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HIV, LIVeLIHooDS, FooD anD nuTRITIon SeCuRITy: FInDInGS FRoM ReneWaL ReSeaRCH (2007-2008)                                                                        Brief 6



Experiencing Vulnerability in Southern Africa
The Interaction of Multiple Stressors
Marisa Casale, Scott Drimie, Stuart Gillespie, Suneetha Kadiyala, Paul Msoma, Tim Quinlan, and
Gina Ziervogela


   Introduction                                                                                •	 Caregivers	that	were	grandparents	were	especially	

   T    he word “vulnerability” is often used by development                                      concerned about what would happen to their grand-
        agencies and scientists when speaking about human                                         children when they passed away and when the
   welfare in Southern Africa. It is known that increasing                                        grandchildren grew up. Many were also worried that
   poverty, AIDS, and food insecurity are some of the threats                                     there would not be anyone to “step in,” as they had, to
   that make households more “vulnerable” to different shocks                                     look after their children’s well-being when they were no
   and stressors But what does vulnerability really mean for a                                    longer around.
   household in peri-urban South African townships, a family                                   •	 Stress	and	anxiety	was	one	of	the	outcomes,	as	
   in Chikamba, a rural village in Malawi, or migrant workers in                                  overburdened parents and grandparents struggled to
   Durban? And how can it be used effectively in development                                      meet current household needs, feared for the future
   work? These are some of the key questions that have driven                                     of their children, carried out (often physically difficult)
   this research.                                                                                 chores while ill, struggled with the bureaucracy of
       The aim of this study was to find out how parents are                                      accessing government support, and (some) continued
   planning and acting to secure their children’s future. The                                     to do income-generating work.
   intention was to paint a broad picture of people’s livelihoods
   to understand their perspectives and experiences, what is                                   •	 Absence	of	biological	parents,	as	a	result	of	death	(in	
   affecting their families and welfare, which interventions they                                 most cases) or migration to urban areas, was affecting
   are benefiting from, and how they are responding.                                              family life. There were some cases of biological parents
       Fieldwork in 2006 and 2007 consisted primarily of                                          not contributing to the households, because they were
   qualitative household-level comparative research on three                                      unemployed or living elsewhere. This study focused
   field sites, namely: a rural site in Chikwawa district, Malawi,                                on households that have some resources; the aim was
   a peri-urban site in Amajuba District, South Africa and an                                     to reveal some of the reasons why this segment of the
   urban site in Warwick Junction, Durban, South Africa. Purpo-                                   population may be vulnerable to becoming more impov-
   sive sampling of 10 households on each site was undertaken,                                    erished. Household resources or “capitals” included
   according to the following key sampling criteria: 10 parents                                •	 Human	and	social	capital:	In	South	Africa	there	is	
   per site, of which 6 parents chronically ill and 4 parents not                                 a significant emphasis on school enrolment and
   visibly ill; at least one child younger than 12 years in the                                   education, as a result of good access to schools and
   household and at least 2 children present in the household;                                    the importance parents place on education as the key
   where possible, participation in a previous research project                                   to their children’s future. Most parents interviewed said
   that the study built on. The field research involved a series                                  they could count on neighbors, fellow traders, or family
   of four semi-structured interviews per participant carried out                                 members in times of need, although negative factors
   over a five month period (the fourth interview consisted in a                                  were also reported.
   feedback module, whose purpose was in part to ‘test’ find-
                                                                                               •	 Physical	and	natural	capital:	Land	and	homesteads	
   ings with respondents).
                                                                                                  were the most important physical assets of most
                                                                                                  households. The majority of households in South Africa
   Results                                                                                        also had access to basic services and infrastructure,
   The key focus of this study was parental planning. In brief,                                   such as electricity, running water, roads, clinics, and
   the research revealed that                                                                     schools. Natural assets included the availability of land
      •	 Parents	were	concerned	about	the	future	of	their	                                        and water for vegetable gardens, as well as access
         children but did not have the resources (mainly money)                                   to wild plants and herbs that are used for traditional
         and opportunities to make concrete plans e.g. for                                        remedies.
         tertiary education or training.
                                                                                               •	 Financial	capital:	the	most	important	sources	of	
       •	 Most	parents	did	not	believe	their	situation	would	                                     household income were social grants (child grants and
          improve in the future—especially with regard to oppor-                                  pensions), remittances from family members working
          tunities for wage employment.                                                           elsewhere, income from informal trading, and small



