AIDS epidemics continue to threaten the livelihoods of millions of people in sub-Saharan Africa. Three decades after the disease was first recognized, the annual death toll from AIDS exceeds that from wars, famine and floods combined. Yet despite millions of dollars of aid and research, there has previously been little detailed on-the-ground analysis of the multifaceted impacts on rural people.
Filling that gap, this book brings together recent evidence of AIDS impacts on rural households, livelihoods, and agricultural practice in sub-Saharan Africa. There is particular emphasis on the role of women in affected households, and on the situation of children. The book is unique in presenting micro-level information collected by original empirical research in a range of African countries, and showing how well-grounded conclusions on trends, impacts and local responses can be applied to the design of HIV-responsive policies and programmes. AIDS impacts are more diverse than we previously thought, and local responses more varied - sometimes innovative, sometimes desperate. The book represents a major contribution to our understanding of the impacts of AIDS in the epidemic's heartland, and how these can be managed at different levels.
Anke Niehof is a full professor at Wageningen University, the Netherlands, holding the chair of Sociology of Consumers and Households. Gabriel Rugalema is a Senior Officer in the Gender, Equity and Rural Employment Division of FAO, Rome. Stuart Gillespie is a senior research fellow at the International Food Policy Research Institute (IFPRI), director of the Regional Network on AIDS, Livelihoods and Food Security (RENEWAL) and coordinator of the Agriculture and Health Research Platform (AHRP).
Preface 1. AIDS in Africa: Dynamics and Diversity of Impacts and Response 2. The Longitudinal Picture: What does it Reveal? 3. Resilience and (Dis)continuity in Households Afflicted by AIDS: Some Preliminary Insights from a Longitudinal Case Study Analysis 4. Impacts of AIDS-related Morbidity and Mortality on Non-urban Households in Kwazulu-Natal, South Africa 5. Sweet Cane, Bitter Realities: The Complex Realities of AIDS in Mkamba, Kilombero District, Tanzania 6. Single Women's Experiences of Livelihood Conditions, HIV and AIDS in the Rural Areas of Zimbabwe 7. Regional Agricultural-Consumption Regimes and Women's Vulnerability to HIV in Kenya 8. Multi-layered impacts of AIDS and Implications for Food Security among Banana Farmers in Uganda 9. Impact of HIV/AIDS on Local Farming Knowledge: Differences in the Cognitive Salience of Maize Crop Pests between Affected and Non-affected Adults and Children in Benin 10. Adult Mortality, Food Security and the Use of Wild Natural Resources in a Rural District of South Africa: Exploring the Environmental Dimensions of AIDS 11. Applying the Farmer Life School Approach to Support Women of Poor and HIV/AIDS-Affected Households in Kwazulu-Natal, South Africa 12. Agricultural Policy Response to HIV and AIDS: Lessons Learned from East and Southern Africa 13. AIDS and Livelihoods: What Have We Learned and Where are We Heading?