Briefcase nr 21
HIV/AIDS and food security

Poverty, hunger and AIDS all exacerbate each other

United Nations agencies dealing with food security have called on agriculture ministries to include HIV/AIDS in their programmes and activities

HIV/AIDS will kill 26% of Namibia's agricultural labour
force in the next 20 years says a report by the
Food and Agricultural Organisation (FAO) and the
Joint United Nations Programme on HIV/AIDS (UNAIDS) presented at the UN Economic and Social Council’s (ECOSOC) 2003 session. Namibia will be the worst hit among the most affected countries in Africa. It will be followed by Botswana, which will see a 23,2 % reduction in its agricultural labour force, Zimbabwe (22,7 %) and Mozambique (20 %). The joint report calls on agricultural institutions to scale up their efforts to fight the growing HIV/AIDS epidemic. At present AIDS kills around 3 % of the workforce in the agricultural sector, but FAO warns it could hit commercial enterprises hard enough to undermine the capacity to export and generate foreign exchange. FAO believes that many countries are likely to see a quarter of their farmers
affected by HIV/AIDS. "We will see more and more what
we have seen recently in southern Africa: a vicious circle
of poverty, hunger and AIDS, working in a synergistic way and exacerbating each other," the head of UNAIDS
declared and went on to say: "It is absolutely important
that ministries of agriculture must tackle AIDS as one of their core priorities."

The Director General of FAO, said that hunger and poverty, aggravated by HIV/AIDS will create a vicious spiral. "Where farmers and their families fall sick, they cultivate less land and shift to less labour-intensive and less nutritious crops, agricultural productivity decreases and hunger and malnutrition are on the rise. Many children are also losing their parents before learning how to farm, to prepare food and to fend for themselves. Severe malnutrition among orphans is already reported in the worst-affected areas". According to a recent IOL article, the World Food Programme (WFP) Executive Director declared that there are already
11 million AIDS orphans in Africa who have to grow crops to feed themselves. They will be joined by another nine million within seven years, making a total of 20 million children in sub-Saharan Africa without parents to feed them in less
than a decade. This comes on top of the existing
food crisis in the area which has seen the WFP launching an appeal for $308-million to fund 540 000 tons of aid to prevent starvation in Zimbabwe, Malawi, Zambia, Mozambique, Lesotho and Swaziland. It aims to halve
the 800 million people who go hungry by 2015. The Executive Director also stated that WFP needed to spend
€1-billion (about R8-billion) more in 2003 than during 2002, and that its 2003 budget for Africa alone was bigger than
its budget for the whole world in 2002.

At International Youth Day celebrations in Zimbabwe, a United Nations Information Centre spokesperson said that young people between the ages of 15 and 24 years were particularly vulnerable to HIV/AIDS infection. Worldwide,
she declared, "In the year 2000 alone, an estimated
5,3 million people were newly-infected with HIV/AIDS and
no fewer than 6 500 young people per day acquired the virus." She believes young people must be empowered both to fight the disease and to play a positive role in society as, globally, they are at the forefront of social, economic and political developments. Youth empowerment includes the participation of young men and women in society through access to health and education services, to employment
and income generating opportunities, and to resources
such as land.

AIDS treatment in southern Africa is about to grow dramatically with seven countries in the region accelerating access to antiretroviral drugs. The Internet news site, AllAfrica.com, recently reported that the UN special envoy for HIV/AIDS in Africa said, "Very poor countries have shown they are capable of doing effective treatment in the public sector and that they would be ready to scale up rapidly." Botswana, with the highest HIV infection rate in the world
at about 38.5%, is leading the way by promising free antiretroviral treatment to all its 1.5 million citizens. The national programme has opened six treatment centres since January 2002, and is treating more than 6 000 people –
out of an estimated 330 000 with HIV/AIDS – using drugs donated by pharmaceutical giant Merck as well as funding from the Bill and Melinda Gates Foundation.

Malawi, Mozambique, Namibia, Angola, Zambia and Zimbabwe are preparing to follow this initiative by launching or expanding treatment programmes in their public sectors as soon as possible. The UNAIDS programme adviser for southern and eastern Africa stated that partnerships between governments, non-government organisations and donors, including pharmaceutical companies, are managing and funding these programmes. During his recent visit to Africa, President Bush pledged that the United States would be a partner in the battle against this disease that has already killed more than 17-million in sub-Saharan Africa. He talked of his proposal to spend $15-billion over five years to help the hardest-hit African and Caribbean nations battle AIDS.
A committee of the United States House of Representatives, however, has decided to hold spending on global HIV-AIDS prevention and treatment measure to $2-billion for the first year. A bill before the house proposes $1,43-billion to fight AIDS and other infectious diseases for the 2004 budget year starting in October 2003.

Hunger and poverty, aggravated by HIV/AIDS. Solidarites

QUICK ACCESS

 
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SAHIMS is a project of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)
Johannesburg, 23 July  2003


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