User Guide 2: Assessing Integrated Programming - Food Security and HIV and AIDS (2012)
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Transcript of User Guide 2: Assessing Integrated Programming - Food Security and HIV and AIDS (2012)
Assessing Integrated Programming: Food Security& HIV And AIDS
User Guide 2:
www.oxfam.org.au
1
Title: User Guide 2: Assessing Integrated Programming: Food Security & HIV and AIDS
Published: October 2012 by Oxfam
Author: Maxwell Mudhara
Editor: Cheryl Goodenough
Proofreader: Eva Jackson
Design: LUMO www.lumo.co.za
Copyright: Oxfam gives permission for excerpts from this paper to be photocopied or reproduced provided
that the source is clearly and properly acknowledged.
Disclaimer: The views in this publication are those of the respective authors and do not necessarily represent
those of Oxfam or any funding agency.
Acknowledgements: Oxfam Australia would like to thank everyone who has been involved in the process of developing
this tool for assessing the integration of approaches to HIV and AIDS and food security.
We would like to acknowledge the involvement of our partner organisations throughout the
process, including in workshops during which the need for this tool emerged.
Contact Details: Oxfam House
56 Clark Road
Glenwood
Durban 4001 South Africa
Tel: +27 (0) 31 201 0865
www.oxfam.org.au
CrEDiTs
2 PHOTO © Matthew Willman | Oxfam
3
inTrODUCTiOn
About Oxfam Australia 5
About this Guide 5
How to Use this Guide 5
PArT OnE
Concept of Integration of Food Security and HIV and AIDS 7
PArT TwO
2 The Process of Assessing and Reflecting on Integration 9
2.1 The Assessment Questionnaire 9
2.2 Assessing the Responses to the Questionnaire 11
Step 1 Beginning the analysis 11
Step 2 Transferring the number of projects/activities into the table 12
Step 3 Summarising the activities 12
Step 4 Plotting the summary totals onto the graph 13
Step 5 Using the key to analyse integration 15
2.3 Implications for Monitoring Integration of Food Security and HIV and AIDS Programming 16
APPEnDix
1 Assessment of Integration of Food Security and HIV and AIDS Programs: Questionnaire 18
2 Assessment of Integration of Food Security and HIV and AIDS Programs: Sample Completed Questionnaire 23
3 Table for Recording Number of Projects 27
4 Graph and Key for Assessing Extent of Integration of an Organisation 28
COnTEnTs
4 PHOTO © Matthew Willman | Oxfam
5
AbOUT OxfAm AUsTrAliA
Oxfam Australia is an Australian, independent, not-for-profit, community based aid and development agency working to find
lasting solutions to poverty and injustice. It is not aligned to any government, and does not have any religious affiliation.
Oxfam Australia works with local communities and local partner organisations to empower people living in poverty to control
their own lives, achieve their basic rights and sustain the environment.
AbOUT THis GUiDE
Organisations often look at their activities and make subjective judgements regarding the extent to which they are implementing an
integrated approach to addressing food security and HIV and AIDS. They are challenged by the need to objectively show that
programs are integrated or that progress is being made towards achieving an integrated set of programs.
As part of the process to help organisations assess this integration, Oxfam Australia held a series of workshops with partner
organisations. These workshops served to facilitate discussion around the importance of balancing food security and HIV and
AIDS activities.
A recommendation that emerged during the workshops involved the development of an instrument that would allow partners
to objectively assess their progress towards achieving a balance in their programs. The publication of this guide follows the
development and testing of the instrument that was created subsequent to that workshop.
Presenting a simple step-by-step process for assessing integration, this guide helps users from the start of the process,
which involves collecting requisite data, to determining the level of integration.
HOw TO UsE THis GUiDE
This guide consists of two sections. The first part examines the concept of food security and the integration of food security
and HIV and AIDS. It considers the effects of HIV and AIDS on food security and reflects on activities relevant to food security,
that are undertaken by households or communities to minimise the effects of HIV and AIDS.
The second part describes a step by step process for considering how food security and HIV and AIDS are being addressed by
organisations. The instrument used – an assessment questionnaire – is included in the appendices and focuses on twelve
areas in which HIV and AIDS and food security programs interact.
The guide is designed in such a way that the assessment of the integration of food security and HIV and AIDS programming
can be administered by a person within an organisation, or by someone external to the organisation.
