This study on, ‘Facing HIV and AIDS: Understanding family support within a rural Kwazulu-Natal community’ aimed to explore how an HIV/AIDS diagnosis affects the family as a whole and to determine the role of the family as a primary support system. Although HIV and AIDS infects individuals, it also affects entire families. The researcher employed a qualitative research design to gain in-depth and rich data, and to hear the stories of all participants. The study is grounded in the systems theory and the risk and resilience theory framework. For purposes of clarity, much of the work was divided into the different levels of the systems theory. Risk and resilience aspects were identified in relation to the various themes. It was necessary to explore this topic, not only from the perspective of individuals living with HIV and AIDS, but also from the perspective of their family and community. Three sets of data were therefore utilised: interviews with individuals living with HIV and AIDS, interviews with family members of an individual living with HIV and AIDS, and a once-off focus group discussion to gain the perspective of community members. This helped to ensure sample and instrument triangulation. The type and amount of support that was offered affected the stigma experienced; and affected individual fears and goals, willingness to disclose and the utilisation of available services in the community. It was clear that receiving support reciprocally affected individuals, family and the community. The experience of not being supported resulted in aspects of risk – for example, being more vulnerable in the face of stigma and discrimination. The importance of family support was thus found to be vital in facing the HIV and AIDS journey with resilience. Recommendations are provided at micro, mezzo and macro levels. This study also hopes to assist service providers to provide the necessary services. / M.A. University of KwaZulu-Natal, Durban 2013.

This study set out to investigate the food insecurity coping strategies of sample households from the Embo community in the Umbumbulu district of KwaZulu-Natal. A total of 151 Ezemvelo Farmers' Organisation and 49 non-EFO members were interviewed in two rounds, beginning in October 2004 and March 2005. The total sample included 200 respondents from 176 households. A survey questionnaire was used to collect data on socio-economic characteristics, food consumption patterns and application of consumption coping strategies. The study used the Coping Strategy Index to establish the food security status of the households by calculating and comparing the Coping Strategy Index Scores of households. Households applied short-term food consumption coping strategies to cope with food shortages and resorted to short-term income coping strategies when they experienced income shocks. Coping strategies employed by households were effective in mitigating food insecurity. Most strategies applied by most households were not detrimental to livelihoods and did not compromise future household food security. Food insecurity increased the frequency and severity of application of coping strategies employed by households. Households ate less preferred foods, skipped days without eating and ate wild foods. These coping strategies were particularly dangerous to households as proper nutrition is critical for ensuring healthy and productive lives. Food security interventions need to support beneficial coping strategies currently employed by households. Relevant stakeholder like the Departments of Health and Social Development need to target nutritional interventions through workshops and training with vulnerable households. Supporting protective coping mechanisms entails protecting entitlements to land, water resources and productive and non-productive assets. Agricultural production improved the incomes and food consumption of the sampled households. Sustainable agricultural production should be promoted and sustained at household level. The Ministry of Agriculture and local development agencies should assist the community by providing production inputs, for example, provision of vegetable seeds, mechanisation, infrastructure and information on improved production techniques to encourage greater productivity and wider engagement in agriculture. Home gardens could make iii valuable contributions to family food supply and income. The Ministry of Agriculture and local development agencies should give more advice through extension and training services, providing support through negotiation of contracts with suppliers. While agriculture may play a major role in the reduction of food insecurity, attention should also be given to the promotion of non-farming activities, particularly those that can reduce food insecurity. The community and households should actively engage in the design and implementation of policies government policies and strategies for farm and non-farm interventions. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2008.

The impact of morbidity and mortality on women’s coping strategies has not been explored or documented in South Africa. Therefore, the main objective of this study was to investigate the influence of morbidity and mortality on coping strategies among 10 community vegetable garden clubs representing 79 households in the Maphephetheni uplands, rural KwaZulu-Natal. An innovative mix of qualitative and quantitative methodologies was used to determine the impacts of morbidity and mortality on women’s coping strategies. Qualitative research methodologies included group sustainable livelihoods analyses. Quantitative methodologies included three annual household surveys conducted between 2003 and 2005. The coping strategy index was also used to determine the levels of food insecurity and understand how morbidity and mortality compromised the coping ability of participating households. The coping strategy index has not been previously used in assessing the impact of morbidity and mortality on coping strategies. Chi-Square tests, Pearson correlation, paired-sample t-tests, and frequency and descriptive statistics were applied to analyse data. The study found that the key contribution of women in community gardening and non-farm activities was compromised by the burden of morbidity and mortality that had negative effects on women’s coping strategies. Findings indicated that the frequency of illness among garden club and household members increased between 2003 (21.2% of household members) and 2004 (25%). Similarly, more households (42% of the sample households) experienced a death in 2004 compared to 7.6 percent of households in 2003. As a result, costs associated with health care and funerals were significantly (P = 0.01) lower in 2003 than in 2004. Most garden club and household members relied on subsidised medication to treat illness. Number of households dependent on subsidised medication dropped from 86 percent of households in 2003 to 66.7 percent in 2004. In 2004, households reported purchasing medication in addition to subsidised medication. Caring for the sick and contributions to household chores were significantly (P = 0.01) correlated in 2003 and 2004. This means that increased caring for sick members resulted in increased workloads for women. Caring for the sick and engagement in community garden activities were significantly (P = 0.01) correlated in both 2003 and 2004, suggesting that caring for the sick reduced participation in community gardens. Analysis showed that reduced labour supply due to increased incidences of sickness and deaths, increased health care and funeral costs, reduced household income and increased care-giving minimised women’s ability to cope with adverse situations. Women used erosive coping strategies such as borrowing money, selling assets, limiting portion sizes at meal times and relying on less preferred and less expensive foods to cushion the effects of morbidity and mortality. Application of erosive coping strategies minimises household resilience to future shocks and stresses. Findings showed that farm and non-farm livelihood activities were critical components of rural livelihoods in Maphephetheni because sample households depended on community gardens, home gardens and small-scale non-farm enterprises for food and income to cushion the negative effects of morbidity and mortality. Community gardening contributed less to total monthly household income (4% of total monthly household income) than wages (41%), social grants (40.9%), home gardens (7%), small-scale enterprises (4.2%) and remittances (2.9%). Even though low, the contribution of community gardens to food security cannot be ignored considering the number of households (about 32% of sample households) that depended upon subsistence agriculture for food. Further analysis indicated that community gardens were themselves a coping strategy in the face of morbidity and mortality. Community gardens provided a risk aversion strategy and minimised risk by providing food resources and social and moral support for households facing hardship. Strategies to enhance household asset bases and promote more productive farm and non-farm activities are needed to improve resilience against the effects of morbidity and mortality. Government and non-governmental organisations need to establish a multi-purpose centre where women can learn agricultural and entrepreneurial skills to help households cope more effectively with shocks and stresses. However, such strategies should ensure that tasks allocated to various activities such as community gardening, non-farm activities and household chores such as fuel and water collection should be distributed equally across household members so that women do not carry excessive workloads since increased workloads reduce women’s ability to respond to livelihood insecurity shocks and stresses. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2007.

