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From: PlusNews <[email protected]>
Date: Tue, Aug 23, 2011 at 4:47 PM
Subject: KENYA: Weak HIV-positive people struggle to access food aid
To: Jean-Francois Darcq <[email protected]>


KENYA: Weak HIV-positive people struggle to access food aid

NAIROBI, 23 August 2011 (PLUSNEWS) - Every morning, Julia Aukot walks
17km to eastern Kenya's Isiolo town in search of work so she can feed
her six children and ailing husband; the journey is punishing, but as
her family's sole breadwinner, she has no choice.

 "Here in the village, there is [absolutely] nothing you can do to
make money to buy food. So every morning at six, I go to Isiolo town
to do menial jobs for people and... buy food for my children and my
husband," the 39-year-old told IRIN/PlusNews.

 When she cannot find work, Aukot begs on Isiolo's streets - which she
finds deeply humiliating - or visits a nearby slaughter house to
scrape what little meat is left on the carcasses.

 "After they have taken the good meat from the slaughtered animals, I
follow them with a knife and cut meat from the remaining skins," she
added. "When I gather enough, I take it home and we eat; my children
and husband have now gotten used to eating the meat without any ugali
[maize meal, a Kenyan staple]. I can't afford maize flour."

 A 90kg bag of maize, which in April 2011 cost about KSh2,500
(US$27.10), now costs as much as KSh4,800 ($52).

 Aukot's husband used to help out, but the poor diet the family has
subsisted on recently has left him very weak. He is on antiretroviral
medication, and insufficient food increases the side-effects [
http://www.plosone.org/article/info:doi%2F10.1371%2Fjournal.pone.0010340
] of the drugs, leaving him unable to contribute to the family income.

 "He is sick, it's not his fault; if he doesn't eat, the medicine
can't help him," said Aukot. "I can't sit back and watch him just
waste away... he is so weak - for me, there is no difference between
him and the children."

 Partly because of a prolonged dry spell, some 3.6 million Kenyans
need emergency food assistance. While Aukot and her family qualify for
aid, poor roads mean the food does not reach her village. Most
villagers walk to Isiolo town to access food aid, but the weakest
often do not have the energy to walk that far.

 "We have food meant for the hungry people but some areas are just too
hard to reach," an aid worker in Isiolo told IRIN/PlusNews. "By the
time the food [aid] gets to them, many have already gone without
anything to eat for days."

 Lillian Naseo, a community social worker in Isiolo, asks local
well-wishers to donate food, which she then shares with people living
with HIV and those infected with tuberculosis.

 Too weak to walk

 "They can't walk to look for food, not just for themselves but also
their families, so I beg for them... I walk into restaurants and when
they give me leftovers, I take them to these people," she said. "But
this is not enough because I don't know all those living with HIV in
Isiolo District."

 According to local health officials, Isiolo's HIV prevalence rate is
more than 4 percent.

 Junnius Mutegi, the district nutrition officer for Garba Tulla
District, in upper Eastern Kenya, says: "Life is hard for everybody,
but when food aid is not getting to people in the rural areas early
enough, many of those suffering from HIV find it extremely difficult
to survive, because they can't make the journeys to trading centres to
look for food. It is either you get it to them or they die of hunger."

 On a dusty street corner in Garba Tulla, Hawa*, 41 and HIV-positive,
begs passers-by for money and food. She is too weak to work and
without a strong support network, she says her options are to beg or
die.

 "I need to eat but I can't work and I rely on relief food, but it
doesn't come every day, so I moved to town to beg," she told
IRIN/PlusNews. "In the village you can't beg, because everybody is
just like me... they need food just like me."

 According to Mutegi, the situation calls for new ways to ensure the
most vulnerable have access to food assistance.

 "I think the situation now calls for some innovativeness, so that
even if the roads are bad, we can use camels or donkeys to ensure food
reaches those who need it in good time," he said. "People living with
HIV and taking antiretrovirals seriously need food... Otherwise we are
faced with a situation where people will start to default on their
drugs, and it is bad if we get there."

 *not her real name

 ko/kr/am/mw

[END]

This report online: http://www.plusnews.org/report.aspx?reportID=93569



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