Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco School of Medicine, USA.
BMC Public Health. 2010 May 11;10:245. doi: 10.1186/1471-2458-10-245.
HIV/AIDS negatively impacts poverty alleviation and food security, which reciprocally hinder the rapid scale up and effectiveness of HIV care programs. Nyanza province has the highest HIV prevalence (15.3%), and is the third highest contributor (2.4 million people) to rural poverty in Kenya. Thus, we tested the feasibility of providing a micro-irrigation pump to HIV-positive farmers in order to evaluate its impact on health and economic advancement among HIV-positive patients and their families.
Thirty HIV-positive patients enrolled in the Family AIDS Care and Education Services (FACES) program in Kisumu, Kenya were provided a micro-financed loan to receive an irrigation pump and farming guidance from KickStart, the developer of the pump. Economic data, CD4 counts, household health and loan repayment history were collected 12 months after the pumps were distributed.
Mean annual family income increased by $1,332 over baseline. CD4 counts did not change significantly. Though income increased, only three (10%) participants had paid off more than a quarter of the loan.
We demonstrated the feasibility of an income-generating micro-irrigation intervention among HIV-positive patients and the collection of health and economic data. While family income improved significantly, loan repayment rates were low- likely complicated by the drought that occurred in Kenya during the intervention period.
艾滋病毒/艾滋病对减贫和粮食安全产生负面影响，而这反过来又阻碍了艾滋病毒护理方案的迅速扩大和有效性。 沿河流域省的艾滋病毒流行率最高（15.3%），也是肯尼亚农村贫困人口（240 万人）的第三大贡献者。 因此，我们测试了向艾滋病毒阳性农民提供微型灌溉泵的可行性，以评估其对艾滋病毒阳性患者及其家庭的健康和经济发展的影响。
在肯尼亚基苏木的家庭艾滋病护理和教育服务（FACES）计划中，有 30 名艾滋病毒阳性患者获得了微型融资贷款，从灌溉泵的开发者 KickStart 获得灌溉泵和农业指导。 在分发泵 12 个月后，收集了经济数据、CD4 计数、家庭健康和贷款还款记录。
家庭年收入平均比基线增加了 1332 美元。 CD4 计数没有显著变化。 尽管收入有所增加，但只有三名（10%）参与者已偿还了超过四分之一的贷款。
我们证明了在艾滋病毒阳性患者中开展创收微型灌溉干预措施以及收集健康和经济数据的可行性。 虽然家庭收入显著增加，但还款率很低-可能与干预期间肯尼亚发生的干旱有关。
