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Targeted
food assistance in the context of HIV/AIDS
Consortium
for Southern Africa Food Security Emergency (C-SAFE)
September 16, 2004
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Executive summary
As a regional
program implemented by a consortium of sixteen NGOs, C-SAFE presents a
wealth of opportunities for both reflective practice within the consortium
and dissemination of better practices and lessons learned to a broader
stakeholder audience. This study reviewed C-SAFE's targeted feeding programs
in order to better understand the opportunities, constraints and better
practices associated with targeted food assistance with particular with
emphasis on HIV/AIDS-affected individuals and households
The findings are presented
in two sections:
Section 1:
Targeted Food Assistance (for non-medical interventions) describes
five thematic areas of programming. Each theme is analyzed, case studies
depicting better practices are provided and key learning points are summarized.
Topics such as beneficiary targeting and selection, and the development
of graduation and exit strategies are widely applicable, although the
specific challenges and lessons from working in an HIV/AIDS context are
drawn out. Creative initiatives to provide complementary programming and
appropriate food rations are particularly relevant to country programs
with a high prevalence of HIV/AIDS.
Section 2:
Linking Targeted Food Assistance with Medical Interventions is distinct
from Section 1 because although linking food support to medical interventions
is a relatively new area of programming for C-SAFE members, there has
been a clear demand for direction about how to link food assistance with
TB, PMTCT, & ART programming. This section comprises a brief background
statement followed by guidance notes derived from existing technical literature
and interviews with C-SAFE technical staff and stakeholders. These guidance
notes will be updated as better practices emerge and empirical evidence
begins to inform programming.
C-SAFE has deliberately
disseminated this document as a 'draft' to provide an opportunity for
consortium members and other stakeholders to review and provide feedback
on the content before the document is finalized. The onus is clearly on
the southern Africa region to intentionally document and disseminate learning
on the use of food assistance where HIV prevalence is high. This study
is intended to provide a springboard to further discussion and much-needed
research that will drive decision-making and programming here and around
the world.
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