African Journal" of Biomedical Research for research in health and biological sciences Contents REVIEW ARTICLE . Essential Hypertension: Another Look at Possible Aetiology and Treatment . MI. Ebomoyi and VI. jyawe :..1 FULL LENGTH RESEARCH ARTICLES Determinants of Food Security Status of Rural Households Living With HIV /AIDS in Southwestern Nigeria Adenegan, K.O and Adewusi OA 9 Trichomoniasis in Special Treatment Clinic Patients in Ibadan, Nigeria '"OA.Akinloye, D.O Ogbolu, F.0 Kolade and OA. Terry Alii .19 Incidence of Syphilis in Prostate Specific Antigen Samples of Patients Attending 'Cancer Screening Unit in Nigeria Ogbolu D. Olusoga, Adedapo K.S, Okafor PNi and Daini OA 27 ,~,(~ Pea~Expiratory Flow Rateand Respiratory Symptoms Following: Chronic Domestic Wood Smoke Exposure in Women in Edo, Nigeria ' Ibhazehiebo.K, Dimkpa. U, Uche. OK, Iyawe. VI.. 33. Management of Low Back Pain: -Attitudes and Treatment Preferences of Physiotherapists in Nigeria Ayanniyi O! Lasisi 0 T,Adegoke B.OA, Oni-Orisan MO .41 , . Antagonistic Effect of Vitamin E on the Efficacy of Artesunate against Plasmodium berghei Infection in Mice O. Awodele, P M Emeka, A. Akintonwa, 0 0 Aina 51 Interaction and Enhancement of the Toxic Effects of Sodium Arsenite and Lead Acetate in Wistar Rats Oyeronke A. Odunola; Kazeem A. Akinwumi,. Babatunde Ogunbiyi and Oladimeji Tugbobo .' .; 59 . ,;~ ............................. see back cover for more , Biomedical Communications Group, IbadanrNigeria UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research, Vol. 10 (2007); 9 -18 ISSN 1119 - 5096 © Ibadan Biomedical Communications Group • Full length Research Article Determinants. of Food Security Status. of Rural Households Living With . HIV/AIDS in Southwestern Nigeria Full-text available at .!f}£_!f,gi9.!J!..L<;"Q!!"! }Y2f}£J?jgli!J?:_9.1!!!1d. Adenegan, K.O. and Adewusi O.A. www.ajol.com Department of Agricu.ltu.ral Economics, University of Ibadan, Nigeria .. ABSTRACT The study assessed the determinants of food security status of households living with HfV /AIDS in Southwestern Nigeria. Eighty-five people living with mY/AIDS were interviewed for the study, Descriptive statistics, cost of calorie measure and the Logitmodel were used in analyzing the data collected. The result Received: shows that there is high prevalence of food insecurity among the October, 2006 househol ds living with HfV /AIDS. The result ofthe Logi t model Accepted (Revised): December, 2006 also shows that gender, education, monthly food intake (Kcal), Published total monthly income, drug share and food share significantly January, 2006 influertce the food security status of the households living with mY/AIDS. To improve the food security status of households living with mY/AIDS, it is recommended that economic policy should be directed towards the reduction of the food prices, thus reducing the food share of the household monthly expenditure (Afr. J. Biomed. Res. ]'0: 9 -18, January 2007) • Keywords: Food security, Rural household, Hfl7/AIDS, Southwestern Nigeria • *Addressfor Correspondence: (e-mail):bllmkem@vahoo.com Abstracted by: African Index Medicus (WHO), CAB Abstracts, Global Health Abstracts, Asian Science Index, Index Veterinarius, s UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (Vol. 10) / Adenegan and Adewusi INTRODUCTION over 20 million people in Sub-Saharan Africa (SSA), where the majority of the people live in Food is rated as the most. basic of all human rural areas and more than 80% are dependent on needs (Koontz et at; 1983). Man needs food for agriculture for their livelihood .. Also, most rural life's sustenance, prevention of sickness and in areas in SSA are 'typified by their poor access to providing energy for the normal psychological health and education services, and limited use of activities of the body including the normal state agricultural inputs. HIV/AIDS represents a of mind. Hence, the need for food security severe burden on SSA countries' ancP it is becomes pertinent as it eventually affects a compounding poverty in the continent. While by nation's productivity and growth. Food security the end of 2004 over 2.3 million Africans had requires access to food both in tenus of died of the disease, 25.4 million people were availability which is described by the ability of living with the HIV virus. Among those living the people to get food and for the people to buy with the virus, more than half (13.3 million) were the food. The bulk of food consumed in Nigeria women (UNAIDS, 2004). is produced by small scale farmers whose small The first case of HIV /AIDS in Nigeria was contributions are aggregated to meetthe demand reported in 1986. In 1991, the Federal Ministry' for food in the country, hence ensuring food of Health conducted the first sentinel sero- security. Any medical problem which affects the prevalence survey in Nigeria. In Nigeria, health of these small scale farmers will affect however, HIV prevalence rate is lower than that their productivity. HIV/AIDS is one of such in some other African countries, but the absolute medical problems, 'but it also