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HIV, VULNERABILITY AND MULTIPLE
           STRESSORS

          Prof. Tim Quinlan
             Research Director
                 HEARD
             10th Nov. 2010
   RENEWAL Regional workshop, Cape Town
SAVI Framework
                                                   Climate Variability
                  Spread of Infectious                                                                                  OTHER.
                                                   and Change          Trade Liberalization
                  Diseases




                                                                                   Competition




                                                                                                                           Privatization
                             Increased




                                                        Drought
                             morbidity




                                                                                   Import




                                                                                                                                           Unit of Analysis
                    Bio-Physical Conditions
                                                                                                     Technological conditions
Home-based care                                Contextual Environment
Health Services                                         Socio-economic conditions
                             Cultural conditions




                                                          Sale of Assets




                                                                                       Rural-Urban
                                                                                       Migration
                                    Food Aid



                                                       Outcomes
                                         Food Insecurity                      HIV infection

Exposure                                            Conflict               Mortality

Response

Intervention
Warwick Junction (SA) CFS Framework




                                                         Non-Infectious




                                                                                                                                                                                                                                           Competition
                                                                                                                                                                                                 consumer
                                                                                                                                                                                                 Changing
                           HIV/ AIDS




                                                                                                                                                                                                 patterns
                                                                                          Infectious
                                                                                                       diseases
                                                                          High morbidity diseases




                                                                                                                                                                                                                                                                                  migration
                                                                                                                                                                                                                                                                                  Labour
                                                                                                                                                                                                                                                            forced migrancy
                                                                                                                                                                                                                        trading income
                                                                                                                                                  Ltd employm’t




                                                                                                                                                                                                                                                            Urbanisation/
                                                                                                                                                                                                                        Variable/ low
                                                                                                                                                  opportunities
                                                                          and mortality




                                                                                                                                                                                  Climate var’
                                                                                                                             Corruption
                                                                                                       Crime
 Govt pensions and
 grants




                                                                                                                                                                                                                                                                                              Unit of Analysis
WJ Urban Renewal Project
                        Human capital
                                                                                                                                           Livelihoods                                                                                   Financial capital


  Govt health services
                                                             Natural capital                                                                              Social capital                                                          Physical capital




                                                                                                                                                                                                   sleeping in market
     Nutrition education


                                                                                                                  other employment




                                                                                                                                                                           Reduced dietary
                                                                                       Ensuring school




                                                                                                                                                          income sources




                                                                                                                                                                           skipping meals
                                       Borrowing money




                                                                                                                                                                                                                                          .Burial society
                                                         Savings and




                                                                                                                  Searching for




                                                                                                                                                                                                                                          membership.
                                                                                                                                                                           diverity and
                                                                                       attendance




                                                                                                                                                                                                   Commuting/
                                                                                                                                           Diversifying




                                                                                                                                                                                                                                                                    Planning to
                                                         stokvels




                                                                                                                                                                                                                                                                    relocate
                                                                                                                                              Outcomes
                                                                                                                       (of livelihood capitals and responses)
                                                                                      Food Insecurity                                                                                                Over burdened
                                                                                                                                                                                                     caregivers
                                                                                             Stress and anxiety
                                                                                                                                                                                                     HIV infection
     Exposure                                                                         Inability to plan                                   High school attendance
                                                                                      for the future                                                                                                 Mortality

     Response                                                                                                                                 Limited poss.
                                                                                                                                              to save or                                         Strained support
                                                                                   Absence of
                                                                                                                                              invest                                             networks
     Intervention
    Intervention                                                                   parents from h/h
Newcastle (SA) CFS Framework



                         HIV/ AIDS




                                                                          Infectious
                                                                                       diseases




                                                                                                                                                                                                                                                                  migration
                                                                                                                                                                                                                                                                  Labour
                                                           High morbidity




                                                                                                                                                        for horticulture




                                                                                                                                                                                          Social change
                                                                                                                                Ltd employm’t
                                                                                                                                opportunities
                                                           and mortality




                                                                                                                                                                                                                               Urbanisation
                                                                                                                                                        Climate var’
                                                                                                  Crime
 Govt pensions
 and grants




