User Guide 2: Assessing Integrated Programming - Food Security and HIV and AIDS (2012)

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Assessing Integrated Programming: Food Security & HIV And AIDS User Guide 2: www.oxfam.org.au

description

This guide was created to allow partners to objectively assess their progress towards achieving a balance in their food security and HIV and AIDS activities programs. It is based on a series of workshops, development and testing with partner organisations.

Transcript of User Guide 2: Assessing Integrated Programming - Food Security and HIV and AIDS (2012)

Page 1: 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

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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

[email protected]

www.oxfam.org.au

CrEDiTs

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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

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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

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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.

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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

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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

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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

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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)

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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.

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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

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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

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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

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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:

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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.

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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

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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

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