has social and number of people affected may be larger in some economic dirnensions. Its impact can affect cases. The 1991 sentinel survey showed that labour and potential income of the victims and Nigeria, with a population of over 120 million their families, which results in neglect or had a national average seroprevalence of These reduction in productive activities. Acquired surveys show a rise in HIV infection in Nigeria: Immunodeficiency Syndrome (AIDS) is a from 1.8 percent in 1991 t~ 3.8 percent in 1995, condition of illness caused by a virus known as to 5.4 percent in 1999, and 5.8 percent in 2001. human immunodeficiency virus (HIV). The These figures indicate that about 3.5 million devastating nature of this disease in the world Nigerians between the ages of 15 and 49 years today is unquestionable. No part of the world and are infected with HIV (NPC,2000; National no section of the population haye been left AIDS/STD Control ProgrammelFMOH, 2001). untouched. Not only individuals and families but Thus, HIV /AIDS normally hits the most sexually also the whole social environment itself is in active part and most economic active segment of danger. the population, which includes farmers, and the Of the 2.9 million HIV-related deaths in skilled and trained labour force. The most recent 2003, 2.2 million were from sub-Saharan Africa National HIV /syphilis sentinel seroprevalence (UNAIDS, 2004). Alarmingly, the sub-Saharan survey was in 2004 and it estimated that there African region contains only 10 percent of the o were 3,300,000 adults living with HIV/AIDS in world's population, but accounts for 60 percent Nigeria, 1,900,000 (57percent) of these are of the worldwide HIV/AIDS cases (25 million women. In this survey, the national prevalence HIV /AIDS cases out of a worldwide total of 39 rate had fallen to 5 percent from 5.8 percent in million) (UNAIDS Africa Fact Sheet, 2004). 200 1(Adeyeye, 2005). . Thus, Sub-Sahara Africa where an estimated 26.6 Insecure livelihood is one of the means to million people are living with HIV and increase the vulnerability to risky behaviours and approximately 3:2 million new infections HIV infection through immoral actions. People occurred in 2003 -is the region of the world that engage in high-risk survival strategies that is most affected by AIDS (CTA, 2004). The increase their chances of contacting or spreading HIV/AIDS pandemic has claimed the lives of . HIV and other sexually transmitted infections. 10 HIVIAIDS·andjood security in rural Nigeria UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (Vol. 10) / Adenegan and Adewusi Such strategies may be the only means offeeding and the nation ~ a whole. The issue of food one's family during desperate times of food security and HIV /AIDS is perceived to be insecurity like lean periods, drought, economic inseparable. Indeed, food security can be seen as decline or war. During these periods of food one more way to prevent the spread of AIDS, and insecurity, male family members migrate in reduce its impact (WFP, 2003). HIV/AIDS search of work and are separated from their mortality also affects food security by reducing wives and families for long periods of time. This household's ability to produce and buy food by increases the chances that they will take on depleting assets; reducing agricultural multiple casual sex partners. The fact that productivity by affecting labour availability, thus families often split up while flee insecurity can forcing households to remove labour from also easily contribute to the spread of HIV•. agricultural production to care for the HIV (WFP,2003). . affected members of the family. Increased adult mortality leaves large This is also linked up with the economic number of surviving family members with lower situation of the household. Since HIV /AIDS is a incomes, worsened health and reduced prospects medical problem, which has social and economic for the future. Also, women are important actors dimensions and is becoming a particularly big in relation to food security and development and problem in rural Africa, Nigeria inclusive, it is their role is very critical for food security; in pertinent to look into the effects of the disease on Nigeria. They are the primary agricultural the food security of rural households. This study producers they prepare food and take care of the therefore seeks to determine the food security family. According to Meludu et al (1999), profile of the HIV / AIDS households and women produce between 60-80 percent of food ide~tify the determinants of food security. in Nigeria. Their high vulnerability to HIV / AIDS poses a big problem for the future of Conceptual Framework agriculture. As the HIV/AIDS pandemic has Food security is defined as physical and evolved, it has become apparent that the economic access to sufficient, safe and nutritious increasing contact between rural and urban areas foods which meet the individual's dietary needs through trade, migration and improved and food preferences for an active and healthy transportation networks have made HIV spread life. There are three key