Aberman Noora-Lisa, Rawat Rahul, Drimie Scott, Claros Joan M, Kadiyala Suneetha
Development Strategy and Governance Division, International Food Policy Research Institute, Lilongwe, Malawi.
AIDS Behav. 2014 Oct;18 Suppl 5:S554-65. doi: 10.1007/s10461-014-0822-z.
The number of people receiving antiretroviral therapy in developing countries has increased dramatically. The last decade has brought an increased understanding of the interconnectedness between HIV/AIDS, food insecurity, and undernutrition and a surge of evidence on how to address the food security and nutrition dimensions of the epidemic. We review this evidence as well as the corresponding evolution of policy support for incorporating food security and nutrition concerns into HIV programming. The available evidence, although varied in scope and methodologies, shows that nutrition supplementation and safety nets in the form of food assistance and livelihood interventions have potential in certain contexts to improve food security and nutrition outcomes in an HIV/AIDS context. In the face of funding uncertainties and competing priorities, we must maintain momentum towards effective and sustainable solutions to the epidemic through continued systematic research to inform policy and through the strengthening of monitoring systems to dynamically inform intervention development.
发展中国家接受抗逆转录病毒治疗的人数急剧增加。过去十年,人们对艾滋病毒/艾滋病、粮食不安全和营养不良之间的相互联系有了更多认识,并且涌现出大量关于如何应对该流行病在粮食安全和营养方面问题的证据。我们回顾了这些证据以及将粮食安全和营养问题纳入艾滋病毒防治工作的政策支持的相应演变情况。现有证据虽然在范围和方法上各不相同,但表明以粮食援助和生计干预措施形式提供的营养补充和安全网在某些情况下有潜力改善艾滋病毒/艾滋病背景下的粮食安全和营养状况。面对资金的不确定性和相互竞争的优先事项,我们必须通过持续进行系统研究以为政策提供信息,并通过加强监测系统以为干预措施的制定提供动态信息,来保持朝着有效和可持续地应对该流行病的方向前进的势头。