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

Session 6:Session 6:Food and Nutrition SecurityFood and Nutrition Security

Nutrition Management with HIV and AIDS: Practical Tools for Health Workers

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 2

ObjectivesObjectives

• 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

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 3

Food SecurityFood 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

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 4

HIV and AIDS Impact on HIV and AIDS Impact on Food SecurityFood 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

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 5

Effects of Food Insecurity on Effects of Food Insecurity on HIV and AIDSHIV 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

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 6

Food Security, HIV and Nutrition Food Security, HIV and Nutrition Care Group DiscussionCare Group Discussion

• Infant Feeding

• Food and Drug Management

• Pregnancy and Lactation

• Management of Nutrition-Related Symptoms

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 7

Household Food SecurityHousehold Food Security

• Considerations:• How is food produced or acquired?• How is food stored, processed, and

preserved?• How is food shared among other household

members?

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 8

Addressing Food Security Addressing Food Security with Clientswith Clients

• If your client does not have enough food:• Discuss locally available foods• Link to community-based organisations• Promote home or community vegetable

gardening

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 9

Addressing Food Security Addressing Food Security with Clients (2)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)

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 10

Short-Term InitiativesShort-Term Initiatives

• Nutrition supplements

• Food parcels

• Food-for-Work programme

• Soup kitchens

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 11

Long-Term InitiativesLong-Term Initiatives

• Gardening projects

• Income generating activities

• Strengthen individual’s buying power

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 12

Gardening ProjectsGardening 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)

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 13

Photo of Garden at a ClinicPhoto of Garden at a Clinic

© I-TECH, 2006

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 14

Example of a Table GardenExample of a Table Garden

© I-TECH, 2006

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 15

Tyre GardenTyre Garden

© I-TECH, 2006

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 16

Food Security and HIVFood 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

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 17

Food Security Case StudyFood Security Case Study

Session 6: Food and Nutrition SecurityNutrition Management with HIV and AIDS Training

Slide 18

Key PointsKey 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