The AIDS Epidemic in Malawi and its Threat to Household Food Security

2001 ◽  
Vol 60 (2) ◽  
pp. 178-188 ◽  
Author(s):  
Mike Mathambo Mtika
2000 ◽  
Vol 32 (2) ◽  
pp. 345-360 ◽  
Author(s):  
Mike Mathambo Mtika

In its prescription of how food security among rural households can be attained and how problems such as AIDS can be addressed, the neoclassical utiliarian view envisions individual house-holds making atomistic decisions in the use of their resources, goods, and services (entitlements). In exploring the effect of illness and death on household food security in rural Malawi amidst the AIDS epidemic, I find that the embeddedness view explains more convincingly how rural households secure their food supply and deal with illness and death. This view suggests that individual households' use of their entitlements indeed contributes to household food security and the fight against illness and death, but that such use is shaped by the entitlement system that embodies collective beliefs, rules, expectations, and obligations. Social and cultural relations between households, anchored in the entitlement system, enable households to share their entitlements through reciprocity and redistribution, thereby contributing to collective food security and diffusing the burden of illness and death across households. Rural Malawians are thus not isolated actors envisioned by the utilitarian view but social actors who constantly engage in negotiations with each other, sharing their entitlements, and thus collectively securing their food supply and diffusing burdens. Food security then gets compromised when burdens reach a threshold that fractures social and cultural ties thus disabling households from sharing entitlements. AIDS is a threat to food security in rural Malawi because of its potential to make the spread of illness and death burdens so extensive that households would be unable to share their entitlements.


BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Milagro Escobar ◽  
Andrea DeCastro Mendez ◽  
Maria Romero Encinas ◽  
Sofia Villagomez ◽  
Janet M. Wojcicki

Abstract Background Food insecurity impacts nearly one-in-four Latinx households in the United States and has been exacerbated by the novel coronavirus or COVID-19 pandemic. Methods We examined the impact of COVID-19 on household and child food security in three preexisting, longitudinal, Latinx urban cohorts in the San Francisco Bay Area (N = 375 households, 1875 individuals). Households were initially recruited during pregnancy and postpartum at Zuckerberg San Francisco General Hospital (ZSFG) and UCSF Benioff prior to the COVID-19 pandemic. For this COVID-19 sub-study, participants responded to a 15-min telephonic interview. Participants answered 18 questions from the US Food Security Food Module (US HFSSM) and questions on types of food consumption, housing and employment status, and history of COVID-19 infection as per community or hospital-based testing. Food security and insecurity levels were compared with prior year metrics. Results We found low levels of household food security in Latinx families (by cohort: 29.2%; 34.2%; 60.0%) and child food security (56.9%, 54.1%, 78.0%) with differences between cohorts explained by self-reported levels of education and employment status. Food security levels were much lower than those reported previously in two cohorts where data had been recorded from prior years. Reported history of COVID-19 infection in households was 4.8% (95% Confidence Interval (CI); 1.5–14.3%); 7.2% (95%CI, 3.6–13.9%) and 3.5% (95%CI, 1.7–7.2%) by cohort and was associated with food insecurity in the two larger cohorts (p = 0.03; p = 0.01 respectively). Conclusions Latinx families in the Bay Area with children are experiencing a sharp rise in food insecurity levels during the COVID-19 epidemic. Food insecurity, similar to other indices of poverty, is associated with increased risk for COVID-19 infection. Comprehensive interventions are needed to address food insecurity in Latinx populations and further studies are needed to better assess independent associations between household food insecurity, poor nutritional health and risk of COVID-19 infection.


2021 ◽  
Vol 32 (1) ◽  
pp. 565-581
Author(s):  
Wilson Chukwukasi Kassy ◽  
Anne C Ndu ◽  
Chinyere Cecilia Okeke ◽  
Elisa Chwike Aniwada

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