User Guide 2: Assessing Integrated Programming - Food Security and HIV and AIDS (2012)

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User Guide 2:

Assessing Integrated Programming: Food Security & HIV And AIDS www.oxfam.org.au



Credits Title:

User Guide 2: Assessing Integrated Programming: Food Security & HIV and AIDS

Published:

October 2012 by Oxfam

Author:

Maxwell Mudhara

Editor:

Cheryl Goodenough

Proofreader:

Eva Jackson

Design:

LUMO www.lumo.co.za

Copyright:

Oxfam gives permission for excerpts from this paper to be photocopied or reproduced provided

that the source is clearly and properly acknowledged.

Disclaimer:

The views in this publication are those of the respective authors and do not necessarily represent

those of Oxfam or any funding agency.

Acknowledgements:

Oxfam Australia would like to thank everyone who has been involved in the process of developing

this tool for assessing the integration of approaches to HIV and AIDS and food security.

We would like to acknowledge the involvement of our partner organisations throughout the

process, including in workshops during which the need for this tool emerged.

Contact Details:

Oxfam House

56 Clark Road

Glenwood

Durban 4001 South Africa

Tel: +27 (0) 31 201 0865

infosouthafrica@oxfam.org.au

www.oxfam.org.au

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PHOTO Š Matthew Willman | Oxfam


CONTENTS Introduction About Oxfam Australia

5

About this Guide

5

How to Use this Guide

5

Part One Concept of Integration of Food Security and HIV and AIDS

7

Part Two 2

The Process of Assessing and Reflecting on Integration

9

2.1

The Assessment Questionnaire

9

2.2

Assessing the Responses to the Questionnaire

11

Step 1

Beginning the analysis

11

Step 2

Transferring the number of projects/activities into the table

12

Step 3

Summarising the activities

12

Step 4

Plotting the summary totals onto the graph

13

Step 5

Using the key to analyse integration

15

2.3

Implications for Monitoring Integration of Food Security and HIV and AIDS Programming

16

Appendix 1

Assessment of Integration of Food Security and HIV and AIDS Programs: Questionnaire

18

2

Assessment of Integration of Food Security and HIV and AIDS Programs: Sample Completed Questionnaire

23

3

Table for Recording Number of Projects

27

4

Graph and Key for Assessing Extent of Integration of an Organisation

28

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PHOTO Š Matthew Willman | Oxfam


INTRODUCTION About Oxfam Australia Oxfam Australia is an Australian, independent, not-for-profit, community based aid and development agency working to find lasting solutions to poverty and injustice. It is not aligned to any government, and does not have any religious affiliation. Oxfam Australia works with local communities and local partner organisations to empower people living in poverty to control their own lives, achieve their basic rights and sustain the environment.

About this Guide Organisations often look at their activities and make subjective judgements regarding the extent to which they are implementing an integrated approach to addressing food security and HIV and AIDS. They are challenged by the need to objectively show that programs are integrated or that progress is being made towards achieving an integrated set of programs. As part of the process to help organisations assess this integration, Oxfam Australia held a series of workshops with partner organisations. These workshops served to facilitate discussion around the importance of balancing food security and HIV and AIDS activities. A recommendation that emerged during the workshops involved the development of an instrument that would allow partners to objectively assess their progress towards achieving a balance in their programs. The publication of this guide follows the development and testing of the instrument that was created subsequent to that workshop. Presenting a simple step-by-step process for assessing integration, this guide helps users from the start of the process, which involves collecting requisite data, to determining the level of integration.

How to Use this Guide This guide consists of two sections. The first part examines the concept of food security and the integration of food security and HIV and AIDS. It considers the effects of HIV and AIDS on food security and reflects on activities relevant to food security, that are undertaken by households or communities to minimise the effects of HIV and AIDS. The second part describes a step by step process for considering how food security and HIV and AIDS are being addressed by organisations. The instrument used – an assessment questionnaire – is included in the appendices and focuses on twelve areas in which HIV and AIDS and food security programs interact. The guide is designed in such a way that the assessment of the integration of food security and HIV and AIDS programming can be administered by a person within an organisation, or by someone external to the organisation. Throughout the manual are activities intended to assist you to work through the process of understanding the concepts and going through the assessment process. If you are going through this document as an individual you may find it useful to give some thought to the questions posed. Alternatively, the activities can be done by a group (within your own organisation or an external group) or used in training other individuals to assess the level of integration amongst food security and HIV and AIDS activities.

