. Needs Assessment Awareness, attitudes, and practices – Issues in health – Issues in food security – Issues in education – Issues in dietary needs

Step 2. Determine Objectives Gaps in meeting needs – Improving knowledge – Improving access – Improving practices

Step 3. Construct Feasibility and resources Strategies to meet objectives – Direct intervention – Indirect intervention – Temporary and permanent programs

Step 4. Implement Effective use of – Community involvement – Cooperative support, complementary programmes – Money Sustainability

Step 5. Monitor and Evaluate Select criteria – Process and impact items – Survey and objective measures Select method – Complete or selected populations Determine outcome – Met needs – Alter strategies and objectives

Food Programme Examples Where does income and food come from? What limits the use of food resources? – Availability, access Who are food insecure? What traditional and current practices contribute to good health and nutrition? What market services/goods are available? What community links are available?

Food Programme Example Why introduce food? – Meet nutritional needs – Add form of income – Provide incentive to participate in program Appropriate delivery? – Onsite feeding – Take home rations

Food Programme Example: M&E Process: – Food reaching target – Food utilization Impact: – Change in general and nutritional health – Change in other factors affecting food security Other – Cost-effectiveness – Sustainability

Business Development Example Community needs assessment Small grants projects – Equipment – Training – Other resources (commnity and business links) Process Impact – Improved nutrition, health – Improved utilization of services – Improved and sustained self-dependence

Community-Based Programs Have many faces Require appropriate planning, cooperation, and follow-through Can address nutrition in HIV – Generally or specifically – Directly or indirectly Can have impact – Make it good!

Food Projects in Africa Cade Fields-Gardner Emerging Market Training Program 17 July 2002

Demonstration Uganda – Africare Botswana – NFTRC, Humana, University of Botswana

Economic Comparison Botswana – Humana, NFTRC Uganda – Africare

Food Enhancement Botswana – National Food Technology Research Centre (NFTRC) Kenya, Uganda – Millers

Enterprise Soy Cow – South Africa, Uganda, Kenya, Tanzania Restaurants – Part of humanitarian effort: Zimbabwe, Botswana Millers – Kenya, Uganda Food Technology Research – Botswana

Humanitarian Zimbabwe, Botswana – Humana People to People Uganda – USAID Expanded Response – Partners: ACDI-VOCA, TASO, World Vision, Catholic Relief Services, Africare Kenya – Feed the Children

Health Demonstration South Africa Botswana – University of Botswana Uganda – Markerere University – Africare

HIV/AIDS World Food Programme South Africa – University of Cape Town, Africa Centre Uganda – Expanded Reponse (USAID) – Africare Kenya – Feed the Children Botswana – TCM