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Thesis Bedada Sustainable response to the impact of AIDS on food security in AIDS afflicted households of rural area: The case of Bereh DistrictDistrict,Ethiopia.,Ethiopia. Masters of Professional Thesis ByByBy Bethlehem Mamo Bedada A Research PProjectroject Submitted to Larenstein UUniversityniversity of AppliedApplied Sciences in Partial Fulfilment of the Requirements for the Degree of Master of Development, Specialization Rural Development and HIV/AIDS © Copyright Bethlehem Mamo Bedada, 2009. All rights reserved September 2009 Van Hall LarenestLarenesteineineinein The Netherlands PERMISSION TO USE As I present this research project, which is partial fulfillment of the requirement for Master’s Degree, I fully agree that Larenstein University Library makes freely available for inspection, I further agree that permission for copying of this research project in any form, in whole or in part for the purpose of academic study may be granted by Larenstein Director of Research. It is understood that any copying or publication or use of this research project or parts therefore for financial gain shall not be allowed without my written permission. It is also understood that recognition shall be given to me and to the University in any scholarly use, which may be made of any material in my research project. Requests for permission to copy or to make other use of material in this research project in whole or in part should be addressed to: Larenstein University of Professional Education P.O.Box 9001 6880 GB Velp The Netherlands Fax: 31 26 3615287 ii ACKNOWLEDGEMENT This study benefited from a host of contributions of various organisations and many persons who are acknowledged here. First and foremost I would like to extend my gratitude to Agri Service Ethiopia(ASE) for facilitating my further education for professional master program. I am indebted to Ato Getachew Worku, the executive Director of ASE, Ato Amanuel Assefa, the Director of ASE’s Training and Extension Department and Wt.Filagot Lemma, human resource and general service division head of ASE. My particular gratitude goes to the government of the Netherlands (NUFFIC) for giving me the opportunity to study in one of its famous University and for its financial support. I am sincerely grateful to my research advisor Dr. Robert Baars for his constructive and inspirational direction, who tirelessly coached and guided me professionally through the entire research project. Special thanks goes to Mrs. Koos Kingman, RDA course coordinator, Van Hall Larenstein for enabling me to have a better understanding of the dynamics of rural livelihoods, and HIV/AIDS which was invaluable to carry out my thesis. I am deeply indebted to Kleis Oenema ,Mrs. Loes Witteveen and Treja wilkins, for facilitating my study in Netherlands. My profound gratitude goes to Bereh district ASE program office, Bereh district Health office and Sendafa health center staffs,Bereh district agriculture office, Microfinance institutions and YeNoh Merkeb whose invaluable support and contribution was critical during my field work. Most importantly I wish to acknowledge the contributions of male and female people living with HIV for unreserved sharing of experience and knowledge during data collection. My heart-felt thanks goes to my father Ato Mamo Bedada, my mother Sr.Lishan Tegegn,my two sisters Seble and Metasebia and my brother Wondayehu Mamo who never relent their efforts to provide me with the material, moral and honourable support I needed to study in the Netherlands. In like manner, my blessing goes to all my friends and christian fellows in Ethiopia and Netherlands those who contributed in prayer or another way to the success my study in Netherlands, whose names I did not mention. Finally, above all I thank to my Lord and Savoir Jesus Christ for giving me health and grace during my study in the Netherlands. iii DEDICATION This research work is dedicated to People Living with HIV suffering by stigma and discrimination all over the world. iv TABLE OF CONTENT PERMISSION TO USE ................................................................................................................. II ACKNOWLEDGEMENT .............................................................................................................. III DEDICATION ............................................................................................................................... IV TABLE OF CONTENT .................................................................................................................. V LIST OF TABLES ....................................................................................................................... VII LIST OF FIGURES ..................................................................................................................... VII ACRONYMS .............................................................................................................................. VIII ABSTRACT ................................................................................................................................. IX I. INTRODUCTION ................................................................................................................... 1 1.1 BACKGROUND ....................................................................................................................... 1 1.2 PROBLEM .............................................................................................................................. 1 1.3 PROBLEM STATEMENT ........................................................................................................... 2 1.4 OBJECTIVE OF THE RESEARCH ................................................................................................ 2 1.5 RESEARCH QUESTIONS .......................................................................................................... 2 II. LITERATURE REVIEW ......................................................................................................... 4 2.1 HIV/AIDS GLOBAL , SUB SAHARA , ETHIOPIA , OROMIA , BEREH DISTRICT .................................... 4 2.2 FOOD SECURITY AND GENDER ................................................................................................ 4 2.3 AIDS, GENDER AND FOOD SECURITY ....................................................................................... 6 2.4 ANTI RETROVIRAL TREATMENT AND FOOD SECURITY ............................................................... 6 2.5 THE IMPACT OF AIDS ON FOOD SECURITY AND RESPONSES IN TERMS OF GENDER . .................... 6 2.6 MICROFINANCE INSTITUTIONS AND AIDS ................................................................................. 9 2.7 POLICIES AND PROGRAMS .................................................................................................... 11 III. METHODOLOGY ............................................................................................................. 13 3.1S TUDY AREA ........................................................................................................................ 13 3.1.1 Location and Administration division ........................................................................... 13 3.1.2 Population characteristics and land use ...................................................................... 13 3.1.3 Food security situation/means of livelihood ................................................................. 13 3.1.4 Health institutions ........................................................................................................ 14 3.2 RESEARCH DESIGN .............................................................................................................. 14 3.2.1 Selection of respondents for survey ............................................................................ 15 3.2.2 Identification of organization/Institutions for case study ............................................... 16 3.3 DATA COLLECTION ............................................................................................................... 16 3.3.1 The survey .................................................................................................................. 16 3.3.2 The case study ............................................................................................................ 16 3.4.DATA PROCESSING AND ANALYSIS ........................................................................................ 16 3.4.1 Quantitative data ......................................................................................................... 16 3.4.2 Qualitative data ........................................................................................................... 16 3.5 CHALLENGES AND LIMITATION .............................................................................................. 17 IV. RESULT AND DISCUSSION ........................................................................................... 18 4.1 BASIC INFORMATION ABOUT THE RESPONDENTS .................................................................... 18 4.2 THE EFFECT OF AIDS .......................................................................................................... 19 4.3 THE RESPONSE ................................................................................................................... 20 4.4 THE IMPACTS OF AIDS ........................................................................................................ 21 4.4.1 Male
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