dimensions to household fast to rural areas and this in turn has affected the food security; food availability, food access, and, labour intensive sectors such as agriculture. utilization of food by the body (Kennedy, 2003). For poor households, HIV /AIDS represents Food security in general is a concept that one more often massive and temporary shock integrates a number of important issues the that can seriously affect their ability to sustain magnitude of which range from microeconomics their livelihoods and remain food secure. As to macroeconomics. The World Bank impoverished families try to cope with (1986) however defined household as a group of HIV/AIDS morbidity and mortality, they become individuals living under the same roof and eating incrementally poorer after reducing their meager from the same pot or source of provision of food. assets, sometimes to a crisis point that threatens For house'holds to achieve food security, they to dissolve the" family unit. Faced' with must have the me~ns to produce or purchase the significantly reduced income, fewer people food they need to ensure that the dietary available to work and an unrelenting need for requirements of all family members are met. • food and medicine, family members may be • The inter-relationship between HIV /AIDS forced to adopt high-risk behaviours (such as and food security is very strong. HIV/AIDS trading sex for foodrjust to survive. Poor people reduces food availability through falling who are affected by HIV /AIDS need both production, loss of family labour, land and other treatment and food. And this ultimately affects resources; loss of livestock assets and the food, security of households, communities implements. It also reduces food access through HIVIAIDS andfood security in rural Nigeria 11 UNIVERSITY OF IBADAN LIBRARY .. African Journal of Biomedical Research 2007 (Vol. 10) / Adenegan and Adewusi .declining income for food purchases. In addition the country. The socio-economic deterioration HIV/AIDS reduces the stability and quality of will eventually lead to a decrease in the labo'ur food supplies through shifts to Jess labour force, worker productivity, total outputs and intensive production (Loewenson and Whiteside, . overall economic growth which would lead to a 2001). decline in national food' supplies and a rise in Impact ofHIV /AIDS on households can also food prices. The epidemic has a major impact on be analysed from a livelihood perspective, development because it undermines three of the looking at access to resources of households main determinants of economic growth: physical, especially farmers. In terms of human capital, human and social capital. HIV /AIDS leads to loss oflabour of the infected Many. agricultural and rural development person, but eventually time allocation of his or institutions can no longer achieve their planned her caretakers and those attending funerals will programme output. Without the necessarY be shifted away from productive labour. Human institutional support services, the agricultural and capital is not only about manual labour but-also rural development sectors are failing to realize about knowledge and skills. Illness and death of the forecasted growth rates and planned parents prevent the transfer of knowledge to their production targets (FAO, 2005). The impact of children on land preparation, crop cultivation, HIV/AIDS on crop production relates to a cultural beliefs and traditions. reduction in land use, a decline in crop yields and In terms 'of financial capital, direct expenses for a decline in the range of crops grown. The the infected individual concern medical and reduction in land use is incurred as a result of funeral expenses. Loss of income of infected sickness and death in households, leading to person may also have serious consequences. fewer family members available to work in the More indirectly, access to credit or savings fields and thus reduction in the size of the land becomes difficult as affected households become that can be cultivated. This ultimately results in less credit worthy (Bechu et al, 1997) .. poverty, which results in malnutrition, and f.;hich In terms of social capital, the generation of in turn affects the health of family member and orphans constituted an important loss of social their ability to perform agricultural work, and capital without access to formal or informal which leads to reduced cash incomes needed to training, or access to resources. Hence, their purchase inputs such as seed and fertilizer. 