   a
     Marisa Casale and Tim Quinlan, University of KwaZulu-Natal/HEARD; Diana Chanika,The Institute for Policy Analysis and Social Empowerment; Scott Drimie, Stuart
   Gillespie, and Suneetha Kadiyala,	International	Food	Policy	Research	Institute/RENEWAL; Paul Msoma,The Institute for Policy Analysis and Social Empowerment; Gina
   Ziervogel, University of Cape Town.
income-generating activities. However, parents also                                   •	 There	was	long-term	planning	with	regard	to	some	
                 identified a number of challenges they had to deal with                                  matters. In South Africa, some parents invested in
                 on a daily basis, and threats they believed they would                                   “insurance” against costs of a household death: most
                 face in the future. The main challenge reported was                                      families belonged to burial societies that cover part
                 not having enough money to fulfil the family’s “basic”                                   of the funeral costs; also, in some cases, households
                 needs. Often the family’s situation was mainly a result                                  were postponing the traditional feasts for the deceased.
                 of the effects of past shocks, such as death and illness,
                                                                                                       •	 Families	in	all	three	sites	invested	in	the	construction	
                 and high unemployment among adult household
                                                                                                          of additional dwellings and/or improvement of existing
                 members. Other challenges included
                                                                                                          dwellings, with the intention of leaving these to the
             •	 Harsh	climatic	conditions	(e.g.,	drought,	hail,	and	                                      children.
                heavy rains);
                                                                                                       •	 Finally,	in	the	South	African	case	studies,	many	
             •	 Tensions	between	household	members:	In	some	cases,	                                       families ensured school attendance of children, even
                this played out as intergenerational tensions, such                                       if this meant negotiating the payment of school fees
                as working young adult members refusing to support                                        in instalments, since education was seen as the key
                the household; children refusing to take parents’ or                                      to a better future for the children. This was in contrast
                grandparents’ advice on not engaging in risky sexual                                      to Malawi, where education seemed to have lost its
                behaviour.                                                                                “value” in terms of immediate needs and the lack of
             •	 AIDS:	Participants	said	effects	of	the	epidemic	on	their	                                 school-related opportunities in the future.
                local communities were great and a number of parents
                said it had directly affected their household. Stigma in
                                                                                                   Conclusion
                the communities was reportedly high, mainly as a result
                                                                                                       Findings from all three sites show that people are aware
                of lack of knowledge.
                                                                                                   of the threats to their welfare and of their limited options to
             •	 Other	illnesses:	For	older	grandparents,	conditions	                               sustain their families and livelihoods. It appears families are
                such as arthritis and high blood pressure were a                                   hardly “coping” in that they are not able to improve their liv-
                concern, since they made it difficult for them to look                             ing conditions and are living with the constant threat of things
                after the children in their care. Parents also described                           getting worse. In some cases families were able to invest
                some of the ways in which they were coping, or trying                              into children’s education and houses. However, this study
                to cope, with these challenges:                                                    suggests that these investments are not enough to provide
             •	 Caregivers	focused	their	attentions	on	immediate	                                  children with the means and skills to achieve a stable exis-
                needs and short-term “coping strategies.” These                                    tence. This is worrying, because it points to the widening gap
                included borrowing food and money from relatives and                               between the rich and the poor in Southern Africa.
                neighbors, skipping meals, or reducing the quantity
                and/or variety of food consumed;




InTeRnaTIonaL FooD PoLICy ReSeaRCH InSTITuTe • 2033 K Street NW • Washington, DC 20006-1002 USA
T 1-202-862-5638 • Skype ID: ifprihomeoffice • F 1-202-467-4439 • E s.drimie@cgiar.org • www.ifpri.org/renewal