Throughout the manual are activities intended to assist you to work through the process of understanding the concepts
and going through the assessment process. If you are going through this document as an individual you may find it
useful to give some thought to the questions posed. Alternatively, the activities can be done by a group (within your
own organisation or an external group) or used in training other individuals to assess the level of integration amongst food
security and HIV and AIDS activities.
inTrODUCTiOn
6 PHOTO © Matthew Willman | Oxfam
7
Spend some time thinking or talking about what food security means, and the effects that HIV and
AIDS may have on food security.
Once you’ve completed the activity, see how your definition and understanding compares with the information below.
Activity:
PArT 1The linkages between food security and HIV and AIDS are well recognised, and many organisations endeavour to integrate
interventions that address the two aspects. However, it is often a challenge for organisations to objectively assess the extent
to which they have integrated food security and HIV and AIDS programming, and, over time, to determine the progress made
towards achieving integration.
1. Concept of integration of food security and HiV and AiDs
Access to sufficient food is one of the basic human needs and rights.
The World Food Summit of 1996 defined food security as:
A situation when all people, at all times, have physical, social and economic access to sufficient, safe and nutritious food
to meet their dietary needs and food preferences for an active and healthy life.
There are three main types of food insecurity:
1. Chronic food insecurity occurs when food is inadequate on a day to day basis, regardless of season. It is associated
with poverty and requires targeted programs.
2. seasonal and cyclical food insecurity appears at regular and predictable times of the year. It can be alleviated through
better storage, crop diversification, staggered planting and mixed farming.
3. Transitory or temporary food insecurity results from shocks, such as drought, flooding and pest attacks.
Poverty increases both exposure to HIV, and the impact of HIV on households; and HIV impoverishes people and increases poverty.
Other effects of HIV and AIDS include:
• Animpactonlabourquantityandqualitythusreducingproductivityathouseholdlevel;
• Reductionoflandareaundercultivationresultinginlessfoodbeingavailable;
• Reductioninabilitytocontrolcroppests;
• Lossofsoilfertilityduetolossofknow-how;
• Declineintherangeofcropsgrown;
• Changesincroppingpatternsandashiftfromsurplustosubsistencefoodproduction;
• Declineincropyieldsandalsocropoutput;and
• DeclineinlivestockproductionandnumbersdwindlingthroughslaughterforAIDSandHIV-relatedfunerals.
These effects, in turn, have serious negative consequences for food security.
The effects of HIV and AIDS on households depend on the following factors:
• Socio-economicandpovertystatus;
• Sizeoffamily;
• Numberandagesofdependentchildren;and
• NumberandgenderofpeoplesufferingfromHIVandAIDS.
8
Spend some time thinking or talking about what activities relevant to food security can be undertaken by
households or by communities to minimise the effects of HIV and AIDS.
Once you’ve completed the activity, compare your suggestions with those listed below.
Activity:
Households have been observed adopting the following mechanisms in response to
HIV and AIDS to minimise the effects of the scourge:
• Alteringhouseholdcompositionsothatthedemand,particularlyforfood,isreduced;
• Drawingfromsavingsorsellingassetsformeetingimmediateneeds,eventhoughthiscompromiseshousehold
welfare in the long term;
• Utilisingassistancefromotherhouseholdsandfrominformalruralinstitutions.
Community support and HIV and AIDS mitigation activities (relevant to food insecurity) include:
• Communalfieldsforagriculturalproductionforincomeorfood;
• Community-basedchildcaresuchascooperativedaycareandnutritioncentresthatfreewomentoworkin
or outside the home;
• Orphansupportintheformofassistancerelatingtonutritionandeducation;
• Repairofdeterioratinghouses;
• Home-basedcareandvisitingofHIVandAIDSpatientsandorphans;
• Preparationanddistributionofschooluniforms,especiallyfororphans;
• Apprenticeshipandtraininginmarketableskillsfororphanedadolescents;
• Agriculturalprojectsatvariouslevelstoincreaseoutput;
• Labour-sharingarrangements;
• Community-runmicro-enterprisesandincome-generatingprojectstoproducefoodandcash;
• Food-for-workprogramsthatreachthemostvulnerable;
• Extensionandadvisoryprogramsforaccesstohelpfulandappropriatetechnologies;and
• SavingsandcreditwithinreachofwidowsandothersaffectedbyHIVandAIDS.