Measurement of household food insecurity is needed to identify the magnitude of food insecurity and assess the impact of development interventions. However, there is no commonly agreed measure of household food insecurity. While researchers continually experiment with new measures, the resultant measures are often complex and include numerous variables that still do not distinguish clearly between the food secure and the food insecure. This study set out to prepare a quick and convenient tool to measure household food security, using common household demographic and socio-economic variables commonly collected through a variety of household surveys. This has minimised data collection costs and assisted national food security units to continually measure and monitor household food insecurity. Food insecurity levels were estimated using data from a baseline survey conducted in a community in KwaZulu-Natal, South Africa. Food security was estimated using a number of measures, including food quantity (adequacy), dietary diversity, dietary quality, coping strategies employed and the Coping Strategies Index. The study found that household food availability varied across the two seasons over which data were collected. Only the percentile of sample households with adequate food intakes (one third of the samples) consumed enough food during the lean period when agricultural production was low. Households with inadequate food intakes also had consumed insufficient energy and lower micronutrient intakes during the period when agricultural produce was more abundant. Energy, iron and protein consumption was positively related to the consumption of adequate food. Energy intake was a relatively good indicator of protein and micronutrient intakes during the leaner period. Consumption of foods from three food groups, namely cereals, legumes and vegetables and fruits were necessary for adequate food intake. Cereals were the most important foods, forming the base of most meals, while fats and animal sourced foods were not widely consumed. Diversifying consumption through fruits and vegetables contributed significantly and positively to improved household food intakes. Household dietary diversity and dietary quality improved during the period of plenty. The application of coping strategies was strongly related to household food intake and diversity. Engaging in more coping strategies and having resultant higher Coping Strategy Index scores was strongly associated with household food inadequacy intakes and low food diversity scores. As expected, sampled households employed more coping strategies during the lean season. The strong and significant relationships between the Coping Strategies Index scores, the number of coping strategies practised by households and the household food intake indices (the Household Food Intake Index and Nutrient Adequacy Ratios) show that food intake is a strong indicator for household food security. The Household Food Insecurity Index and the Household Food Insecurity Scale were developed using 13 potential household demographic and socio-economic variables to identify the food-insecure households. The results of these two new measures were correlated with the results of the common measures reported above and found to be useful determinants of food security. The study found that while the Household Food Insecurity Index explained the influence of demographic and socio-economic variables in household food insecurity, the Household Food Insecurity Scale is more convenient in application (easy data management and computation process), and it is strongly related to the Coping Strategies Index scores. Both the Household Food Insecurity Scale and the Household Food Insecurity Index were useful tools to measure household food security and differentiate between food security and food insecure households in Embo Community. More research is recommended to further test the usefulness of the proposed measures in various settings. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2010.

The role of traditional foods in reducing hunger and malnutrition is not well documented in South Africa. The aim of this study was to investigate the distribution, popularity and nutritional value of traditional foods in KwaZulu-Natal through evaluation of recipes submitted for a traditional foods recipe competition. Traditional recipes are characterised by indigenous or local ingredients passed from one person to another over many generations, with little or no change in form. Modern recipes include those which use processed ingredients. Modified recipes include those which use processed ingredients. Modified recipes include a mixture of traditional and modern ingredients. The differences between the ingredients of traditional, modern and modified recipes were investigated to determine how modifying and modernising traditional foods changed their nutritional quality. Using competition entries from a traditional recipe competition from all 11 districts of KwaZulu-Natal, the nutritional value of 1200 recipes was analysed using published Food Composition Tables. The 10 most commonly submitted recipes were identified. The majority of recipes came from the more rural districts of KwaZulu-Natal. The largest number of recipes submitted were traditional (68% of entries) followed, respectively, by modified (24%) and modern (8 %) recipes. Adult females submitted more recipes than female youths, male youths and adult males. In general, modified foods had higher nutrient contents than traditional and modern foods. There was a negative correlation between food popularity and nutrient content suggesting that popular foods were not necessarily the most nutritious. It was concluded that the people of KwaZulu-Natal simultaneously use traditional, modified and modern recipes, but that there is a shift towards food modification through use of non-indigenous crops and modern ingredients. Further investigations into the relationship between food choice and the effect of modification on food quality attributes, including sensory and storage quality, are recommended. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2009.