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PHOTO Š Matthew Willman | Oxfam


PART 1 The linkages between food security and HIV and AIDS are well recognised, and many organisations endeavour to integrate interventions that address the two aspects. However, it is often a challenge for organisations to objectively assess the extent to which they have integrated food security and HIV and AIDS programming, and, over time, to determine the progress made towards achieving integration.

1. Concept of Integration of Food Security and HIV and AIDS

Activity: Spend some time thinking or talking about what food security means, and the effects that HIV and AIDS may have on food security. Once you’ve completed the activity, see how your definition and understanding compares with the information below.

Access to sufficient food is one of the basic human needs and rights. The World Food Summit of 1996 defined food security as: A situation when all people, at all times, have physical, social and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life. There are three main types of food insecurity: 1.

Chronic food insecurity occurs when food is inadequate on a day to day basis, regardless of season. It is associated

with poverty and requires targeted programs.

2.

Seasonal and cyclical food insecurity appears at regular and predictable times of the year. It can be alleviated through

better storage, crop diversification, staggered planting and mixed farming.

3.

Transitory or temporary food insecurity results from shocks, such as drought, flooding and pest attacks.

Poverty increases both exposure to HIV, and the impact of HIV on households; and HIV impoverishes people and increases poverty. Other effects of HIV and AIDS include: •

An impact on labour quantity and quality thus reducing productivity at household level;

Reduction of land area under cultivation resulting in less food being available;

Reduction in ability to control crop pests;

Loss of soil fertility due to loss of know-how;

Decline in the range of crops grown;

Changes in cropping patterns and a shift from surplus to subsistence food production;

Decline in crop yields and also crop output; and

Decline in livestock production and numbers dwindling through slaughter for AIDS and HIV-related funerals.

These effects, in turn, have serious negative consequences for food security. The effects of HIV and AIDS on households depend on the following factors: •

Socio-economic and poverty status;

Size of family;

Number and ages of dependent children; and

Number and gender of people suffering from HIV and AIDS.

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Activity: Spend some time thinking or talking about what activities relevant to food security can be undertaken by households or by communities to minimise the effects of HIV and AIDS. Once you’ve completed the activity, compare your suggestions with those listed below.

Households have been observed adopting the following mechanisms in response to HIV and AIDS to minimise the effects of the scourge: •

Altering household composition so that the demand, particularly for food, is reduced;

Drawing from savings or selling assets for meeting immediate needs, even though this compromises household

welfare in the long term;

Utilising assistance from other households and from informal rural institutions.

Community support and HIV and AIDS mitigation activities (relevant to food insecurity) include: •

Communal fields for agricultural production for income or food;

Community-based child care such as cooperative day care and nutrition centres that free women to work in

or outside the home;

Orphan support in the form of assistance relating to nutrition and education;

Repair of deteriorating houses;

Home-based care and visiting of HIV and AIDS patients and orphans;

Preparation and distribution of school uniforms, especially for orphans;

Apprenticeship and training in marketable skills for orphaned adolescents;

Agricultural projects at various levels to increase output;

Labour-sharing arrangements;

Community-run micro-enterprises and income-generating projects to produce food and cash;

Food-for-work programs that reach the most vulnerable;

Extension and advisory programs for access to helpful and appropriate technologies; and

Savings and credit within reach of widows and others affected by HIV and AIDS.

Common responses to HIV and AIDS are: •

Prevention through awareness programs;

Taking care of those who are affected and infected;

Treatment of those infected by the disease; and

Mitigation of the adverse effects facing affected and infected households and individuals.

These common responses to HIV and AIDS are interrelated with food security responses as illustrated in Figure 1.

HIV & AIDS

8

CARE MITIGATION PREVENTION TREATMENT

FOOD SECURITY

Figure 1: Linkages between HIV and AIDS and food security and various interventions


PART 2 2. The Process of Assessing and Reflecting on Integration Organisations are increasingly required or persuaded to integrate programs on food security and HIV and AIDS. However, this often involves the use of subjective judgements regarding the extent to which the two aspects are integrated. To objectively assess the progress an organisation has made towards integration, a range of relevant data has to be collected. Figure 2 below shows twelve areas in which food security and HIV and AIDS programs could interact. It is important to note that these areas are not the only aspects to consider within HIV and AIDS and food security programming. However, they do help the user to reflect on practices and aspects of programs and how they relate to one another, as well as to the overall aim and vision of a particular organisation.