Common responses to HIV and AIDS are:
• Preventionthroughawarenessprograms;
• Takingcareofthosewhoareaffectedandinfected;
• Treatmentofthoseinfectedbythedisease;and
• Mitigationoftheadverseeffectsfacingaffectedandinfectedhouseholdsandindividuals.
These common responses to HIV and AIDS are interrelated with food security responses as illustrated in Figure 1.
CAREMITIGATION
PREVENTIONTREATMENT
HIV & AIDS FOOD SECURITY
Figure 1: Linkages between HIV and AIDS and food security and various interventions
9
fOOD PrODUCTiOn
inCOmE GEnErATiOn
mArkETs
sUrPlUsEs
nUTriTiOUs rAnGE Of fOOD
fOOD lAsTs lOnGEr; EG, sTOrAGE, PrEsErVATiOn
UTilisATiOn
12 ArEAs Of inTErVEnTiOn
HiV AnD AiDs fOOD sECUriTy
PArT 22. The Process of Assessing and reflecting on integration
Organisations are increasingly required or persuaded to integrate programs on food security and HIV and AIDS. However, this
often involves the use of subjective judgements regarding the extent to which the two aspects are integrated. To objectively
assess the progress an organisation has made towards integration, a range of relevant data has to be collected.
Figure 2 below shows twelve areas in which food security and HIV and AIDS programs could interact. It is important to note
that these areas are not the only aspects to consider within HIV and AIDS and food security programming. However, they do
help the user to reflect on practices and aspects of programs and how they relate to one another, as well as to the overall aim
and vision of a particular organisation.
Figure 2: The twelve areas in which HIV and AIDS and food security programs interact
2.1. The Assessment Questionnaire
This guide presents users with an instrument that consists of a twelve-question interview questionnaire, which is included
as Appendix 1. Each question considers how food security and HIV and AIDS are addressed within an organisation, and
generates an impression regarding whether an aspect is addressed according to the twelve areas of intervention outlined in
Figure 2 above.
The first seven questions contained in the questionnaire relate to aspects of programs that affect food security within
households and communities:
1. Food production
2. Surpluse (food or income)
3. Markets
4. Nutritious range of food
5. Food lasting longer – this relates to storage and preservation
6. Utilisation of different foods – this relates to processing and recipes, and
7. Income generation
PrEVEnTiOn
CArE Of HiV AnD AiDs
TrEATmEnT Of HiV AnD AiDs
miTiGATiOn Of THE EffECTs Of HiV
AnD AiDs
rEfErrAls
10
The next five questions relate to aspects of programs that affect HIV and AIDS within households and communities:
8. Prevention
9. Care of those who are affected and infected
10. Treatment of people infected with HIV and AIDS
11. Mitigation of the effects of HIV and AIDS on the affected and infected, and
12. Referrals and support for people infected with and affected by HIV and AIDS
If the aim of the assessment is to conduct an internal review, the questionnaire can be administered by a person within the
organisation. To conduct this process one person would record the answers to the questions in the questionnaire. In addition,
one person would record the discussion about how the team sees their programs and activities.
If the questionnaire is administered by an external person, it is recommended that the session begins with an exercise to get
people feeling comfortable and thinking programmatically to prepare the group for the process. This activity could be in the
form of a broad discussion on the organisation, as well as projects and programs undertaken within the organisation. This
allows the interviewer to have a broad understanding of the organisation prior to administering the questionnaire and gives
members of the group an opportunity to think about and reflect on how they see their work.
Review the twelve questions in the blank questionnaire in Appendix 1 to understand the manner in which
information for the assessments is collected. Also review the sample completed questionnaire, which is Appendix
2. This is included to help those administering the questionnaire to understand the types of responses and level of
detail needed by the group when responding to the questions.
Copy the questionnaire (so that you are able to use the original as a master copy in future). Answer the
questionnaire with your group and record your answers on the copy of the blank questionnaire.
Activity:
PHOTO © Matthew Willman | Oxfam
11
2.2. Assessing the responses to the Questionnaire
After filling in the copy of the questionnaire and collecting the information, it is necessary to assess the results of the
questionnaire in order to determine the level of integration of the food security and HIV and AIDS programs. We have used the
sample questionnaire, which is included in Appendix 2, as an example to show you how to follow the steps in the process of
reflection and analysing your responses.
step 1: beginning the analysis
Once the information has been collected and you have looked at the projects/activities in the food security section and the
HIV and AIDS section, you can start on the analysis.
