Integration of HIV/AIDS activities with food and nutrition support in ...

whether food-based programmes are appropriate in the context of HIV/AIDS. Initial HIV
prevalence rates and the nature of refugee-host interactions can be significant determinants of
HIV risk in both populations. In this document, readers will find many examples of agency
field staff drawing on refugee and host community skills (e.g., music, dance and drama talents;
teaching, training and peer education skills) to build more community-driven refugee health
programmes to prevent HIV transmission and provide medical, health, nutrition and livelihood
support to the HIV/AIDS-affected.
Implementation of integrated programme strategies should be accompanied by rigorous
monitoring and evaluation of both process and outcome indicators. Pilot-testing and evaluation
will provide valuable data on the effectiveness of these activities.
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A situational assessment should be conducted
as a basis for programme design:
Initial Emergency Needs Assessment (initial acute phase)
Outputs
Broad decisions on types and scale of interventions needed, including emergency food and
nutrition interventions and the reproductive health Minimum Initial Services Package (MISP)
Emergency Needs Assessment (expanded)
Outputs
More nuanced understanding of needs for external assistance among vulnerable
groups, and more detailed quantification of needs and health outcomes
(mortality, morbidity, malnutrition) for targeting and monitoring
Food Security Assessment (post-acute phase)
Outputs
Analysis of determinants of food insecurity;
identification of vulnerable groups;
livelihood and coping strategies available;
identification of priority strategies for food
security interventions, including emergency
food and nutrition interventions, food and
livelihood security interventions, and food
for training/capacity building; household
food and livelihood security activities
HIV/AIDS Assessment
Outputs
Epidemiological patterns of disease and
identification of high-risk groups; risks
associated with refugee-host interactions;
principal routes of transmission; roles of
knowledge and behaviours; identification
of priority strategies for HIV/AIDS
interventions, including HIV/AIDS
prevention, care and support for affected
families, and health care and
treatment interventions
Programme Design, Implementation and Monitoring
Outputs
Mapping out of possible intersections among priority food security/nutrition
and HIV/AIDS interventions to identify where programme strategies can be
integrated synergistically, effectively and cost-effectively