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Promoting food security and well-being among poor and HIV/AIDS affected households: Lessons from an interactive and integrated approach

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  • Swaans, Kees
  • Broerse, Jacqueline
  • Meincke, Maylin
  • Mudhara, Maxwell
  • Bunders, Joske

Abstract

Participatory and interdisciplinary approaches have been suggested to develop appropriate agricultural innovations as an alternative strategy to improve food security and well-being among HIV/AIDS affected households. However, sustainable implementation of such interactive approaches is far from easy and straight forward. This study reports of the Interactive Learning and Action (ILA) approach, a methodology for agricultural innovation which has been adapted to the context of HIV/AIDS. Role players in agriculture and health were brought together to stimulate and sustain innovation among three support groups for poor and affected households in a rural high HIV/AIDS prevalence area in South Africa. The effectiveness of the approach was evaluated using both outcome and process criteria. The results indicate that an interactive approach in which service providers/researchers engage themselves as actors to explore the livelihood system and develop appropriate solutions in joint collaboration with resource users has potential. However, it also revealed that cooperation among participants and stakeholders at the interface of agriculture and HIV/AIDS is complicated and sensitive to erosion. Of particular concern was the difficulty of mobilizing members from poor and affected households to participate and to overcome stigma and discrimination. Lessons and potential applications for the further development of interactive approaches are discussed.

Suggested Citation

  • Swaans, Kees & Broerse, Jacqueline & Meincke, Maylin & Mudhara, Maxwell & Bunders, Joske, 2009. "Promoting food security and well-being among poor and HIV/AIDS affected households: Lessons from an interactive and integrated approach," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 31-42, February.
    • Handle: RePEc:eee:epplan:v:32:y:2009:i:1:p:31-42
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    References listed on IDEAS

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    1. J Francisca Caron-Flinterman & Jacqueline E W Broerse & Julia Teerling & Melissa L Y van Alst & Simon Klaasen & L Edwin Swart & Joske F G Bunders, 2006. "Stakeholder participation in health research agenda setting: the case of asthma and COPD research in the Netherlands," Science and Public Policy, Oxford University Press, vol. 33(4), pages 291-304, May.
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    3. Driessen, Peter P. J. & Glasbergen, Pieter & Verdaas, Co, 2001. "Interactive policy-making - a model of management for public works," European Journal of Operational Research, Elsevier, vol. 128(2), pages 322-337, January.
    4. Gillespie, Stuart & Kadiyala, Suneetha, 2005. "HIV/AIDs and food and nutrition security," Food policy reviews 7, International Food Policy Research Institute (IFPRI).
    5. Campbell, C. & Foulis, C.A. & Maimane, S. & Sibiya, Z., 2005. ""I have an evil child at my house": Stigma and HIV/AIDS managament in a South African community," American Journal of Public Health, American Public Health Association, vol. 95(5), pages 808-815.
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