Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution

The rapidly accelerating AIDS epidemic of the 90s and its current state of “hyperendemicity” in southern Africa have affected the levels, intensity and nature of vulnerability. Not only does HIV co-exist with widespread food insecurity and economic inequality in time and space, it interacts with the...

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Autores principales: Gillespie, Stuart, Drimie, Scott
Formato: Artículo preliminar
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2009
Materias:
Acceso en línea:https://hdl.handle.net/10568/161873
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author Gillespie, Stuart
Drimie, Scott
author_browse Drimie, Scott
Gillespie, Stuart
author_facet Gillespie, Stuart
Drimie, Scott
author_sort Gillespie, Stuart
collection Repository of Agricultural Research Outputs (CGSpace)
description The rapidly accelerating AIDS epidemic of the 90s and its current state of “hyperendemicity” in southern Africa have affected the levels, intensity and nature of vulnerability. Not only does HIV co-exist with widespread food insecurity and economic inequality in time and space, it interacts with these conditions. HIV incidence rates are fuelled by food insecurity while subsequent AIDS-related morbidity and mortality, in turn, further exacerbate food insecurity. These interactions play out at household and community levels. In addition, HIV and nutrition interact negatively within the human body itself. Although often hidden, interactions play out in real time at different levels from the individual to the nation state. During the evolution of AIDS epidemics there are three sequential phases of vulnerability – upstream (relating to risk of infection), midstream (individual risk of developing opportunistic infections after HIV infection) and downstream (risk of serious impacts in households or communities living with HIV). Each of these phases have particular drivers and consequences. Among poor southern Africa households, vulnerability is also dynamic in the sense that its multiple ingredients are in constant flux – and because people proactively respond to try to reduce their vulnerability. Such responses determine their resilience in the face of concurrent shocks and stresses. Highlighting work undertaken by the Regional Network on AIDS, Livelihoods and Food Security (RENEWAL), this presentation will map out the evolution in the conceptualization of vulnerability in the context of AIDS and food insecurity in southern Africa over the last decade.
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spelling CGSpace1618732025-11-06T05:31:21Z Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution Gillespie, Stuart Drimie, Scott HIV infections food security social protection resilience The rapidly accelerating AIDS epidemic of the 90s and its current state of “hyperendemicity” in southern Africa have affected the levels, intensity and nature of vulnerability. Not only does HIV co-exist with widespread food insecurity and economic inequality in time and space, it interacts with these conditions. HIV incidence rates are fuelled by food insecurity while subsequent AIDS-related morbidity and mortality, in turn, further exacerbate food insecurity. These interactions play out at household and community levels. In addition, HIV and nutrition interact negatively within the human body itself. Although often hidden, interactions play out in real time at different levels from the individual to the nation state. During the evolution of AIDS epidemics there are three sequential phases of vulnerability – upstream (relating to risk of infection), midstream (individual risk of developing opportunistic infections after HIV infection) and downstream (risk of serious impacts in households or communities living with HIV). Each of these phases have particular drivers and consequences. Among poor southern Africa households, vulnerability is also dynamic in the sense that its multiple ingredients are in constant flux – and because people proactively respond to try to reduce their vulnerability. Such responses determine their resilience in the face of concurrent shocks and stresses. Highlighting work undertaken by the Regional Network on AIDS, Livelihoods and Food Security (RENEWAL), this presentation will map out the evolution in the conceptualization of vulnerability in the context of AIDS and food insecurity in southern Africa over the last decade. 2009 2024-11-21T09:59:01Z 2024-11-21T09:59:01Z Working Paper https://hdl.handle.net/10568/161873 en Open Access application/pdf International Food Policy Research Institute Gillespie, Stuart; Drimie, Scott. 2009. Hyperendemic AIDS, food insecurity and vulnerability in southern Africa. RENEWAL Working Paper Working paper prepared for the Global Environmental Change and Human Security Conference, Oslo, Norway, 23 June 2009. https://hdl.handle.net/10568/161873
spellingShingle HIV infections
food security
social protection
resilience
Gillespie, Stuart
Drimie, Scott
Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution
title Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution
title_full Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution
title_fullStr Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution
title_full_unstemmed Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution
title_short Hyperendemic AIDS, food insecurity and vulnerability in southern Africa: A conceptual evolution
title_sort hyperendemic aids food insecurity and vulnerability in southern africa a conceptual evolution
topic HIV infections
food security
social protection
resilience
url https://hdl.handle.net/10568/161873
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