Food insecurity in the context of HIV/AIDS: A framework for a new era of programming
Food insecurity in the context of HIV/AIDS: A framework for a new era of programming
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DOI：
10.1177/15648265100314s402
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发表时间：
2010-12-01
影响因子：
1.9
通讯作者：
Grede, Nils
中科院分区：
文献类型：
--
作者：
Frega, Romeo;Duffy, Francesca;Grede, Nils
背景粮食不安全既是艾滋病毒/艾滋病的后果，也是其驱动因素。往往很难区分粮食不安全的这两种作用，因为艾滋病毒流行病在不同的环境中有不同的驱动因素。在资源有限的情况下出现抗逆转录病毒治疗，又增加了一层复杂性。本文试图通过回顾现有的文献对粮食不安全和艾滋病毒/艾滋病，并描述它们之间的复杂的相互作用来组织当前的思维。在文献回顾的基础上，本文提出了一个框架来理解的联系，区分四种类型的干预措施，以解决他们。希望该模式尽管像任何框架一样简化，但将有助于在艾滋病毒/艾滋病和粮食不安全领域组织研究、政策和方案拟订。最后，本文打算扩大透镜，把食物不仅作为一种手段，提供热量或收入转移，但也作为一个载体，在艾滋病毒的背景下，足够的营养。对艾滋病毒/艾滋病和粮食不安全的适当反应必须适合具体情况。本文所区分的干预措施旨在促进粮食安全和提供抗逆转录病毒治疗及营养支持。这四类干预措施是：通过包括营养支助在内的综合治疗制度遏制艾滋病毒和预防艾滋病;通过支助减轻艾滋病的影响;在个人、家庭和社区各级提供对艾滋病毒敏感但不排斥艾滋病毒的安全网;通过艾滋病毒预防活动限制风险。
Background. Food insecurity can be both a consequence and a driver of HIV/AIDS. It is often difficult to disentangle these two roles of food insecurity, since the HIV epidemic has different drivers in different settings. The advent of antiretroviral treatment in resource-limited settings adds an additional layer of complexity. This paper seeks to organize current thinking by reviewing the existing literature on food insecurity and HIV/AIDS and describing the complex interactions between them.Objective. Based on literature review, the paper proposes a framework to understand the linkages, distinguishing four types of interventions to address them. It is hoped that the model, albeit simplified as is any framework, will help to structure research, policy, and programming in the field of HIV/AIDS and food insecurity. Finally, the paper intends to widen the lens to regard food not just as a means to provide calories or an income transfer but also as a carrier of adequate nutrition in the context of HIV.Results and conclusions. An adequate response to HIV/AIDS and food insecurity must be tailored to specific settings. Interventions distinguished in this paper are aimed at both promoting food security and providing antiretroviral treatment and nutrition support. The four types of interventions are containing HIV and preventing AIDS through comprehensive treatment regimes that include nutritional support; mitigating the effects of AIDS through support; providing HIV-sensitive, but not HIV-exclusive, safety nets at the individual, household, and community levels; and limiting the exposure to risk through HIV prevention activities.