12 Areas of Intervention

HIV and AIDS

Food Production Income Generation Markets Surpluses Nutritious Range of Food Food LastS Longer; eg, Storage, Preservation Utilisation

Food Security

Prevention CaRe of HIV and AIDS Treatment of HIV and AIDS Mitigation of the effects of HIV and AIDS ReferRals

Figure 2: The twelve areas in which HIV and AIDS and food security programs interact

2.1. The Assessment Questionnaire This guide presents users with an instrument that consists of a twelve-question interview questionnaire, which is included as Appendix 1. Each question considers how food security and HIV and AIDS are addressed within an organisation, and generates an impression regarding whether an aspect is addressed according to the twelve areas of intervention outlined in Figure 2 above. The first seven questions contained in the questionnaire relate to aspects of programs that affect food security within households and communities: 1.

Food production

2.

Surpluse (food or income)

3.

Markets

4.

Nutritious range of food

5.

Food lasting longer – this relates to storage and preservation

6.

Utilisation of different foods – this relates to processing and recipes, and

7.

Income generation

9


The next five questions relate to aspects of programs that affect HIV and AIDS within households and communities: 8.

Prevention

9.

Care of those who are affected and infected

10. Treatment of people infected with HIV and AIDS 11. Mitigation of the effects of HIV and AIDS on the affected and infected, and 12. Referrals and support for people infected with and affected by HIV and AIDS If the aim of the assessment is to conduct an internal review, the questionnaire can be administered by a person within the organisation. To conduct this process one person would record the answers to the questions in the questionnaire. In addition, one person would record the discussion about how the team sees their programs and activities. If the questionnaire is administered by an external person, it is recommended that the session begins with an exercise to get people feeling comfortable and thinking programmatically to prepare the group for the process. This activity could be in the form of a broad discussion on the organisation, as well as projects and programs undertaken within the organisation. This allows the interviewer to have a broad understanding of the organisation prior to administering the questionnaire and gives members of the group an opportunity to think about and reflect on how they see their work.

Activity: Review the twelve questions in the blank questionnaire in Appendix 1 to understand the manner in which information for the assessments is collected. Also review the sample completed questionnaire, which is Appendix 2. This is included to help those administering the questionnaire to understand the types of responses and level of detail needed by the group when responding to the questions. Copy the questionnaire (so that you are able to use the original as a master copy in future). Answer the questionnaire with your group and record your answers on the copy of the blank questionnaire.

PHOTO Š Matthew Willman | Oxfam

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2.2. Assessing the Responses to the Questionnaire After filling in the copy of the questionnaire and collecting the information, it is necessary to assess the results of the questionnaire in order to determine the level of integration of the food security and HIV and AIDS programs. We have used the sample questionnaire, which is included in Appendix 2, as an example to show you how to follow the steps in the process of reflection and analysing your responses.

Step 1: Beginning the analysis Once the information has been collected and you have looked at the projects/activities in the food security section and the HIV and AIDS section, you can start on the analysis. Below is a sample answer from question one under the food security section from the completed sample questionnaire in Appendix 2.

Food Security In the last 12 months, did you undertake projects involved in food production activities?

Yes/No If yes, list the projects/activities below on the left. Which of these projects/activities specifically considered those who are affected and infected by HIV and AIDS? Explain how each project did so. Describe this in the right hand column.

Food Production projects/activities

The project run on farms to establish communal gardens

Gardens centred around clinics for support groups for people suffering from all sorts of ailments, e.g. high blood pressure, diabetes, HIV and AIDS. The mixture reduces stigmatisation

Number of activities/projects: 2

Is HIV and AIDS incorporated into these projects/activities? If so, how?

Communal gardens specifically placed in areas where there is a high rate of infected and affected people

Food gardens are a part of the healthy living program and link well with HIV and AIDS

2

Table 1: Sample answer from question one in the completed sample questionnaire (Appendix 2)

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Step 2: Transferring the number of projects/activities into the table In the sample question above you can see a count of the number of projects or activities. There are two activities in the column on the left. This number needs to be entered on your copy of the questionnaire for that question. In the sample table below you can see the number of projects or activities that address food security and those that address HIV and AIDS. Follow the first seven questions and enter a count of the number of projects/activities for food security and the HIV and AIDS columns as in the example below. For the last five questions note the HIV and AIDS projects or activities are in the left hand column in the questionnaire, while the food security numbers need to be taken from those in the right hand column. A blank table for this purpose is included as Appendix 3.