Below is a sample answer from question one under the food security section from the completed sample questionnaire
in Appendix 2.
food security
In the last 12 months, did you undertake projects involved in food production activities?
yEs/nO
If yes, list the projects/activities below on the left. Which of these projects/activities specifically considered those who are
affected and infected by HIV and AIDS? Explain how each project did so. Describe this in the right hand column.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/activities?
if so, how?
The project run on farms to establish communal gardensCommunal gardens specifically placed in areas where there
is a high rate of infected and affected people
Gardens centred around clinics for support groups for people
suffering from all sorts of ailments, e.g. high blood pressure,
diabetes, HIV and AIDS. The mixture reduces stigmatisation
Food gardens are a part of the healthy living program and
link well with HIV and AIDS
number of activities/projects:2
2
table 1: Sample answer from question one in the completed sample questionnaire (Appendix 2)
12
step 2: Transferring the number of projects/activities into the table
In the sample question above you can see a count of the number of projects or activities. There are two activities in the
column on the left. This number needs to be entered on your copy of the questionnaire for that question. In the sample table
below you can see the number of projects or activities that address food security and those that address HIV and AIDS.
Follow the first seven questions and enter a count of the number of projects/activities for food security and the HIV and AIDS
columns as in the example below.
for the last five questions note the HiV and AiDs projects or activities are in the left hand column in the questionnaire, while
the food security numbers need to be taken from those in the right hand column.
A blank table for this purpose is included as Appendix 3.
Question number food security (left column) HiV and AiDs (right column)
1 2 2
2 1 1
3 1 1
4 1 1
5 1 1
6 0 0
7 3 2
Question number food security (right column) HiV and AiDs (left column)
8 0 3
9 1 2
10 0 1
11 2 3
12 1 1
table 2: Sample table of number of projects taken from the completed sample questionnaire (Appendix 2)
step 3: summarising the activities
The summary is arrived at by counting the number of questions that have at least one project. If you have one or
more project or activity write ‘yes’; if none then write ‘no’. Count the number of ‘yes’ responses and enter a total at
the bottom. The maximum number that can be recorded in the summary row is twelve as there has to be a ‘yes’ or ‘no’
response for each question.
13
Question number food security (left column) HiV and AiDs (right column)
1 2 - yes 2 - yes
2 1 - yes 1 - yes
3 1 - yes 1 - yes
4 1 - yes 1 - yes
5 1 - yes 1 - yes
6 0 - no 0 - no
7 3 - yes 2 - yes
Question number food security (right column) HiV and AiDs (left column)
8 0 - no 3 - yes
9 1 - yes 2 - yes
10 0 - no 1 - yes
11 2 - yes 3 - yes
12 1 - no 1 - yes
Total ‘yes’ responses 8 11
table 3: Sample table of summary of activities taken from the completed sample questionnaire (Appendix 2)
The analysis and interpretation of the activities defined by the ‘yes’ or ‘no’ response gives an indication of the integration
of your projects or activities. The actual number of activities for each question is not important in this analysis, as will be
evident when we go through the next two steps below.
step 4: Plotting the summary totals onto the graph
The next step is to plot on a graph the number of ‘yes’ responses to see where an organisation lies with respect to integration
of food security and HIV and AIDS projects or activities.
Using the sample questionnaire in Appendix 2 and the tables above, the number of projects is recorded as illustrated in the
table below.
Question number food security HiV and AiDs
Total ‘yes’ responses 8 11
table 4: Food security and HIV and AIDS projects recorded
14
From this information, it is evident that this organisation has a total of eight food security projects and eleven HIV and AIDS
projects or activities.
It is important when counting the number of projects an organisation undertakes to note that this process does not reflect
on the projects themselves and whether they bring about long term changes within communities, or short term solutions.
For example, provision of food parcels is a temporary measure necessary to ensure that those on HIV treatment can adhere.
However, it is known that food parcels are not a longer term solution to food security, and that they should perhaps be
accompanied by programs that educate beneficiaries on food production and preparation.
Once the total amounts have been established, it is necessary to use a graph to translate the numbers. This acts as a tool to
help organisations to reflect on their work. This graph is only used to assess, according to the scores in the total line of the
table, the level of integration of the particular organisation. A blank graph is included in Appendix 4 for you to copy and use for
your discussions.
Looking at the graph, you will note that the vertical side is labelled HIV and AIDS, while the horizontal side is labelled Food Security.
In our example, the totals were eight and eleven, as below.