'opportunities to build up a 'safe and adequate :.The impact of HIV/AIDS on livestock livelihood are minimized. Social networks often production has been felt in so many ways. Cattle provide safety nets for those having problems. are frequently sold to pay medical bills and Yet the stigma attached to HIV/AIDS may lead funeral expenses and decrease in labour to exclusion from social networks for those availability result in lower levels of care for needing' support. Feared stigma may prevent livestock. mY/AIDS can manifest itself in people to acknowledge their status. Furthermore, various ways. It may result in labour shortages, poor families have less access to social networks forcing farm households to shift from cash to as these are built upon the concept of mutual subsistence crops when food security is being assistance (S~ah et al, 2002). threatened. . In terms of physical and natural capital, .Moreover, in rural Nigeria, where farming is HIV /AIDS leads to the neglect of infrastructure. predominant, youths and adults in their most Lack of labour leads to. reduced soil fertility productive age groups are the most vulnerable maintenance because most of these activities are and at highest risk to AIDS, The high death rate labour intensive. The reduction in capital will among young adults (20 to 40 years of age) is lead to insecurity of livelihoods and thus food depleting human capital and the skill base insecurity. The negative impact ofHIV /AIDS on necessary for social development and economic nutrition and food security expands from the growth. The high replacement cost of workers household to the community to different parts of .and rising labour costs caused by diminished 12 HIVIAIDS and food security in rural Nigeria • UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (Vol. 10) I Adenegan and Adewusi productivity, sick leave, and absenteeism The causes of their movement being employment discourage investments, and hence reduction of seeking in other African countries like Ghana, farm labour results which will force farmers to Togo, Republic of Benin and most especially switch from large scale commercial farming to Cote d'ivoire. subsistence agriculture. As a result, the high rate at which this group is being infected is currently Sampling procedure a matter of concern to the governments at all The study used primary data collected with the levels since these youths constitute virtually 75 use of structured questionnaires. The target percent of the Nigerian labour force (Oke, 2000; populations were men and women who had USAID, 2000). tested positive to HIV/AIDS"and were receiving The rural sector is also not unaffected in aids and antiretroviral drugs at the Baptist several other ways because the households Hospital, Ejigbo. One hundred questionnaires sometimes sell their production assets in order to were administered, out of which only eight-four pay for medical bills and take care of infected were properly completed and returned. Data were member(s). This, no doubt wiil reduce collected on household head age, sex, marital productivity, diversification of sources of income status, family size, primary occupation, and outputs, food security, nutritional status, and household health information, household income, sustainability of resources (CTA, 2004). household expenditure, and household food consumption and household coping strategies OBJECTIVES OF THE STUDY against food insecurity. The main thrust of the study is to identify the • determinants of food security status of rural Methods of Data Analysis households living with HIV / AIDS in Analysis was carried out using descriptive southwestern Nigeria. The specific objectives are statistics, Greer and Thorbecke food security to: measure and the Logit model. The food security i) Determine the food security profile of the for the households was measured from the food households living with HIV/AIDS. insecurity line which was constructed with a ii) Identify the factors influencing food security regression model using the cost of calorie of rural household living with HIV/AIDS. method proposed by Greer and Thorbecke (1986). METHODOLOGY The cost of calorie function of these forms were estimated The Study Area LnX = a+~C (i) The study area is the southwestern Nigeria. The Where X == food expenditure technical report of the National HIV sero- C = calorie consumption prevalence sentinel survey FMOH, Abuja (2003), The calorie content of the recommended daily records the prevalence in such peri -urban areas nutrient level as Ejigbo, Saki and Eruwa in the southwestern (L = 2250Kcal) was used to derive the food parts of Nigeria. Ejigbo has the highest insecurity line Z. prevalence and is therefore chosen as the case Z = e(a+llL) (ii) study for this research. People below this line are classified as food Ejigbo is a peri-urban center with rural suburbs msecure. located on latitude 7.95 degrees north of the equator and longitude 4.40 degrees west of the Calorie consumption per adult equivalent of Greenwich meridian in South Western Nigeria. households were estimated following Oguntona Emigration is a prominent feature of Ejigbo and Akinyele, (1995)' s table of the nutrient households with close to four fifths of the composition of commonly eaten foods in Nigeria members being migrants at one time or the other. . while the determinants of food insecurity of the HIVIAIDS and food security in rural Nigeria 13 UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (,{ol. 10) / Adenegan and Adewusi households under study were identified using the X2 = Age squared Logit model. X3= Gender (1=male-headed household, 0 if otherwise) THE LOGIT MODEL. J4 = Household size The logit model postulates that the Xs = Years of formal education . probability (PI) that a household living with X6 = Non-farm income (W) HIV /AIDS is, food secure as a function of an X7 = Monthly food intake (Kcal) - index (Zi). Xg • =. Total household .monthly' income Zi is also the verse of the standard logistic (household monthly expenditure used as proxy) cumulative function of Pi i.e. Pi (y) = f(Zi) Zi is also the verse of the standard logistic X9 = Food share of the total household monthly cumulative function of Pi i.e. Pi (y =1) = f(zi) expenditure .. The probability of a household living with XIO= Drug share of the total household monthly HIV /AIDS being food secure is given by expenditure P, (y = 1) = 1/1 + e-zi pz(. 