IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0026117.html
   My bibliography  Save this article

HIV/AIDS, Food Supplementation and Livelihood Programs in Uganda: A Way Forward?

Author

Listed:
  • Jessica E Yager
  • Suneetha Kadiyala
  • Sheri D Weiser

Abstract

Background: Over the last decade, health, nutrition and policy experts have become increasingly aware of the many ways in which food insecurity and HIV infection negatively impact and reinforce one another. In response, many organizations providing HIV care began supplying food aid to clients in need. Food supplementation, however, was quickly recognized as an unsustainable and incomplete intervention. Many HIV care organizations therefore developed integrated HIV and livelihood programs (IHLPs) to target the root causes of food insecurity. Methods and Findings: We conducted a qualitative study using in-depth interviews with 21 key informants who worked at seven organizations providing HIV care, food aid, or IHLPs in Kampala, Uganda in 2007-2008 to better understand the impact of IHLPs on the well-being of people living with HIV and AIDS (PLWHAs) and the challenges in transitioning clients from food aid to IHLPs. There was strong consensus among those interviewed that IHLPs are an important intervention in addressing food insecurity and its adverse health consequences among PLWHAs. Key informants identified three main challenges in transitioning PLWHAs from food supplementation programs to IHLPs: (1) lack of resources (2) timing of the transition and (3) logistical considerations including geography and weather. Factors seen as contributing to the success of programs included: (1) close involvement of community leaders (2) close ties with local and national government (3) diversification of IHLP activities and (4) close integration with food supplementation programs, all linked through a central program of HIV care. Conclusion: Health, policy and development experts should continue to strengthen IHLPs for participants in need. Further research is needed to determine when and how participants should be transitioned from food supplementation to IHLPs, and to determine how to better correlate measures of food insecurity with objective clinical outcomes so as to better evaluate program results.

Suggested Citation

  • Jessica E Yager & Suneetha Kadiyala & Sheri D Weiser, 2011. "HIV/AIDS, Food Supplementation and Livelihood Programs in Uganda: A Way Forward?," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-7, October.
  • Handle: RePEc:plo:pone00:0026117
    DOI: 10.1371/journal.pone.0026117
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0026117
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0026117&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0026117?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mamlin, J. & Kimaiyo, S. & Lewis, S. & Tadayo, H. & Jerop, F.K. & Gichunge, C. & Petersen, T. & Yih, Y. & Braitstein, P. & Einterz, R., 2009. "Integrating nutrition support for food-insecure patients and their dependents into an HIV care and treatment program in western Kenya," American Journal of Public Health, American Public Health Association, vol. 99(2), pages 215-221.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ndirangu, Murugi & Sachs, Sonia Ehrlich & Palm, Cheryl & Deckelbaum, Richard J., 2013. "HIV affected households in Western Kenya experience greater food insecurity," Food Policy, Elsevier, vol. 42(C), pages 11-17.
    2. Tsai, Alexander C. & Tomlinson, Mark & Comulada, W. Scott & Rotheram-Borus, Mary Jane, 2016. "Food insufficiency, depression, and the modifying role of social support: Evidence from a population-based, prospective cohort of pregnant women in peri-urban South Africa," Social Science & Medicine, Elsevier, vol. 151(C), pages 69-77.
    3. Gill, T.B., 2010. "Modeling the impact of HIV/AIDS upon food security of diverse rural households in Western Kenya," Agricultural Systems, Elsevier, vol. 103(5), pages 265-281, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0026117. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.