Question number food security HiV and AiDs
Total ‘yes’ responses 8 11
table 5: Food security and HIV and AIDS projects recorded
We then plot the totals onto the graphs: Eight, being the number of food security activities or projects goes on the horizontal
side, while eleven goes on the vertical side for the HIV and AIDS activities or projects.
Axis / side
HiV andAiDs
12 3h 3h 3h 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i
11 3h 3h 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i
10 3h 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i 2f
9 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i 2f 2f
8 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i 2f 2f 2f
7 3h 3h 2h 2h 2h 2h 1 1i 1i 2f 2f 2f 2f
6 3h 2h 2h 2h 2h 1 1 1i 2f 2f 2f 2f 3f
5 3h 2h 2h 2h 1 1 1 2f 2f 2f 2f 3f 3f
4 3h 2h 2h 1 1 1 2f 2f 2f 2f 3f 3f 3f
3 3h 2h 1 1 1 2f 2f 2f 2f 3f 3f 3f 3f
2 3h 1 1 1 2f 2f 2f 2f 3f 3f 3f 3f 3f
1 3h 1 1 2f 2f 2f 2f 3f 3f 3f 3f 3f 3f
0 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f
0 1 2 3 4 5 6 7 8 9 10 11 12
food security
table 6: Graph used to access the level of integration of an orginisation
15
step 5: Using the key to analyse integration
Once the point on the graph has been plotted, and the number and letter have been established, look at the key to assess the
extent to which the organisation is integrated.
key
1 Integrated, but with limited range of both HIV and AIDS and food security projects
1i Integrated with wide range of both HIV and AIDS and food security projects
2f Highly integrated with a slight bias to food security programs
2h Highly integrated with a slight bias to HIV and AIDS programs
3f Poorly integrated and biased towards food security programs
3h Poorly integrated and biased towards HIV and AIDS programs
table 7: Key to assess the extent to which an orginisation is integrated
The sample organisation, for example, falls on a block labelled 2h in the graph. When relating that to the key, we see that this
organisation can be described as: ‘Highly integrated with a slight bias to HIV and AIDS programs’’.
PHOTO © Matthew Willman | Oxfam
16
2.3. implications for monitoring integration of food security and HiV and AiDs programming
The questionnaire enables organisations to be aware of areas that might need consideration with regard to the integration of
food security and HIV and AIDS.
It is not necessary for all organisations to work towards integration, but this exercise enables an organisation to assess the
current situation with regard to integration and to make decisions as to whether to improve integration or remain focused on
one area.
Organisations that maintain a focus on one aspect should be aware of this bias and be confident that the organisation has
good reasons for maintaining this focus.
Organisations that take a decision to improve the integration of food security and HIV and AIDS programs can use the first
assessment as a baseline. The assessment can then be repeated after a year, at which time the organisation can determine
whether there has been an improvement in the integration or not.
When your organisation has completed the questionnaire and assessed your level of integration of food security
and HIV and AIDS programming, discuss or think about the following:
1. If you choose to improve the integration of your activities, what information would your organisation require?
2. What training would you consider essential to your organisation in the process of improving the integration of
your food security and HIV and AIDS programs?
3. What training needs would you consider to be necessary to enhance your organisation’s efforts to improve the
integration of food security and HIV and AIDS programs?
4. What networks or contacts do you have within your community that might already be looking at other
activities or projects and that might complement your work?
5. Do you have existing relationships with these complementary services or areas that would bring about good
integration for the community served?
Activity:
17PHOTO © Matthew Willman | Oxfam
18
APPEnDiCEsAppendix 1: Assessment of Integration of Food Security and HIV and AIDS Programs: Questionnaire
Appendix 2: Assessment of Integration of Food Security and HIV and AIDS Programs: Sample Completed Questionnaire
Appendix 3: Table for Recording Number of Projects
Appendix 4: Graph and Key for Assessing Extent of Integration of an Organisation
Appendix 1: Assessment of integration of food security and HiV and AiDs Programs: Questionnaire
Name of Organisation: Date Completed:
food security
In the last 12 months, did you undertake projects involved in food production activities?
yEs/nO
If yes, list the projects/activities below on the left. Which of these projects/activities specifically considered those who
are affected and infected by HIV and AIDS? Explain how each project did so. Describe this in the right hand column.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, did you undertake projects that produced surpluses (food or income) for the beneficiaries?
yEs/nO
If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and
AIDS affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
1.