1Since 1- y = 1)=1- +«:. RESULTS1 1+«" -1 Household Socio-Economic. Characteristics.1- Pi(y = 1) = . The household's socio-economic characteristics " 1+ e= were described using descriptive statistics of. e-Zi frequency and percentage distribution tables. 1- Pi(y = 1) = _. -Table 1 show that the mean and the modal age of 1+ e= household heads with people living with HIV· But were 44.72 years and 45 years respectively. 111is . __ 1~_=I+e-Zl . indicates that on the average, household heads of P;(y = I) households. with people living with HIV are intheir economic active years. Thus, P;(y = 1) 1 Table 1: I-P;(y = I) Socioeconomic characteristics ofHIV household heads P;(y = 1) = ezi Statistics Age Household Years of I-P;(y=l) size formal education The dependent variable (Yi) is a dummy. it takes Mean 44.71 3.92 5.71 the value of 1, if a household living with Mode 45.00 4.00 0.00 HIV/AIDS is food secure and 0 if otherwise Standard 7.63 1.57 5.08 because dependent variable is binary. The deviation Source: Field SII",ey, 2006 maximum likelihood estimate is used to analyze the model. The probability of a household living On the average the mean and modal household with HIV/AIDS being food secure.(Pi) by an size was four with a low standard deviation of household is calculated from Y1 value: 1.57. This shows that. most of the HIV Yj = b, + b, XI + b2 X2 ----------- + households were small. The average years ofbn x, formal education of the HIV-infected household where bo = constant heads 5.71 while a larger proportion of the The explanatory variables Xi are: household heads had no formal education. Thus, XI = Age (years) on the average, the household heads had at most 14 HIVIAIDS andfood security in rural Nigeria UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (Vol. 10) /Adenegan and Adewusi primary education. This reflects a characteristic Table 2: of rural and pew-urban centres Statistical distribution of household monthly dru ex enditure food intake and food share Statistics Drug Food Food . ex enditure Intake (Kcal) Share Mean 1295.75 209505.94 0.41 Median 10000.00 176728.50 0.41 Mode 1000.00 156717.00 0.47 Standard 973.24 10403466.00 0..16 Deviation Minimum 0.00 72785.10 0.12 Maximum 6000 658902.00 0.81 Source: Field Survey, 2006 Table 3: • The Result of the OLS Regression Analysis of the Cost of Calorie \tariabl Coefficient Std. t- probabilit es Error statistic y Fig. 1: Primary Occupation of the Respondents s Source: Fif.ld Survey, 20.0.6 a(const 7.834427* 0.17584 44.5542 0.0000 ant ** o 6 The results. in Fig 1 indicate that only 17.6 percent of the household heads were fanners C(Kcal) 1.0500** 0.5080 2.19591 0.0368 while 83.4 percent are engage in non-farm 2 activities as their primary occupation. About 60.8 Rssquared= 0..30.1054; Adjusted Rssquared 0..290.982 percent were traders. This indicates that the F- Statistics = 0..0.87564*** Prob (F-statistics) 0.0080.36 major primary occupation in the study area is *** Significant at 1% ** Significant at 5% trading. TIle mean drug expenditure, food intake and food share of the monthly expenditure are Table 4: WI295.75, 209505.94KCal and 0.41 respectively Distribution of household food securi (see table 2). The standard deviation for drug Food security status Frequency Percentage expenditure and food intake is high (973.24 and Food secure 17.00 20 10403466.00 respectively) indicating a large deviation from the mean. Food insecure 68.00 80 Total 85.00 100 Household Food Security Profile The Ordiary Least Square (OLS) regression Source: Field SlInJey,2o.o.6 model for estimating the constant value in the cost-of calorie function used in determining the The explanation of this result is that, a large food security profile of the household. This proportion of the income of the respondent is regression result was significant at ~ percent spent on drugs. Thus affecting the amount level and has a direct relationship with food available to them to spend on food, this in turn expenditure. The coefficient of determination is affects the quantity of food available to the 0.301 meaning that calorie consumption explains household to meet their daily food requirements. about 30.1percent of the variability of food The food insecurity line Z was estimated to expenditure. be 45,987.926 Kcal. The fmdings on Table 4 show that majority (80' percent) of the HIVIAIDS andfood security