Southern Africa

FANTA Site – Focus Area: HIV

  • Source:
  • FANTA (Food and Nutrition Technical Assistance)

  • Summary:
  • HIV compromises the nutritional status of infected individuals and malnutrition worsens the effects of the disease. Nutrition interventions can help break this cycle by helping PLHIV manage symptoms, reduce susceptibility to opportunistic infections, improve nutritional status, promote response to medical treatment, and improve overall quality of life. Specifically,with support from USAID and PEPFAR, FANTA-2: a) provides technical assistance to strengthen nutrition assessment, counseling, and support for PLHIV; b) improves food assistance security programming in the context of HIV; c) produces and disseminates program guidance on nutritional care and support interventions; d) helps countries in east and southern Africa adapt HIV-nutrition guidance to their specific contexts through national guidelines, training curricula and programs, counseling materials, monitoring and evaluation support, and capacity-building activities; e) provides in-country support to integrate and scale up nutrition interventions in HIV services in Kenya, Namibia, Rwanda, Uganda, and Zambia; f) strengthens the evidence base about the impacts of food supplementation on malnourished PLHIV; g) supports randomized controlled evaluations in Malawi and Kenya; and h) supports improved program design and monitoring and evaluation of food-assisted programs addressing HIV and its impacts through technical assistance to USAID.

  • Keywords:
  • Monitoring and Evaluation (M&E) Nutrition People Living with HIV/AIDS (PLHIV) PEPFAR Policy Programming Guidance Training Resources Websites
  • The Interesting Cross-Paths of HIV/AIDS and Water in Southern Africa with Special Reference to South Africa

    • Source:
    • Obi CL et al. 2006. Water SA, 32(3):323–344.

    • Summary:
    • HIV/AIDS accounts for a substantial degree of morbidity and mortality in different age groups across the globe, but ripple effects are most devastating in developing countries. People with compromised immune systems are more prone to several diseases than individuals whose immune systems are not compromised by HIV/AIDS, and therefore have greater requirements for potable water. Improving water quality will lead to a decline in child and adult mortality and diarrhoeal diseases in people living with HIV/AIDS. The cross-paths between HIV/AIDS and water have long-term implications for effective water resource management and mainstreaming of HIV/AIDS in the water sector is of the utmost importance; in addition to providing safe water, supply points and latrines should be close to points of use, and appropriate water system design is required to reduce long distances caregivers and HIV/AIDS patients undertake to access safe water.

  • Keywords:
  • Accessing Water Diarrheal Diseases Evidence Base Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • HIV/AIDS Millennium Development Goal: HIV/AIDS and Water Supply, Sanitation and Hygiene in Southern Africa

    • Source:
    • WELL Project. 2004. London, UK

    • Summary:
    • The socio-economic impacts of HIV and AIDS are not often highlighted, even though their effects are not limited to those diagnosed: water and sanitation sectors often pay little attention to the impact of HIV/AIDS on the social and economic feasibility and sustainability of water supply in rural areas; increasing HIV/AIDS cases in rural areas make already inadequate water and sanitation situations for domestic and agricultural use dire; and home-based care for the terminally ill requires not only clean water and safe solid waste disposal for patients, but access to a convenient, reliable, safe, and sufficient water supply, as well as basic sanitation, to ease the burden on caregivers. Strategies to integrate water and sanitation with HIV/AIDS are necessary and must meet the challenge to ensure all development sectors incorporate, in a strategic way, issues such as prevention, care, and mitigation of HIV/AIDS, and policymakers and sector programs give high priority to water supply, sanitation, and hygiene promotion in areas with a high incidence of the disease.

  • Keywords:
  • Accessing Water Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Policy Programming Guidance Sanitation/Feces Disposal
  • Water and HIV/AIDS: Some Strategic Considerations

    • Source:
    • Ashton P, Ramasar V. 2002. Turton A, Henwood R, eds. Hydropolitics in the Developing World: A Southern African Perspective. Pretoria, African Water Issues Research Unit, 217–238

    • Summary:
    • This book challenges the prevailing hydropolitics literature, which is biased in favour of international river basins where conflict is high, as this is inappropriate in Southern Africa. The point of departure is a new definition of hydropolitics as being a study of the authoritative allocation of values in society with respect to water. Emerging from this are two key elements - scale and range. In this regard, the new definition of hydropolitics incorporates all levels in society where values are allocated to water in an authoritative manner. Similarly, the complex and interconnected nature of water issues is reflected as the element of range. Chapter 16 addresses some considerations in regards to water and HIV/AIDS.

  • Keywords:
  • Accessing Water Evidence Base