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

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monitoring and assistance of affected families, facilitating their access to the support services that they need. How would this integrated programme strategy be monitored? Programme-level indicators Population-level indicators Input/process Output Outcome Impact • No. of community resource persons receiving HIV/AIDS and nutrition training (by type) (and % of planned) • No. of training sessions conducted (and % of planned) • Amount of materials distributed (and % of planned) • % of targeted formal and traditional health care providers adequately trained in HIV/AIDS and nutrition (by type of caregiver) (and % of planned) • % of people aged 15-24 who correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmission • % of people aged 15-24 reporting the use of a condom during sexual intercourse with a non-regular sexual partner • Reduction in high-risk practices in population • Caretaking practices for PLWHA within the home • HIV prevalence • AIDSassociated morbidity and mortality Experiences from the field… Mwange Camp, Zambia. Peer educators and growth monitoring promoters are highly active, but their numbers have dropped sharply in recent years, reportedly because of the low rewards relative to the tremendous time requirements of the activities. Drama, music and condom distribution undertaken by volunteer peer educators, for example, add up to more than a fulltime job. Community members consult them during the day and evening, seven days per week, often visiting their homes at night to obtain condoms confidentially. HIV/AIDS drama participants in Zambia expressed a desire for items that identify them as part of the group and provide social status, such as t-shirts, caps and pins. Food resources were considered as a possible incentive, but in the presence of an adequate general ration, were not an appropriate incentive. E. Mathys Kirkcaldy Drama group volunteer explaining modes of HIV transmission to women, Kyangwali Settlement, Rwenyewawa area, Uganda 93
Food and related resources are a possible incentive for PLWHA to participate in HIV/AIDS prevention activities, such as talking about their experiences or providing HIV/ AIDS education. The active involvement of PLWHA in HIV/AIDS prevention events can increase their impact, as well as promoting optimism and a sense of purpose for the PLWHA involved. The food provided not only improves the strength and nutritional status of the infected person, but also affirms the value of his or her contribution. If food is not an appropriate input in the local context, non-food items may be used. Food and related resources can be considered a possible incentive to encourage community participation in cultural and educational events related to HIV/AIDS prevention. What does this integrated programme strategy aim to achieve? Active involvement of PLWHA in HIV/AIDS prevention programmes can raise awareness of the disease, decrease stigma and discrimination against PLWHA, counter myths about the disease, and empower PLWHA to live positively without hiding their HIV status. In many refugee settings, AIDS is believed to exist in the host community but not among the refugees, because of a lack of previous exposure or education among the refugees. Testimonies by local PLWHA can be a powerful force for raising HIV/AIDS awareness. Provision of food at an HIV/AIDS prevention-related event may dramatically increase public participation in the event, and thereby promote community engagement and dialogue about HIV/AIDS. In most refugee settings, resource constraints do not allow food to be MAHA group in Moyo, Uganda 94 Integrated Programme Strategy 20: Support to community awareness and mobilization activities of PLWHA E. Mathys Kirkcaldy
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Integration of HIV/AIDS activities
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Contents Acknowledgements 5 Preface
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Acknowledgements The document was p
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Preface This document provides prac
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Executive Summary This document pro
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The integrated programme strategies
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Care and Support for HIV/AIDS-Affec
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Care and Support for HIV/AIDS-Affec
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to protect children’s welfare and
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The 2004 update however did not exp
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food and nutrition components into
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24 • Humanitarian charter and min
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families have important needs for s
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28 5. Avoidance of stigma and discr
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Table 1. Epidemiological and situat
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Household Food and Livelihood Secur
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Box 2. The integrated programme str
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36 3. A monitoring and evaluation s
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e gender-balanced, may elect an HIV
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sive opportunities existed for part
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Page 45 and 46: Therapeutic feeding programmes (TFP
Page 47 and 48: How would this integrated programme
Page 51 and 52: and vegetables, dairy products, mea
Page 53 and 54: In populations that are highly affe
Page 55 and 56: practical experience exists at pres
Page 57 and 58: 56 Programme-level indicators Popul
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Page 69 and 70: Palorinya Settlement, Uganda. AAH h
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Page 79 and 80: 78 Integrated Programme Strategy 14
Page 81 and 82: 80 Integrated Programme Strategy 15
Page 83 and 84: Refugee participants enrolled in an
Page 85 and 86: Everyone involved in HIV/AIDS preve
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Page 91 and 92: expected to provide their services
Page 93: workers and community counsellors -
Page 97: ment. The group Madi AIDS Heroes As
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