title: Agroecology and sustainable food systems: Participatory research to improve food security among HIV-affected households in northern Malawi.
abstract: This article shares results from a long-term participatory agroecological research project in northern Malawi. Drawing upon a political ecology of health conceptual framework, the paper explores whether and how participatory agroecological farming can improve food security and nutrition among HIV-affected households. In-depth interviews were conducted with 27 farmers in HIV-affected households in the area near Ekwendeni Trading Centre in northern Malawi. The results show that participatory agroecological farming has a strong potential to meet the food, dietary, labour and income needs of HIV-affected households, whilst helping them to manage natural resources sustainably. As well, the findings reveal that place-based politics, especially gendered power imbalances, are imperative for understanding the human impacts of the HIV/AIDS epidemic. Overall, the study adds valuable insights into the literature on the human-environment dimensions of health. It demonstrates that the onset of disease can radically transform the social relations governing access to and control over resources (e.g., land, labour, and capital), and that these altered social relations in turn affect sustainable disease management. The conclusion highlights how the promotion of sustainable agroecology could help to partly address the socio-ecological challenges associated with HIV/AIDS.
authors.affiliation: The Integrative Agroecology Group, University of Toronto, Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada. Electronic address: hansonkojo@gmail.com.
authors.forename: Hanson
authors.initials: H
authors.lastname: Nyantakyi-Frimpong
authors.affiliation: Centre for Health Policy, University of the Witwatersrand, Johannesburg, South Africa.
authors.forename: Faith Nankasa
authors.initials: FN
authors.lastname: Mambulu
authors.affiliation: Department of Development Sociology, Cornell University, Ithaca, NY, United States.
authors.forename: Rachel
authors.initials: R
authors.lastname: Bezner Kerr
authors.affiliation: Department of Geography, The University of Western Ontario, London, Ontario, Canada.
authors.forename: Isaac
authors.initials: I
authors.lastname: Luginaah
authors.affiliation: Soils, Food and Healthy Communities Project, Ekwendeni Hospital, Malawi.
authors.forename: Esther
authors.initials: E
authors.lastname: Lupafya
mesh_terms: D000328:Adult; D000368:Aged; D000383:Agriculture / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D005523:Food Supply / Q000592:standards* / Q000706:statistics & numerical data; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D008295:Malawi / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D036301:Qualitative Research
keywords: Agroecology; Food security; Gender; HIV/AIDS; Malawi; Political ecology of health; Sustainable food systems