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This study, a joint publication by FAO and UNAIDS, describes how the HIV epidemic is undermining the hard-earned gains of development efforts of the last 40 years.
This third part of the AWLAE series on HIV/AIDS and agriculture in sub-Saharan Africa focuses on the epidemic as a challenge to human development in general and rural development in particular. In the face of the impact of the epidemic as described in parts one and two of the series, the agricultural sector can play an important role in mitigating some of its effects. Strategies for agricultural intervention are of particular importance in sub-Saharan Africa, given the fact that most of the countries hardest hit by the epidemic are heavily reliant on agriculture. Different agricultural sector based mitigation strategies are discussed. It is further argued, however, that such interventions need to be complemented by interventions from the health and other sectors, in particular by treatment regimes including access to anti-retroviral drugs. The text is followed by an annotated bibliography.
Using tissue-cultured technology is a potentially important way for smallholder banana farmers to improve their yields and income. In the situation of the impoverishing effects of high HIV/AIDS-prevalence in a rural banana-farming community, this applies even more. The research documented in this book examines the balance between required inputs and potential benefits of applying the tissue-cultured technology among HIV/AIDS-affected and non-affected households in Maragua district, Central Kenya, using a livelihood approach. The results show that adoption of the technology and its continued use differs according to the resources endowment of the farming households. Lack of financial and physical capital, notably a water tank, inhibits adoption, irrespective of HIV/AIDS-status. However, households headed by elderly females dominate among the poor households and the HIV/AIDS-affected households. This illustrates how HIV/AIDS interfaces with poverty and, thereby, indirectly with the feasibility of sustainable technology adoption. The research also shows that livelihood decisions and strategies of farming households are influenced by land tenure status (having title deeds or not) and labour constraints at the household level. The latter arise as a consequence of HIV/AIDS-related morbidity and mortality.
Essential reading for social and medical scientists and all those interested in infectious diseases and public health, AIDS and the Twenty-First Century examines the social and economic origins and impacts of the HIV/AIDS epidemic. HIV/AIDS is not only a medical problem. It is an indication of the scale of the global crisis in public health. Accessibly written, this book is necessary reading for policymakers, students and all those who are concerned about the relationship between poverty, inequality and infectious diseases.
This comprehensive reference book addresses the unique challenges facing many African nations as poor infrastructure and economics continue to obstruct access to advanced treatments and AIDS care training. It takes into account the context of settings with limited resources. Information on how to best utilize existing resources and prioritize scaling-up of infrastructure is a critical aspect of this book for those working in HIV/AIDS-related fields in Africa.
This book is about the effects of AIDS on women and food security in Côte d'Ivoire, West Africa. AIDS is more than a health problem. Rural households and women in particular have to cope with the lack of labour in agriculture which threatens their food security. For the matrilineal Agni women land ownership appears to be an unexpected burden, rather than a safeguard from poverty. Culture matters, but not in similar ways everywhere. Matrilineal or patrilineal kinship organisation, gender inequality, and norms about sexual relationships very much influence the differences in Agni and migrant women's vulnerability to AIDS. African women are often seen as victims of AIDS. This study shows that women may also use their creativity and social networks to battle and to be resilient against the effects of the illness in their everyday household activities. Using a combination of quantitative statistical data and qualitative methods, this research questions the effectiveness of mainstream AIDS policy and interventions in Côte d'Ivoire. Victimising the poor does not help. Instead, multi-sector policy intervention can mitigate the social effects of AIDS by improving household food security and by changing cultural practices through local leaders who have historical legitimacy and power.
Since the 1980s HIV/AIDS has occupied a singular position because of the rapidly emergent threat and devastation the disease has caused, particularly in sub-Saharan Africa. New infections continue to create a formidable challenge to households, communities, and health systems: last year alone, 2.7 million new infections occurred globally. Sub-Saharan Africa remains the epicenter of the suffering, with around two-thirds of infected individuals worldwide found there, and a disproportionate number of deaths and new infections. For years there have been widespread and concerted efforts to prevent the spread of HIV/AIDS, identify a cure, and understand and mitigate the deleterious social and economic ramifications of the disease. Despite these efforts, and some apparent successes, there is still a long way to go in terms of altering behaviors in order to realize the objective of dramatic reductions in the spread of HIV/AIDS in Africa. The authors in this volume examine the HIV/AIDS crisis in Africa, which persists despite major strides in averting deaths due to antiretroviral therapy. They tell an important story of the distinct nature of the disease and its socioeconomic implications.
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.
"The global AIDS epidemic has caused over 25 million deaths since 1981, and there is no end in sight. It is a multidimensional, phased, long-wave crisis with impacts that will be felt for decades to come. Attempts to defeat the epidemic are conventionally grounded in the three core pillars of AIDS policy: prevention, treatment and care, and mitigation. But there is also an urgent need for a deeper understanding of the integral role that food and nutrition can and should play, and a corresponding urgency to use that understanding to improve responses at all levels.The 18 essays in AIDS, Poverty, and Hunger: Challenges and Responses contribute to such an understanding by examining the impacts of HIV and AIDS on labor markets and wages, household income and consumption dynamics, and the agricultural sector as a whole; by studying the ways in which households respond to prime-age illness, death, and food insecurity; and by exploring the implications of local responses for the roles that national and international actors must play in addressing the AIDS-hunger nexus.This book creates an opportunity for development professionals to build the conceptual links lacking in current multisectoral frameworks, assess impacts and costs, propose indicators and monitoring systems, and design appropriate food- and nutrition-related interventions and policies."