Question Number

Food Security (left column)

HIV and AIDS (right column)

1

2

2

2

1

1

3

1

1

4

1

1

5

1

1

6

0

0

7

3

2

Question Number

Food Security (right column)

HIV and AIDS (left column)

8

0

3

9

1

2

10

0

1

11

2

3

12

1

1

Table 2: Sample table of number of projects taken from the completed sample questionnaire (Appendix 2)

Step 3: Summarising the activities The summary is arrived at by counting the number of questions that have at least one project. If you have one or more project or activity write ‘yes’; if none then write ‘no’. Count the number of ‘yes’ responses and enter a total at the bottom. The maximum number that can be recorded in the summary row is twelve as there has to be a ‘yes’ or ‘no’ response for each question.

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Question Number

Food Security (left column)

HIV and AIDS (right column)

1

2 - yes

2 - yes

2

1 - yes

1 - yes

3

1 - yes

1 - yes

4

1 - yes

1 - yes

5

1 - yes

1 - yes

6

0 - no

0 - no

7

3 - yes

2 - yes

Question Number

Food Security (right column)

HIV and AIDS (left column)

8

0 - no

3 - yes

9

1 - yes

2 - yes

10

0 - no

1 - yes

11

2 - yes

3 - yes

12

1 - no

1 - yes

Total ‘yes’ responses

8

11

Table 3: Sample table of summary of activities taken from the completed sample questionnaire (Appendix 2) The analysis and interpretation of the activities defined by the ‘yes’ or ‘no’ response gives an indication of the integration of your projects or activities. The actual number of activities for each question is not important in this analysis, as will be evident when we go through the next two steps below.

Step 4: Plotting the summary totals onto the graph The next step is to plot on a graph the number of ‘yes’ responses to see where an organisation lies with respect to integration of food security and HIV and AIDS projects or activities. Using the sample questionnaire in Appendix 2 and the tables above, the number of projects is recorded as illustrated in the table below.

Question Number

Food Security

HIV and AIDS

Total ‘yes’ responses

8

11

Table 4: Food security and HIV and AIDS projects recorded

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From this information, it is evident that this organisation has a total of eight food security projects and eleven HIV and AIDS projects or activities. It is important when counting the number of projects an organisation undertakes to note that this process does not reflect on the projects themselves and whether they bring about long term changes within communities, or short term solutions. For example, provision of food parcels is a temporary measure necessary to ensure that those on HIV treatment can adhere. However, it is known that food parcels are not a longer term solution to food security, and that they should perhaps be accompanied by programs that educate beneficiaries on food production and preparation. Once the total amounts have been established, it is necessary to use a graph to translate the numbers. This acts as a tool to help organisations to reflect on their work. This graph is only used to assess, according to the scores in the total line of the table, the level of integration of the particular organisation. A blank graph is included in Appendix 4 for you to copy and use for your discussions. Looking at the graph, you will note that the vertical side is labelled HIV and AIDS, while the horizontal side is labelled Food Security. In our example, the totals were eight and eleven, as below.

Question Number

Food Security

HIV and AIDS

Total ‘yes’ responses

8

11

Table 5: Food security and HIV and AIDS projects recorded We then plot the totals onto the graphs: Eight, being the number of food security activities or projects goes on the horizontal side, while eleven goes on the vertical side for the HIV and AIDS activities or projects.

Axis / Side

HIV and AIDS

12

3h

3h

3h

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

11

3h

3h

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

10

3h

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

2f

9

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

2f

2f

8

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

2f

2f

2f

7

3h

3h

2h

2h

2h

2h

1

1i

1i

2f

2f

2f

2f

6

3h

2h

2h

2h

2h

1

1

1i

2f

2f

2f

2f

3f

5

3h

2h

2h

2h

1

1

1

2f

2f

2f

2f

3f

3f

4

3h

2h

2h

1

1

1

2f

2f

2f

2f

3f

3f

3f

3

3h

2h

1

1

1

2f

2f

2f

2f

3f

3f

3f

3f

2

3h

1

1

1

2f

2f

2f

2f

3f

3f

3f

3f

3f

1

3h

1

1

2f

2f

2f

2f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

1

2

3

4

5

6

7

8

9

10

11

12

0 0

Food Security Table 6: Graph used to access the level of integration of an orginisation

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Step 5: Using the key to analyse integration Once the point on the graph has been plotted, and the number and letter have been established, look at the key to assess the extent to which the organisation is integrated.

