1. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS: Practical Tools for Health Workers

2. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 2 Objectives Identify food security challenges in relation to nutrition and HIV care Educate and counsel clients on strategies for improving food and nutrition security at household and community levels Refer clients to relevant community-based initiatives and programmes for food security assistance

3. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 3 Food Security “When all people at all times have both physical and economic access to sufficient food to meet their dietary needs” Must have: Available and access to food and clean water Available and access to foods rich in protein, vitamins and minerals Utilization of food and clean water by body Source: WHO/FAO

4. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 4 HIV and AIDS Impact on Food Security HIV and AIDS Impact on agriculture and farming HIV and AIDS impact on workers HIV and AIDS care and support (medical, nutritional, psychosocial) can improve productivity

5. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 5 Effects of Food Insecurity on HIV and AIDS May lead to livelihood strategies that increase risk of infection Reduces access to preventative education and commodities Increases severity of HIV and AIDS impact

6. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 6 Food Security, HIV and Nutrition Care Group Discussion Infant Feeding Food and Drug Management Pregnancy and Lactation Management of Nutrition-Related Symptoms

7. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 7 Household Food Security Considerations: How is food produced or acquired? How is food stored, processed, and preserved? How is food shared among other household members?

8. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 8 Addressing Food Security with Clients If your client does not have enough food: Discuss locally available foods Link to community-based organisations Promote home or community vegetable gardening

9. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 9 Addressing Food Security with Clients (2) Discourage risky behaviours Food for sex Alcohol intake or cigarettes instead of food Nutritional supplements instead of food Selling cash crops for low-nutrient foods (sweets, cool drinks, etc)

10. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 10 Short-Term Initiatives Nutrition supplements Food parcels Food-for-Work programme Soup kitchens

11. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 11 Long-Term Initiatives Gardening projects Income generating activities Strengthen individual’s buying power

12. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 12 Gardening Projects Home or community gardens (ex: at the clinic) Small gardens do not require a lot of water Provide fruits, vegetables, beans/peas and herbs Need resources to ensure sustainability (water, land, security, community/household commitment)

13. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 13 Photo of Garden at a Clinic © I-TECH, 2006

14. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 14 Example of a Table Garden © I-TECH, 2006

15. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 15 Tyre Garden © I-TECH, 2006

16. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 16 Food Security and HIV Do people in your community have access to food? If not, why? How can health workers help? Factors that you feel make food hard to access, produce or store for your clients with HIV and AIDS

17. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 17 Food Security Case Study

18. Session 6: Food and Nutrition Security Nutrition Management with HIV and AIDS Training Slide 18 Key Points 1.HIV has impacted farming and production by affecting the most productive age group of the population 2.It is very important to discuss food availability and access with all clients, but to also remember that this is a sensitive issue 3.Learn about community programmes and refer clients as appropriate