about ReneWaL
Facilitated by the International Food Policy Research Institute, RENEWAL is a regional “network-of-networks” in Sub-Saharan Africa. Currently
active in five “hub” countries (Malawi, Uganda, Zambia, South Africa, and Kenya), RENEWAL comprises national networks of food and nutrition-
relevant organizations (public, private, and nongovernmental) together with partners in AIDS and public health research. RENEWAL aims to enhance
understanding of the worsening interactions between HIV, food security, and nutrition, and facilitate a comprehensive response to these interactions.
RENEWAL is grateful for support, at present, from Irish Aid, the Swedish International Development Cooperation Agency (SIDA), the International
Development Research Centre (IDRC, Canada), and the United States Agency for International Development (USAID).
Note: This brief is based on a RENEWAL working paper containing preliminary material and research results. These papers have not been subject to formal external reviews
managed by IFPRI’s Publications Review Committee, but have been reviewed by at least one internal or external researcher. They are circulated in order to stimulate discussion
and critical comment.
Copyright © 2008 International Food Policy Research Institute. All rights reserved. Sections of this material may be reproduced for personal and not-for-profit use without the express
written permission of but with acknowledgment to IFPRI. To obtain permission to reprint, contact the Communications Division at ifpri-copyright@cgiar.org.

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HIV, LIVeLIHooDS, FooD anD nuTRITIon SeCuRITy: Vulnerability in Southern Africa

