1. Food Insecurity: The East African Experience H4A 4M: Food and Nutrition Science

2. Canadian Physicians for Aid and Relief What is Food Security? "When all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life." -United Nations Food & Agriculture Organization (FAO)

3. Canadian Physicians for Aid and Relief What is Food Security?

4. Canadian Physicians for Aid and Relief Categorizing Food Insecurity Acute: Sever hunger and malnutrition to the point that lives are threatened immediately Chronic: Ability to meet food needs is consistently under threat Occasional: When food insecurity occurs due to a specific temporary circumstance

5. Canadian Physicians for Aid and Relief Hunger In Our World There are 1.02 billion undernourished people in the world today In Sub-Saharan Africa there are over 200 million people who are food insecure Every year the number of food insecure people is INCREASING (with the notable exceptions of China and India) In Sub-Saharan Africa the number of undernourished grows by 1 million a year

6. Canadian Physicians for Aid and Relief Hunger In Our World (FAO, 2009)

7. Canadian Physicians for Aid and Relief Implications for Health and Development Hunger and malnutrition are the leading cause of death in the developing world Half of all childhood deaths due to illness can be attributed to being underweight Direct Costs: Caring for the sick, food intervention etc. Indirect Costs: Economic decline due to ill-health and loss of productivity

8. Canadian Physicians for Aid and Relief Primary Causes of Food Crises

9. Canadian Physicians for Aid and Relief Causes of Food Insecurity in Africa Even ‘natural’ causes are exacerbated by human actions Drought on its own does not result in acute food insecurity or famine

10. Canadian Physicians for Aid and Relief Human Economics Are food stores available? Can food be purchased using saved income?

11. Canadian Physicians for Aid and Relief Human Economics Example from Malawi: Malawi is prone to seasonal drought Government sometimes sells grain stores in order to decrease debt and meet other financial obligations NGOs such as CPAR intervene with food security initiatives

12. Canadian Physicians for Aid and Relief Human Wars Wars exacerbate food insecurity by: Damaging land and disrupting trade system Displacing people from their homes Diverting money towards military expenditures

13. Canadian Physicians for Aid and Relief Human Wars Example from Uganda: 19 year civil war in Northern Uganda until 2007 Rebels staged raids on villages and laid landmines 1.4 million forced to relocate to Internally Displaced Persons (IDP) camps Malnutrition rate in IDP camps were 20–40 % for children under 5 vs. the 15% national average

14. Canadian Physicians for Aid and Relief Environmental Degradation Damage to the natural environment through deforestation, over-cultivation, etc. Soil Erosion Decline in soil fertility Depletion of water tables Decline in rainfall Destruction of alternative sources of food and income

15. Canadian Physicians for Aid and Relief Environmental Degradation

16. Canadian Physicians for Aid and Relief HIV and AIDS 22.4 million Sub-Saharan Africans live with the HIV virus 2 million die each year from AIDS 14 million children have been orphaned by AIDS AIDS has devastating effects upon household food security

17. Canadian Physicians for Aid and Relief HIV and AIDS Sick farmers = decreasing food production Expendable income diverted to care for sick and funeral costs = decreasing ability to purchase food Widows and orphans with no land are left particularly vulnerable Guardian households have more mouths to feed Malnutrition causes HIV to worsen more quickly

18. Canadian Physicians for Aid and Relief HIV and AIDS

19. Canadian Physicians for Aid and Relief Solutions

20. Canadian Physicians for Aid and Relief Sustainable Livelihoods Approach Examining the variety of factors that affect the ability to meet household food needs Ability to produce food Ability to purchase food Ability to withstand shocks in food supply Cultural factors influencing access within households

21. Canadian Physicians for Aid and Relief Solutions in Action 1. Tree Nurseries

22. Canadian Physicians for Aid and Relief Solutions in Action 2. Farmer Field Schools

23. Canadian Physicians for Aid and Relief Solutions in Action 3. Conservative Agriculture

24. Canadian Physicians for Aid and Relief For More Information