Key 1

Integrated, but with limited range of both HIV and AIDS and food security projects

1i

Integrated with wide range of both HIV and AIDS and food security projects

2f

Highly integrated with a slight bias to food security programs

2h

Highly integrated with a slight bias to HIV and AIDS programs

3f

Poorly integrated and biased towards food security programs

3h

Poorly integrated and biased towards HIV and AIDS programs

Table 7: Key to assess the extent to which an orginisation is integrated The sample organisation, for example, falls on a block labelled 2h in the graph. When relating that to the key, we see that this organisation can be described as: ‘Highly integrated with a slight bias to HIV and AIDS programs’’.

PHOTO © Matthew Willman | Oxfam

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2.3. Implications for Monitoring Integration of Food Security and HIV and AIDS programming The questionnaire enables organisations to be aware of areas that might need consideration with regard to the integration of food security and HIV and AIDS. It is not necessary for all organisations to work towards integration, but this exercise enables an organisation to assess the current situation with regard to integration and to make decisions as to whether to improve integration or remain focused on one area. Organisations that maintain a focus on one aspect should be aware of this bias and be confident that the organisation has good reasons for maintaining this focus. Organisations that take a decision to improve the integration of food security and HIV and AIDS programs can use the first assessment as a baseline. The assessment can then be repeated after a year, at which time the organisation can determine whether there has been an improvement in the integration or not.

Activity: When your organisation has completed the questionnaire and assessed your level of integration of food security and HIV and AIDS programming, discuss or think about the following:

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1.

If you choose to improve the integration of your activities, what information would your organisation require?

2.

What training would you consider essential to your organisation in the process of improving the integration of

your food security and HIV and AIDS programs?

3.

What training needs would you consider to be necessary to enhance your organisation’s efforts to improve the

integration of food security and HIV and AIDS programs?

4.

What networks or contacts do you have within your community that might already be looking at other

activities or projects and that might complement your work?

5.

Do you have existing relationships with these complementary services or areas that would bring about good

integration for the community served?


PHOTO Š Matthew Willman | Oxfam 17


APPENDICES Appendix 1:

Assessment of Integration of Food Security and HIV and AIDS Programs: Questionnaire

Appendix 2:

Assessment of Integration of Food Security and HIV and AIDS Programs: Sample Completed Questionnaire

Appendix 3:

Table for Recording Number of Projects

Appendix 4:

Graph and Key for Assessing Extent of Integration of an Organisation

Appendix 1: Assessment of Integration of Food Security and HIV and AIDS Programs: Questionnaire Name of Organisation: Date Completed:

Food Security

1.

In the last 12 months, did you undertake projects involved in food production activities?

Yes/No If yes, list the projects/activities below on the left. Which of these projects/activities specifically considered those who are affected and infected by HIV and AIDS? Explain how each project did so. Describe this in the right hand column. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects:

2.

In the last 12 months, did you undertake projects that produced surpluses (food or income) for the beneficiaries?

Yes/No If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and AIDS affected and infected? Explain how each project did so. Food Production projects/activities

Number of activities/projects:

18

Is HIV and AIDS incorporated into these projects/ activities? If so, how?


3.

In the last 12 months, did your organisation implement projects to establish markets for project products?

Yes/No If yes, list the projects. Which of these projects specifically included access for the HIV and AIDS affected and infected to markets? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects:

4.

In the last 12 months, did you implement a project or projects that focussed on developing a nutritious range of food?

Yes/No If yes, list the projects. Which of these projects specifically ensured the access of HIV and AIDS affected and infected households to such foods? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects:

5.

In the last 12 months, did your organisation undertake any projects to ensure that food would last longer, e.g., storage, preservation?

Yes/No If yes, list the projects. Which of these projects specifically ensured the access of HIV and AIDS affected and infected households to such foods? Explain how each project did so. Food Production projects/activities

Is HIV and AIDS incorporated into these projects/ activities? If so, how?

Number of activities/projects:

19


6.

In the last 12 months, did your organisation undertake projects to improve the utilisation of different foods, e.g., processing, recipes?