  • 1. HIV, LIVeLIHooDS, FooD anD nuTRITIon SeCuRITy: FInDInGS FRoM ReneWaL ReSeaRCH (2007-2008) Brief 6 Experiencing Vulnerability in Southern Africa The Interaction of Multiple Stressors Marisa Casale, Scott Drimie, Stuart Gillespie, Suneetha Kadiyala, Paul Msoma, Tim Quinlan, and Gina Ziervogela Introduction • Caregivers that were grandparents were especially T he word “vulnerability” is often used by development concerned about what would happen to their grand- agencies and scientists when speaking about human children when they passed away and when the welfare in Southern Africa. It is known that increasing grandchildren grew up. Many were also worried that poverty, AIDS, and food insecurity are some of the threats there would not be anyone to “step in,” as they had, to that make households more “vulnerable” to different shocks look after their children’s well-being when they were no and stressors But what does vulnerability really mean for a longer around. household in peri-urban South African townships, a family • Stress and anxiety was one of the outcomes, as in Chikamba, a rural village in Malawi, or migrant workers in overburdened parents and grandparents struggled to Durban? And how can it be used effectively in development meet current household needs, feared for the future work? These are some of the key questions that have driven of their children, carried out (often physically difficult) this research. chores while ill, struggled with the bureaucracy of The aim of this study was to find out how parents are accessing government support, and (some) continued planning and acting to secure their children’s future. The to do income-generating work. intention was to paint a broad picture of people’s livelihoods to understand their perspectives and experiences, what is • Absence of biological parents, as a result of death (in affecting their families and welfare, which interventions they most cases) or migration to urban areas, was affecting are benefiting from, and how they are responding. family life. There were some cases of biological parents Fieldwork in 2006 and 2007 consisted primarily of not contributing to the households, because they were qualitative household-level comparative research on three unemployed or living elsewhere. This study focused field sites, namely: a rural site in Chikwawa district, Malawi, on households that have some resources; the aim was a peri-urban site in Amajuba District, South Africa and an to reveal some of the reasons why this segment of the urban site in Warwick Junction, Durban, South Africa. Purpo- population may be vulnerable to becoming more impov- sive sampling of 10 households on each site was undertaken, erished. Household resources or “capitals” included according to the following key sampling criteria: 10 parents • Human and social capital: In South Africa there is per site, of which 6 parents chronically ill and 4 parents not a significant emphasis on school enrolment and visibly ill; at least one child younger than 12 years in the education, as a result of good access to schools and household and at least 2 children present in the household; the importance parents place on education as the key where possible, participation in a previous research project to their children’s future. Most parents interviewed said that the study built on. The field research involved a series they could count on neighbors, fellow traders, or family of four semi-structured interviews per participant carried out members in times of need, although negative factors over a five month period (the fourth interview consisted in a were also reported. feedback module, whose purpose was in part to ‘test’ find- • Physical and natural capital: Land and homesteads ings with respondents). were the most important physical assets of most households. The majority of households in South Africa Results also had access to basic services and infrastructure, The key focus of this study was parental planning. In brief, such as electricity, running water, roads, clinics, and the research revealed that schools. Natural assets included the availability of land • Parents were concerned about the future of their and water for vegetable gardens, as well as access children but did not have the resources (mainly money) to wild plants and herbs that are used for traditional and opportunities to make concrete plans e.g. for remedies. tertiary education or training. • Financial capital: the most important sources of • Most parents did not believe their situation would household income were social grants (child grants and improve in the future—especially with regard to oppor- pensions), remittances from family members working tunities for wage employment. elsewhere, income from informal trading, and small a Marisa Casale and Tim Quinlan, University of KwaZulu-Natal/HEARD; Diana Chanika,The Institute for Policy Analysis and Social Empowerment; Scott Drimie, Stuart Gillespie, and Suneetha Kadiyala, International Food Policy Research Institute/RENEWAL; Paul Msoma,The Institute for Policy Analysis and Social Empowerment; Gina Ziervogel, University of Cape Town.
  • 2. income-generating activities. However, parents also • There was long-term planning with regard to some identified a number of challenges they had to deal with matters. In South Africa, some parents invested in on a daily basis, and threats they believed they would “insurance” against costs of a household death: most face in the future. The main challenge reported was families belonged to burial societies that cover part not having enough money to fulfil the family’s “basic” of the funeral costs; also, in some cases, households needs. Often the family’s situation was mainly a result were postponing the traditional feasts for the deceased. of the effects of past shocks, such as death and illness, • Families in all three sites invested in the construction and high unemployment among adult household of additional dwellings and/or improvement of existing members. Other challenges included dwellings, with the intention of leaving these to the • Harsh climatic conditions (e.g., drought, hail, and children. heavy rains); • Finally, in the South African case studies, many • Tensions between household members: In some cases, families ensured school attendance of children, even this played out as intergenerational tensions, such if this meant negotiating the payment of school fees as working young adult members refusing to support in instalments, since education was seen as the key the household; children refusing to take parents’ or to a better future for the children. This was in contrast grandparents’ advice on not engaging in risky sexual to Malawi, where education seemed to have lost its behaviour. “value” in terms of immediate needs and the lack of • AIDS: Participants said effects of the epidemic on their school-related opportunities in the future. local communities were great and a number of parents said it had directly affected their household. Stigma in Conclusion the communities was reportedly high, mainly as a result Findings from all three sites show that people are aware of lack of knowledge. of the threats to their welfare and of their limited options to • Other illnesses: For older grandparents, conditions sustain their families and livelihoods. It appears families are such as arthritis and high blood pressure were a hardly “coping” in that they are not able to improve their liv- concern, since they made it difficult for them to look ing conditions and are living with the constant threat of things after the children in their care. Parents also described getting worse. In some cases families were able to invest some of the ways in which they were coping, or trying into children’s education and houses. However, this study to cope, with these challenges: suggests that these investments are not enough to provide • Caregivers focused their attentions on immediate children with the means and skills to achieve a stable exis- needs and short-term “coping strategies.” These tence. This is worrying, because it points to the widening gap included borrowing food and money from relatives and between the rich and the poor in Southern Africa. neighbors, skipping meals, or reducing the quantity and/or variety of food consumed; InTeRnaTIonaL FooD PoLICy ReSeaRCH InSTITuTe • 2033 K Street NW • Washington, DC 20006-1002 USA T 1-202-862-5638 • Skype ID: ifprihomeoffice • F 1-202-467-4439 • E s.drimie@cgiar.org • www.ifpri.org/renewal about ReneWaL Facilitated by the International Food Policy Research Institute, RENEWAL is a regional “network-of-networks” in Sub-Saharan Africa. Currently active in five “hub” countries (Malawi, Uganda, Zambia, South Africa, and Kenya), RENEWAL comprises national networks of food and nutrition- relevant organizations (public, private, and nongovernmental) together with partners in AIDS and public health research. RENEWAL aims to enhance understanding of the worsening interactions between HIV, food security, and nutrition, and facilitate a comprehensive response to these interactions. RENEWAL is grateful for support, at present, from Irish Aid, the Swedish International Development Cooperation Agency (SIDA), the International Development Research Centre (IDRC, Canada), and the United States Agency for International Development (USAID). Note: This brief is based on a RENEWAL working paper containing preliminary material and research results. These papers have not been subject to formal external reviews managed by IFPRI’s Publications Review Committee, but have been reviewed by at least one internal or external researcher. They are circulated in order to stimulate discussion and critical comment. Copyright © 2008 International Food Policy Research Institute. All rights reserved. Sections of this material may be reproduced for personal and not-for-profit use without the express written permission of but with acknowledgment to IFPRI. To obtain permission to reprint, contact the Communications Division at ifpri-copyright@cgiar.org.