2.
19
In the last 12 months, did your organisation implement projects to establish markets for project products?
yEs/nO
If yes, list the projects. Which of these projects specifically included access for the HIV and
AIDS affected and infected to markets? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, did you implement a project or projects that focussed on developing a nutritious range of food?
yEs/nO
If yes, list the projects. Which of these projects specifically ensured the access of HIV and
AIDS affected and infected households to such foods? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, did your organisation undertake any projects to ensure that food would last longer, e.g., storage,
preservation?
yEs/nO
If yes, list the projects. Which of these projects specifically ensured the access of HIV and
AIDS affected and infected households to such foods? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
3.
4.
5.
20
In the last 12 months, did your organisation undertake projects to improve the utilisation of different foods, e.g.,
processing, recipes?
yEs/nO
If yes, list the projects. Which of these projects specifically ensured the utilisation of such foods by the HIV and AIDS
affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, did your organisation implement income generation projects?
yEs/nO
If yes, list the projects. Which of these income generation projects also considered HIV and AIDS?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, were any projects you implemented designed to prevent HIV and AIDS infection?
yEs/nO
If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
6.
7.
8.
21
In the last 12 months, were any projects you implemented designed to support the
care of HiV and AiDs affected and infected?
yEs/nO
If yes, list the projects. Which of these projects specifically included access for the HIV and
AIDS affected and infected to markets? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, were any projects you implemented designed to support the
treatment of the HiV and AiDs infected?
yEs/nO
If yes, list the projects. Which of these projects specifically ensured the access of HIV and
AIDS affected and infected households to such foods? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
In the last 12 months, were any projects you implemented designed to
mitigate the effects of HiV and AiDs on the affected and infected?
yEs/nO
If yes, list the projects. Which of these projects specifically ensured the access of HIV and
AIDS affected and infected households to such foods? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
9.
10.
11.
22
In the last 12 months, were any projects you implemented designed to ensure referrals
and support to people infected with and affected by HIV and AIDS?
yEs/nO
If yes, list the projects. Which of these projects specifically included access for the HIV and
AIDS affected and infected to markets? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
number of activities/projects:
12.
PHOTO © Matthew Willman | Oxfam
23
Appendix 2: AssEssmEnT Of inTEGrATiOn Of fOOD sECUriTy AnD HiV AnD AiDs PrOGrAms: sAmPlE COmPlETED QUEsTiOnnAirE
Name of Organisation: ABC COMMUNITY CARE Date Completed: 21 JUNE 2012
food security interventions
In the last 12 months, did you undertake projects involved in food production activities?
yEs/nO
If yes, list the projects/activities below on the left. Which of these projects/activities specifically considered those who
are affected and infected by HIV and AIDS? Explain how each project did so. Describe this in the right hand column.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
The project run on farms to establish communal gardensCommunal gardens specifically placed in areas where
there is a high rate of infected and affected people
Gardens centred around clinics for support groups for
people suffering from all sorts of ailments, e.g. high
blood pressure, diabetes, HIV and AIDS. The mixture
reduces stigmatisation
Food gardens are a part of the healthy living program and
link well with HIV and AIDS
number of activities/projects:2 2
In the last 12 months, did you undertake projects that produced surpluses (food or income) for the beneficiaries?
yEs/nO
If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and
AIDS affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Gardens
Nutrition is very important for those suffering with HIV
and AIDS, therefore the gardens can help with their
nutritional needs.
number of activities/projects:1 1
1.
2.
24
In the last 12 months, did your organisation implement projects to establish markets for project products?
yEs/nO
If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and
AIDS affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Beads/clothes
Those making the beaded products and clothes were
mainly those affected or infected, and through the
program they are exposed to the market.
number of activities/projects:1 1
In the last 12 months, did you implement a project or projects that focussed on developing a nutritious range of food?
yEs/nO
If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and
AIDS affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Gardens around clinic
Vegetables in garden were chosen because of their
nutritious value and relatives affected by HIV and AIDS
were able to benefit from the more nutritious diet.
number of activities/projects:1 1
In the last 12 months, did your organisation undertake any projects to ensure that food would last longer,
e.g., storage, preservation?
yEs/nO
If yes, list the projects. Which of these projects were specifically designed to also benefit the HIV and
AIDS affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Training on storage
The training was given to support groups (which consist
of HIV and AIDS affected and infected) involved in food
production in the gardens
number of activities/projects:1 1
3.
