Promoting food security and well-being among poor and HIV/AIDS affected households: lessons from an interactive and integrated approach.

Kees Swaans, Jacqueline Broerse, Maylin Meincke, Maxwell Mudhara, Joske Bunders
Author Information
  1. Kees Swaans: Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Faculty of Earth- and Life Sciences, VU University Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands. k.swaans@gmail.com

Abstract

Participatory and interdisciplinary approaches have been suggested to develop appropriate agricultural innovations as an alternative strategy to improve food security and well-being among HIV/AIDS affected households. However, sustainable implementation of such interactive approaches is far from easy and straight forward. This study reports of the Interactive Learning and Action (ILA) approach, a methodology for agricultural innovation which has been adapted to the context of HIV/AIDS. Role players in agriculture and health were brought together to stimulate and sustain innovation among three support groups for poor and affected households in a rural high HIV/AIDS prevalence area in South Africa. The effectiveness of the approach was evaluated using both outcome and process criteria. The results indicate that an interactive approach in which service providers/researchers engage themselves as actors to explore the livelihood system and develop appropriate solutions in joint collaboration with resource users has potential. However, it also revealed that cooperation among participants and stakeholders at the interface of agriculture and HIV/AIDS is complicated and sensitive to erosion. Of particular concern was the difficulty of mobilizing members from poor and affected households to participate and to overcome stigma and discrimination. Lessons and potential applications for the further development of interactive approaches are discussed.

MeSH Term

Adult
Aged
Aged, 80 and over
Agriculture
Community-Institutional Relations
Crops, Agricultural
Diffusion of Innovation
Family
Female
Food Supply
Group Processes
HIV Infections
Humans
Middle Aged
Poverty
Program Evaluation
Self-Help Groups
South Africa
Voluntary Health Agencies
Young Adult

Word Cloud

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