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HIV-induced
famine's impact on agriculture
IRIN News
October 31, 2007
http://www.irinnews.org/Report.aspx?ReportId=75067
JOHANNESBURG, (IRIN)
- Hunger and HIV/AIDS are reinforcing each other in Southern Africa,
"leading to a potentially tragic new level of famine",
says a book published by a regional agricultural think-tank. The
World Bank's annual report, released last week, also raises concerns
over the pandemic's impact, pointing out that most people affected
by HIV and AIDS depend on agriculture.
Food consumption has
been found to drop by 40 percent in homes afflicted by HIV/AIDS,
according to the UN Food and Agriculture Organisation (FAO); globally,
Southern Africa is the region most affected by the pandemic.
The situation has been
exacerbated by severe drought in Lesotho, Swaziland, Zimbabwe and
southern Mozambique this year, with significant production deficits
and high staple food prices limiting market access for households
that have already run out of food they have managed to grow themselves.
AIDS has killed
around 7 million agricultural workers since 1985 in the 25 hardest-hit
countries, mostly in east and southern Africa, where AIDS-related
illnesses could kill 16 million more before 2020, and up to 26 percent
of their agricultural labour force within two decades, said the
FAO.
Often described
as "new variant famine" or "HIV-induced famine",
this form is radically different from traditional famines, said
the book, Silent
Hunger: Policy Options for Effective Responses to the Impact of
HIV and AIDS on Agriculture and Food Security in the SADC Region.
"The paradox is
that while the traditional drought-related famines kill dependents
first (children and elderly), the HIV-related 'silent hunger' affects
the most 'productive' family members first."
The book is based on
a study commissioned by the Food, Agriculture and Natural Resources
Policy Analysis Network (FANRPAN) on the impact of HIV and AIDS
in the seven most affected countries in Southern Africa: Botswana,
Lesotho, Namibia, South Africa, Swaziland, Zambia and Zimbabwe.
Alex de Waal, an activist
and writer, and Alan Whiteside, director of the HIV/AIDS research
division at the University of KwaZulu-Natal, in South Africa, were
the first to outline the "new variant famine" concept.
The FANRPAN book is critical
of regional governments' response to the "invisible famine",
which they describe as "slow" and inadequate", and
presents a case for prioritising social protection.
In one of the first comprehensive
studies on the impact of the pandemic on agriculture in the region,
the book has uncovered some startling facts: in Botswana, the majority
- 81 percent of respondents - had three or more meals per day before
they contracted HIV, but after they became ill this dropped to 49
percent.
Approximately two people-years
of labour have been lost by the time one person dies of AIDS, due
to their weakening and the time others spend giving care, said the
book, citing various studies.
James Breen, an agronomist
based in Southern Africa, said, "Forty percent of the population
in some of the countries in the region live with the HIV/AIDS, and
at least 70 [percent] to 80 percent of the region's population depend
on subsistence agriculture.
"At the best of
times, small-scale farmers can expect subsistence, but with impact
of natural disasters or, worst of all, HIV/AIDS, they have to liquidate
all their assets for treatment, and they have no access to safety
nets."
Burden
on women
The authors of Silent
Hunger commented: "Due to cultural and social traditions, women
bear the brunt of the epidemic, both in terms of providing care
for people living with HIV and AIDS as well as being at risk for
HIV infection." UNAIDS has estimated that 57 percent of people
living HIV and AIDS in southern Africa are women.
Of the seven countries
participating in the study, four - Botswana, Zimbabwe, South Africa
and Namibia - reported that most rural households were led by women;
the exceptions were Swaziland, Zambia and Lesotho.
In Swaziland, gender
inequality and poverty have contributed to the HIV and AIDS epidemic.
"The practice of polygamy increases the risk of women being
infected. Women are also tasked with the responsibility of caring
for the sick members of the household, which also increases the
risk of getting infected," said De Waal and Whiteside.
"When the man falls
sick, it is the responsibility of the wife to provide care and take
on additional duties to support the family. However, when the wife
becomes sick, it is traditionally the responsibility of other women
(not the husband) to provide care."
The book quoted a woman
small-scale farmer in Botswana as saying, "I have not ploughed
for the past five years because of taking care of AIDS children,
who eventually died. So not only have I lost my children, but I
have no food or seeds to start production. The sad thing is that
my small [live]stock also strayed while I was running from one health
provider to the next in the hope of saving my children."
In Zimbabwe, the FANRPAN
study found that, traditionally, women were dispossessed of their
land or assets after the deaths of their husbands, and continuation
of the practice means they are left with little or no assets.
Response
The World Development
Report 2008: Agriculture for Development, the World Bank's first
analysis of agriculture since 1982, pointed out that there was "tremendous
scope" for agricultural policy to become more HIV-responsive,
to the benefit of health as well as agricultural goals.
The Bank called for the
promotion of labour-saving technologies and crops as one way of
addressing labour losses resulting from AIDS-related mortality in
agriculture. "But for poorer smallholder households, the main
constraints on livelihoods may be land and cash rather than labour,"
it said.
"Cash transfers
to help them hire labour, [provide] more secure land tenure for
women, and expanded agricultural extension programmes to include
women and orphans, could have a greater impact on welfare."
Marcela Villarreal, the
FAO's focal point for HIV/AIDS, said the agency had managed to convince
some countries to draw up policies to help affected small-scale
farmers, and Zimbabwe and Tanzania have drawn up agriculture strategies
with the pandemic in mind. The FAO has a programme on property rights
for women in Malawi, which has brought some changes in land ownership
laws.
"For years, FAO
has been advocating labour-saving technologies, even before the
AIDS crisis came about," said Villarreal. It has advocated
the use of the matraca, a zero-tillage planter easily operated by
an individual.
The UN agency has also
rolled out Junior Farmer Field and Life Schools in 10 countries
in southern and east Africa, where orphans and vulnerable children
in the age group 12 to 17 years, who often head households, are
taught about agricultural techniques, entrepreneurship and HIV/AIDS;
in Mozambique the project has trained 1,000 young farmers in the
past 3 years.
FANRPAN cites programmes
like the Food Security Pack (FSP) in Zambia, which promotes crop
diversification and farming methods that help restore soil fertility
and productivity, and encourages the timely use of agricultural
inputs, besides providing marketing assistance. FSP aims to reduce
poverty among 200,000 vulnerable but viable small-scale farmers
by improving household food security.
To overcome the lack of land and labour often facing HIV/AIDS-affected
households, the Livelihoods Recovery through Agriculture Programme,
implemented in
Lesotho in 2002 by CARE, a US-based charity, and the Ministry of
Agriculture, promotes producing crops with high nutritional content
on small plots of land close to the home.
"Of the participants,
53 percent reported that they had stabilised or increased their
food production," the World Bank said of the initiative in
its report.
Often the only sources
of income for both HIV-affected and non-affected households in many
countries of the region are government food parcels, pension grants,
orphan/foster care grants and the child grant. Community initiatives
such as locally based home-care groups also assist affected households
with information, help in caregiving and counselling.
According to Lindiwe
Majele Sibanda, the executive director of FANRPAN, southern Africa
needs longitudinal household surveys that will track the impact
of the pandemic on agriculture and food security. "We need
trends analyses if we are to adequately inform policy development.
Short term ad hoc studies are not giving a full picture of the pandemic's
impact".
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