Yes/No If yes, list the projects. Which of these projects specifically ensured the utilisation of such foods by the HIV and AIDS affected and infected? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects: 7.

In the last 12 months, did your organisation implement income generation projects?

Yes/No If yes, list the projects. Which of these income generation projects also considered HIV and AIDS? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects: 8.

In the last 12 months, were any projects you implemented designed to prevent HIV and AIDS infection?

Yes/No If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries? Explain how each project did so. Food Production projects/activities

Number of activities/projects: 20

Is HIV and AIDS incorporated into these projects/ activities? If so, how?


9.

In the last 12 months, were any projects you implemented designed to support the care of HIV and AIDS affected and infected?

Yes/No If yes, list the projects. Which of these projects specifically included access for the HIV and AIDS affected and infected to markets? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects:

10.

In the last 12 months, were any projects you implemented designed to support the treatment of the HIV and AIDS infected?

Yes/No If yes, list the projects. Which of these projects specifically ensured the access of HIV and AIDS affected and infected households to such foods? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Number of activities/projects:

11.

In the last 12 months, were any projects you implemented designed to mitigate the effects of HIV and AIDS on the affected and infected?

Yes/No If yes, list the projects. Which of these projects specifically ensured the access of HIV and AIDS affected and infected households to such foods? Explain how each project did so. Food Production projects/activities

Is HIV and AIDS incorporated into these projects/ activities? If so, how?

Number of activities/projects:

21


12.

In the last 12 months, were any projects you implemented designed to ensure referrals and support to people infected with and affected by HIV and AIDS?

Yes/No If yes, list the projects. Which of these projects specifically included access for the HIV and AIDS affected and infected to markets? Explain how each project did so. Food Production projects/activities

Is HIV and AIDS incorporated into these projects/ activities? If so, how?

Number of activities/projects:

PHOTO Š Matthew Willman | Oxfam

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Appendix 2: ASSESSMENT OF INTEGRATION OF FOOD SECURITY AND HIV AND AIDS PROGRAMS: SAMPLE COMPLETED QUESTIONNAIRE Name of Organisation: ABC COMMUNITY CARE Date Completed: 21 JUNE 2012

Food Security Interventions

1.

In the last 12 months, did you undertake projects involved in food production activities?

Yes/No If yes, list the projects/activities below on the left. Which of these projects/activities specifically considered those who are affected and infected by HIV and AIDS? Explain how each project did so. Describe this in the right hand column. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

The project run on farms to establish communal gardens

Communal gardens specifically placed in areas where there is a high rate of infected and affected people

Gardens centred around clinics for support groups for people suffering from all sorts of ailments, e.g. high

Food gardens are a part of the healthy living program and

blood pressure, diabetes, HIV and AIDS. The mixture

link well with HIV and AIDS

reduces stigmatisation

Number of activities/projects: 2 2.

2

In the last 12 months, did you undertake projects that produced surpluses (food or income) for the beneficiaries?

Yes/No If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and AIDS affected and infected? Explain how each project did so. Food Production projects/activities

Is HIV and AIDS incorporated into these projects/ activities? If so, how? Nutrition is very important for those suffering with HIV

Gardens

and AIDS, therefore the gardens can help with their nutritional needs.

Number of activities/projects: 1

1

23


3.

In the last 12 months, did your organisation implement projects to establish markets for project products?

Yes/No If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and AIDS affected and infected? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how? Those making the beaded products and clothes were

Beads/clothes

mainly those affected or infected, and through the program they are exposed to the market.

Number of activities/projects: 1 4.

1

In the last 12 months, did you implement a project or projects that focussed on developing a nutritious range of food?

Yes/No If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and AIDS affected and infected? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how? Vegetables in garden were chosen because of their

Gardens around clinic

nutritious value and relatives affected by HIV and AIDS were able to benefit from the more nutritious diet.

Number of activities/projects: 1 5.

1

In the last 12 months, did your organisation undertake any projects to ensure that food would last longer, e.g., storage, preservation?

Yes/No If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and AIDS affected and infected? Explain how each project did so. Food Production projects/activities

Is HIV and AIDS incorporated into these projects/ activities? If so, how? The training was given to support groups (which consist

Training on storage

of HIV and AIDS affected and infected) involved in food production in the gardens

Number of activities/projects: 1

24

1


6.

In the last 12 months, did your organisation undertake projects to improve the utilisation of different foods, e.g., processing, recipes?