4.
5.
25
In the last 12 months, did your organisation undertake projects to improve the utilisation of different foods, e.g.,
processing, recipes?
yEs/nO
If yes, list the projects. Which of these projects specifically ensured the utilisation of such foods by the HIV and AIDS
affected and infected? Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
N/A
number of activities/projects:0 0
In the last 12 months, did your organisation implement income generation projects?
yEs/nO
If yes, list the projects. Which of these income generation projects also considered HIV and AIDS?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Life skills, beads, sewing traditional dresses, marketed
Target are infected and affected. Ensures that they
stay busy and refrain from exposing themselves
to HIV and AIDS.
Drama group who are hired to stage shows and
are paid for their services
The group is not HIV and AIDS infected. The group
presents dramas with messages that educate the
public and raise awareness about HIV and AIDS
Gardens can raise income
number of activities/projects:3 2
In the last 12 months, were any projects you implemented designed to prevent HIV and AIDS infection?
yEs/nO
If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Drama Group
Care givers and change agent
Dialogue and training
number of activities/projects:3 0
6.
7.
8.
26
In the last 12 months, were any projects you implemented designed to support the care of HIV and AIDS
affected and infected?
yEs/nO
If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Care givers for HBC Awareness of food needs. Encouraging food gardens.
Palliative care
number of activities/projects:2 1
In the last 12 months, were any projects you implemented designed to support the treatment
of the HIV and AIDS infected?
yEs/nO
If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Wellness Clinic. 71 patients are on ARVs
number of activities/projects:1 0
In the last 12 months, were any projects you implemented designed to mitigate the effects of HIV and AIDS
on the affected and infected?
yEs/nO
If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
OVC The household is targeted to go into community gardens
Palliative careIf the person who is sick is the bread winner, they arrange
for joining food gardens and access to social grants
Voluntary Savings and Credit
number of activities/projects:3 2
9.
10.
11.
27
In the last 12 months, were any projects you implemented designed to ensure referrals and support to people
infected with and affected by HIV and AIDS?
yEs/nO
If yes, list the projects. Which of these projects also considered ensuring food security of the beneficiaries?
Explain how each project did so.
food Production projects/activitiesis HiV and AiDs incorporated into these projects/
activities? if so, how?
Care givers
Meet once a week with clinics so that the necessary
referrals take place. Sometimes support groups involved in
food gardens are referred to Department of Agriculture to
access production materials.
Care givers can also refer the affected households to
social workers for food parcels.
number of activities/projects:1 1
12.
Appendix 3: Table for recording number of Projects
Copy this table to use when transferring the number of projects/activities into a table, as outlined in Step 2 in this Guide.
Question number food security HiV and AiDs
1
2
3
4
5
6
7
8
9
10
11
12
Total
28
Appendix 4: Graph and key for Assessing Extent of integration of an Organisation
Use this graph and key when plotting the summary totals onto the graph and analysing the integration, as outlined
in Step 4 and Step 5 in this Guide.
Axis / side
HiV andAiDs
12 3h 3h 3h 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i
11 3h 3h 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i
10 3h 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i 2f
9 3h 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i 2f 2f
8 3h 3h 3h 2h 2h 2h 2h 1i 1i 1i 2f 2f 2f
7 3h 3h 2h 2h 2h 2h 1 1i 1i 2f 2f 2f 2f
6 3h 2h 2h 2h 2h 1 1 1i 2f 2f 2f 2f 3f
5 3h 2h 2h 2h 1 1 1 2f 2f 2f 2f 3f 3f
4 3h 2h 2h 1 1 1 2f 2f 2f 2f 3f 3f 3f
3 3h 2h 1 1 1 2f 2f 2f 2f 3f 3f 3f 3f
2 3h 1 1 1 2f 2f 2f 2f 3f 3f 3f 3f 3f
1 3h 1 1 2f 2f 2f 2f 3f 3f 3f 3f 3f 3f
0 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f
0 1 2 3 4 5 6 7 8 9 10 11 12
food security
key
1 Integrated, but with limited range of both HIV and AIDS and food security projects
1i Integrated with wide range of both HIV and AIDS and food security projects
2f Highly integrated with a slight bias to food security programs
2h Highly integrated with a slight bias to HIV and AIDS programs
3f Poorly integrated and biased towards food security programs
3h Poorly integrated and biased towards HIV and AIDS programs