                                                                                                                                                                                                                                                                              Unit of Analysis
                     Human capital
School feeding schemes
                                                                                                                           Livelihoods                                                                      Financial capital


  Govt health services                              Natural capital                                                                  Social capital                                                       Physical capital




                                                                                                                           Migration of young
  Nutrition education




                                                                                                                                                Reduced dietary

                                                                                                                                                skipping meals
                                                                                                          income sources
                                                                             Ensure school
                              Borrowing food




                                                                                                                                                                                                                                              traditional feast
                                                                                                                                                                                                             .Burial society
                                                                                                                                                                           Building new




                                                                                                                                                                                                             membership.
                                                                                                                                                diverity and
                                                                             attendance


                                                                                                          Diversifying
                                               and money




                                                                                                                                                                                                                                              Deferral of
                                                                                                                                                                           dwelling.
                                                                                                                           adults
                                                                                                                             Outcomes
                                                                                                               (of livelihood capitals and responses)
                                                                                                                                                                                  Over burdened
                                                                           Food Insecurity
                                                                                                                                         Weakened family                          grandparents
                                                                                       Stress and anxiety                                responsibility
                                                                                                                                                                            HIV infection
  Exposure                                                                 Inability to plan
                                                                           for the future High school attendance                                                            Mortality

  Response                                                                                                                               Inability to
                                                                                                                                         save or                       Weakened support
                                                                      Absence of young
                                                                                                                                         invest                        networks
  Intervention
 Intervention                                                         adults

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HIV, VULNERABILITY AND MULTIPLE STRESSORS

  • 1. HIV, VULNERABILITY AND MULTIPLE STRESSORS Prof. Tim Quinlan Research Director HEARD 10th Nov. 2010 RENEWAL Regional workshop, Cape Town
  • 2. SAVI Framework Climate Variability Spread of Infectious OTHER. and Change Trade Liberalization Diseases Competition Privatization Increased Drought morbidity Import Unit of Analysis Bio-Physical Conditions Technological conditions Home-based care Contextual Environment Health Services Socio-economic conditions Cultural conditions Sale of Assets Rural-Urban Migration Food Aid Outcomes Food Insecurity HIV infection Exposure Conflict Mortality Response Intervention
  • 3. Warwick Junction (SA) CFS Framework Non-Infectious Competition consumer Changing HIV/ AIDS patterns Infectious diseases High morbidity diseases migration Labour forced migrancy trading income Ltd employm’t Urbanisation/ Variable/ low opportunities and mortality Climate var’ Corruption Crime Govt pensions and grants Unit of Analysis WJ Urban Renewal Project Human capital Livelihoods Financial capital Govt health services Natural capital Social capital Physical capital sleeping in market Nutrition education other employment Reduced dietary Ensuring school income sources skipping meals Borrowing money .Burial society Savings and Searching for membership. diverity and attendance Commuting/ Diversifying Planning to stokvels relocate Outcomes (of livelihood capitals and responses) Food Insecurity Over burdened caregivers Stress and anxiety HIV infection Exposure Inability to plan High school attendance for the future Mortality Response Limited poss. to save or Strained support Absence of invest networks Intervention Intervention parents from h/h
  • 4. Newcastle (SA) CFS Framework HIV/ AIDS Infectious diseases migration Labour High morbidity for horticulture Social change Ltd employm’t opportunities and mortality Urbanisation Climate var’ Crime Govt pensions and grants Unit of Analysis Human capital School feeding schemes Livelihoods Financial capital Govt health services Natural capital Social capital Physical capital Migration of young Nutrition education Reduced dietary skipping meals income sources Ensure school Borrowing food traditional feast .Burial society Building new membership. diverity and attendance Diversifying and money Deferral of dwelling. adults Outcomes (of livelihood capitals and responses) Over burdened Food Insecurity Weakened family grandparents Stress and anxiety responsibility HIV infection Exposure Inability to plan for the future High school attendance Mortality Response Inability to save or Weakened support Absence of young invest networks Intervention Intervention adults