Yes/No If yes, list the projects. Which of these projects specifically ensured the utilisation of such foods by the HIV and AIDS affected and infected? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

N/A

Number of activities/projects: 0 7.

0

In the last 12 months, did your organisation implement income generation projects?

Yes/No If yes, list the projects. Which of these income generation projects also considered HIV and AIDS? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how? Target are infected and affected. Ensures that they

Life skills, beads, sewing traditional dresses, marketed

stay busy and refrain from exposing themselves to HIV and AIDS.

Drama group who are hired to stage shows and are paid for their services

The group is not HIV and AIDS infected. The group presents dramas with messages that educate the public and raise awareness about HIV and AIDS

Gardens can raise income

Number of activities/projects: 3 8.

2

In the last 12 months, were any projects you implemented designed to prevent HIV and AIDS infection?

Yes/No If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries? Explain how each project did so. Food Production projects/activities

Is HIV and AIDS incorporated into these projects/ activities? If so, how?

Drama Group Care givers and change agent Dialogue and training

Number of activities/projects: 3

0 25


9.

In the last 12 months, were any projects you implemented designed to support the care of HIV and AIDS affected and infected?

Yes/No If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities Care givers for HBC

activities? If so, how? Awareness of food needs. Encouraging food gardens.

Palliative care

Number of activities/projects: 2 10.

1

In the last 12 months, were any projects you implemented designed to support the treatment of the HIV and AIDS infected?

Yes/No If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how?

Wellness Clinic. 71 patients are on ARVs

Number of activities/projects: 1 11.

0

In the last 12 months, were any projects you implemented designed to mitigate the effects of HIV and AIDS on the affected and infected?

Yes/No If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries? Explain how each project did so. Food Production projects/activities

OVC

Palliative care

Is HIV and AIDS incorporated into these projects/ activities? If so, how? The household is targeted to go into community gardens If the person who is sick is the bread winner, they arrange for joining food gardens and access to social grants

Voluntary Savings and Credit

Number of activities/projects: 3 26

2


12.

In the last 12 months, were any projects you implemented designed to ensure referrals and support to people infected with and affected by HIV and AIDS?

Yes/No If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries? Explain how each project did so. Is HIV and AIDS incorporated into these projects/

Food Production projects/activities

activities? If so, how? Meet once a week with clinics so that the necessary referrals take place. Sometimes support groups involved in food gardens are referred to Department of Agriculture to

Care givers

access production materials. Care givers can also refer the affected households to social workers for food parcels.

Number of activities/projects: 1

1

Appendix 3: Table for Recording Number of Projects Copy this table to use when transferring the number of projects/activities into a table, as outlined in Step 2 in this Guide.

Question Number

Food Security

HIV and AIDS

1 2 3 4 5 6 7 8 9 10 11 12

Total

27


Appendix 4: Graph and Key for Assessing Extent of Integration of an Organisation Use this graph and key when plotting the summary totals onto the graph and analysing the integration, as outlined in Step 4 and Step 5 in this Guide.

Axis / Side

HIV and AIDS

12

3h

3h

3h

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

11

3h

3h

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

10

3h

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

2f

9

3h

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

2f

2f

8

3h

3h

3h

2h

2h

2h

2h

1i

1i

1i

2f

2f

2f

7

3h

3h

2h

2h

2h

2h

1

1i

1i

2f

2f

2f

2f

6

3h

2h

2h

2h

2h

1

1

1i

2f

2f

2f

2f

3f

5

3h

2h

2h

2h

1

1

1

2f

2f

2f

2f

3f

3f

4

3h

2h

2h

1

1

1

2f

2f

2f

2f

3f

3f

3f

3

3h

2h

1

1

1

2f

2f

2f

2f

3f

3f

3f

3f

2

3h

1

1

1

2f

2f

2f

2f

3f

3f

3f

3f

3f

1

3h

1

1

2f

2f

2f

2f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

3f

1

2

3

4

5

6

7

8

9

10

11

12

0 0

Food Security Key

28

1

Integrated, but with limited range of both HIV and AIDS and food security projects

1i

Integrated with wide range of both HIV and AIDS and food security projects

2f

Highly integrated with a slight bias to food security programs

2h

Highly integrated with a slight bias to HIV and AIDS programs

3f

Poorly integrated and biased towards food security programs

3h

Poorly integrated and biased towards HIV and AIDS programs




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