1. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity March 6, 2013 Washington, DC Linking Supply & Demand: The LIFT Approach

2. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity LIFT OBJECTIVES 1.Provide technical assistance and strategic support to USG agencies and their implementing partners 2.Build an evidence base demonstrating health and nutrition outcomes of linking economic strengthening, livelihoods and food security (ES/L/FS) interventions and NACS 3.Improve access of NACS clients to ES/L/FS services through referrals by facilitating clinical to community linkages

3. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity OBJECTIVES: Improve nutritional status Improve infant survival Reduce food insecurity Strengthen health systems GOAL: Improved health and quality of life Nutrition Assessment Counseling and Support (NACS) NACS: A platform for integrating nutrition into the continuum of care Nutrition care & support Health system strengthening HIV-free survival Economic strengthening, livelihoods & food security

4. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity LOW HOUSEHOLD LIVELIHOOD & FOOD SECURITY HIGH Promotion Asset, income and consumption growth HIGH HOUSEHOLD VULNERABILITY LOW Provision Asset recovery Consumption support Protection Asset protection Income and consumption stabilization

5. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity Target: Destitute Distressed HH Objective: Recover Assets and Stabilize HH consumption Food Transfers Cash Transfers Asset Transfers Labor Schemes Provision Asset recovery Consumption support

6. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity PROVISION: PRACTICAL EXAMPLES Cash Transfers in Rural Malawi: The Zomba study randomly enrolled 3,796 adolescent girls and young women between the ages of 13 and 22. The study, found that cash transferred to girls and their families, on condition that the girls stayed in school, successfully reduced HIV infection rates. © World Bank

7. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity Target: Vulnerable HH trying to make ends meet Objective: Build lasting self-insurance methods and protect key assets; smooth HH consumption and cash flow Financial safety nets (savings, microinsurance) Social safety nets (social capital, supporting institutions) Financial literacy Extending legal services (protecting assets and inheritances) PROTECTION Asset protection Income and consumption stabilization

8. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity PROTECTION: PRACTICAL EXAMPLES Savings Groups in Burundi: Providing social messaging through savings groups was found to improve financial decision making authority for women, reduce exposure to violence, reduce acceptance of violence, and increase consumption of household goods relative to luxury goods. © SAWSO

9. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity Linkages to formal credit and savings Enterprise development / value chain development Workforce development (vocational and skills training) Target: HH that are ready to grow & want to assume risk Objective: Smooth HH income and promote asset growth; Expand HH income and consumption. Promotion Asset, income and consumption growth

10. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity PROMOTION: PRACTICAL EXAMPLES Malawi Value Chain for Milk Development Alliance: Supported 2,600 farmers from 23 sustainable milk bulking centers to purchase milk and access technical services and inputs. Families improved family nutrition via more dairy consumption. On average, they increased income by $1,500 a year.

11. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity WHY FOCUS ON LIVELIHOODS STRENGTHENING AND FOOD SECURITY? LIFT addresses gender inequalities by empowering men and women to make better decisions about how to increase income, improve use of household resources, and allocate food more equitably and according to nutrition needs LIFT also focuses activities to improve the situation of women and children when inequalities persist HIV/AIDS leaves many families vulnerable. LIFT can help to mitigate the effects of the epidemic by: –Ensuring access to microfinance and micro-credit –Providing vocational and skills training –Diversifying income generating activities –Protecting inheritance rights Empowered women are less vulnerable to the socioeconomic impact of HIV because they are able to: –Maintain stable income and assets –Avoid high-risk behaviors –Ensure optimum health and nutrition for themselves and their children

12. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity LIFT MODEL FOR LINKING NACS with ES

13. Harnessing the Power of Cross-sectoral Programming to Alleviate HIV/AIDS and Food Insecurity QUESTIONS? CONTACT US! Jacqueline Bass Technical Director Email: jbass@fhi360.org Tel: 202-884-8513 www.theliftproject.org