in rural Nigeria 15 • UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (Vol. 10) / Adenegan and Adewusi households living w'ith mY/AIDS fell below intake (Kcal) and total household monthly food security fine. Thus, there is high prevalence income would result in increase inthe probability of food insecurity among the households living of the household being food secure. Thus, a with HIV/AIDS. household with high monthly income stream is expected to have high calorie consumption and Determinants of household food security be food secure. '. . The determinants of household food security Also,' an increase in : years of. formal were identified using the logit model. The result education, would result in increase in the of the model is given in Table 5. The model has probability of the household living with the log likelihood value of -20.91178 and is HIV /AIDS being food secure. This indicates that significant at one percent. This indicates that all education is a means to enhancing food security the independent variables jointly explain the in- the . rural areas.' This could be because dependent variable and that the model displays education enhances early adoption of innovation good fit. which would result in higher productivity and The result shows that gender, years of formal farm income. Also, education could enhanee education; monthly food intake (Kcal), household engagement in non-farm activities, household monthly income, drug share and food thus increasing household income: Households share significantly influence the food security 'with higher income would spend less proportion status of the households living with HIV/AIDS. of household income on food. Food intake, years of formal education and Thus, .a reduction in the food share of the household monthly income have direct monthly incoine would result in increase in the 'relationship with the probability of the household probability of. the household '. living with being food secure while gender, years of formal HIV/AIDS being food secure. This is consistent education, food share and drug share of monthly with Engel: s law that the higher the income the expenditure are inversely related to the less the proportion of the .income spent on probability of the household being food secure. consumable goods, while the higher proportion is . The result indicates that an increase in food spent on luxuries . Table 5: The Result of Logit Regression Analysis Variable Coefficient Std.Error Z-Statistics Prob. t. C . -5.522610 13.17937 .-0.419034 0.6752 Age 0.792074 0.594681 1.331931 0.1829 Agesq -0.005084 0.006248 -0.813677 0.4158 Gender -2.320889* 1.331875 -1.742572 0.0814 Hhsize -2.510443 1.834610 -1.368380 0.1712 Education 0.849700* 0.490874 1.730995 0.0835 Nfinco -0.000101 0.000760 -0.133173 0.8941 Food Intake 0.000120** 5.53E-05 2.162873 0.0306 Hhincome 0.003702*** 0.001273 2.908437 0.0036 Foodshare -0.001706*** 0.000609 -2.801513 0.0051 Drugshare -38.37567*** 13.45811 -2.851490 0.0044 Source: Estimated from field survey, 2006 Dependent variable: Food security Log likelihood -20.51068 Avg log likelihood -O.}15549 Restr. Log likelihood -33.86526 Mclcadden Rssquared 0.394345 LR statistic (10 dj)) 26.70917 Probability (LR Stat) 0.002895 "Significant at 10% **Sigllificallt at 5% ***Significallt at 1% 16 HIVIAIDS and food security in rural Nigeria • UNIVERSITY OF IBADAN LIBRARY African Journal of Biomedical Research 2007 (Vol. 10) / Adenegan and Adewusi Households with higher food share are food of the prices of food items, thus increasing the insecure and low-income earners, who spend a purchasing power of households living with higher proportion of their monthly income on mY/AIDS and consequently reducing the food food. Also, a decrease in the drug share of the share of the household monthly expenditure. total household monthly income would result in Government should also ensure availability of an increase in the probability of being food highly subsidized anti-retroviral drugs in all the secure, This indicates that if the prices of the . sentinel centres. Increasing Government anti-retroviral drugs are reduced, the households expenditure on the Universal Basic Education is have additional money to augment their food not sufficient, the constitution should enforce need. Furthermore, a decrease in male-headed adherence of the populace to the policy, households living with HIV /AIDS would result especially in the rural areas. in increase in the probability of the household being food insecure. This indicates that female- REFERENCES headed households living with HIV /AIDS are more food secure. Adeyeye, V.A. (2005) "Woman coping with • HIV/AIDS in rural south western Nigeria" Paper Summary, Conclusion and presented at the workshop on HIV/AIDS and Recommendations agricultural implication for food security in west and TIle study shows that on the average, household central African. At the Africa Rice Centre (WARDA) heads of HIV infected households are in their New temporary headquarter in Cotonou, Benin.Bechu N, Delcroix S, Guillaume A. 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