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THE IMPACT OF HIV/AIDS
ON THE DIFFERENT FARMING SECTORS
IN NAMIBIA
UNIVERSITY CENTRAL CONSULTANCY BUREAU FAO REGIONAL OFFICE
FOR AFRICA
UNIVERSITY
OF NAMIBIA Extension, Education and Communication
Service (SDRE)
Part 1
Section:
1
2
3
4
DECEMBER 2001
ACKNOWLEDGEMENTS
UCCB wishes to thank the organisation and person listed
below for their co-operation and contribution in making this
study successful:
Individual in the various villages household members
Officials of the Regional Governors;
Ministry of Agriculture and Water and Rural Development;
Ministry of Health and Social Services;
Councillors in the various constituencies;
Regional Agricultural Extensions Offices and Technicians;
National Farmers Union; and
Namibia Agricultural Union.
UNAIDS provided the funds through the Food and
Agriculture Organisation of the United Nations. Special
thanks go the FAO office in Windhoek for their co-operation
and support in this project. Dr. Michelle Owens of the FAO
Regional office in Accra, Ghana – Extension, Education and
Communication Service (SDRE) - is thanked for her technical
and administrative support throughout the implementation
stages of the project. Last, but not least we would like to
thank the University of Namibia for the encouragement to
undertake the assignment.
EXECUTIVE SUMMARY
This report first provides background to the situation of
HIV/AIDS in Namibia. In chapter 2, issues related to the
impact of HIV/AIDS on farming, both communal and commercial
are reviewed. It begins with the impact of HIV/AIDS on the
social structure in the farming communities and is followed
by the impacts on labour and income, land ownership and the
health and psychological well-being of affected households
including school-age children in schools. Findings on the
impact of the epidemic on crop and livestock production,
community coping mechanisms and strategies for increasing
labour productivity are also covered. Chapter 2 concludes
with a description of a previous FAO study, in Namibia, on
the impact of HIV/AIDS on two farming communities in the
north of the country.
Chapter 3 deals with the methodology employed in this
specific study. Essentially, the study aimed to obtain a
representative sample of the Namibian communal and
commercial agricultural sectors and to describe how these
have been affected by HIV/AIDS. Regions were selected to
capture the following different characteristics of the
farming communities: (i) communal versus commercial farming,
(ii) livestock versus crop production, and (iii) high versus
low HIV/AIDS prevalence. Based on this criterion, the seven
regions selected for the survey were Caprivi, Erongo, Karas,
Khomas, Omaheke, Omusati and Oshikoto. The survey was
carried out in October 2001 with a total of 428
questionnaires were received of which 319 were from communal
farmers and 109 from commercial farmers. Cross tabulations,
frequencies and Chi-square analyses were then performed on
these data.
The results of the study and their implications to the
farming communities are reported in chapters 4 and 5. The
data revealed that HIV/AIDS deaths are affecting a wide
spectrum of communal farmers and, to a lesser extent,
commercial farmers. This is especially so in the north of
the country and has resulted in a growing number of orphans.
It was foreseen that HIV/AIDS would increasingly affect
mutual assistance organisations that promote agricultural
production and marketing in communal areas as such
organisations do not focus on HIV/AIDS education. Similarly,
none of the commercial farmers had a clear policy or
strategy for dealing with HIV/AIDS on their farms nor with
their farm workers. There is, therefore, a definite need to
strengthen HIV/AIDS education among commercial farmers, farm
workers and some groups of communal farmers, especially in
the livestock farming regions of the south. The study
further revealed that the youth, aged 15-35 years, are the
most affected group in various communities. This age group
comprises the active labour force and has the skills for
farming which when lost can have direct effects on
production.
The level of stigma is still high in these farming
communities, and this may hinder the health-seeking
behaviours of the affected and infected rural persons. The
results have also showed that there has been reduction in
labour input on various farm enterprises and operations on
communal as well as some commercial farms. The consequences
of reduced labour input are reduced area cultivated,
increased use of child labour, change in crops grown and
less intensive husbandry practices. The sale of livestock to
cover medical bills arising out of HIV/AIDS illnesses will,
in the long term, result in a decline in the sales of beef
by Namibia to South Africa and the European Union.
Traditional practices in some of the regions dictate that
once the male head of the household dies from AIDS or HIV
related illnesses, the relatives claim the property, at the
expense of the wife and children. Systems of mourning take
many days and entail considerable expenditure. It is
suggested that the period for mourning be reduced to a
minimum because it affects labour inputs and production in
the farming communities.
Conclusions and recommendations of the study are given in
chapter 6. On the whole, it is being recommended to farmer
organisations, government, traditional leaders and the
community at large to provide HIV/AIDS education and
prevention efforts and where possible provide support and
counselling to the afflicted farming communities. It was
further recommended that communities adopt strategies that
minimise the reduction of labour input and optimise
co-operative enterprises and practices so as to ensure
sustained agricultural production and food security. MWARD
should be providing more training and extension materials to
their extension agents to educate the farmers of the impact
of HIV/AIDS on the farming systems and communities.
Definitions of Terms used in the Report
In this report, unless otherwise specified the following
words shall have the meanings:
(i) Commercial Farmer – A
farmer who is producing predominantly for the market, and
not for home consumption. The land has a freehold title deed
which the farmer can use as security against loans from
banks. The government, through the Extension Service,
normally registers commercial farmers.
ii.
Communal Farmer – A farmer who produces for home
consumption. These are subsistence farmers. The communal
farmer has no freehold title for the land. The land belongs
to the government, though the communal farmer has the right
to use a piece of land through allocation by the traditional
local authorities.
- Children – Young persons whose
ages range between 0-18 years (UNICEF).
- Household - A household can be
defined as the unit of production. The members of a
household consist of husband, wife, children from the
same parents and close members of the extended family.
The members of a household live under the same roof and
usually eat from the same pot.
- Farm Workers – Persons in the
employment of a commercial farmer. Two categories of
farm workers can be identified. Permanent workers are
those who have been employed for more than three months.
They earn a wage in cash or kind, or both. They are
normally housed within the environs of the commercial
farm. Permanent farm workers are entitled to certain
rations of foodstuffs, which either form part of the
wage, in which case part of the wage is deducted, or are
a bonus from the farmer. The second category is casual
workers who are paid for tasks performed. Because they
are often unskilled, they are easily replaced.
- Youth – Young people whose ages
range between 18 and 30. These figures may vary in other
countries.
- Head of Household – A person who
is in charge of the members of a household as defined
above. The individual may be male or female.
- Rural Institutions – Institutions
established to serve the interests of rural people.
These include farmers’ groups such as marketing
co-operatives, credit schemes and vegetable production
groups.
- Mutual Assistance Organisations –
Organisations established to serve the interests of
their members. These could be associations for group
cultivation, for instance, where members work together
in rotation from one household’s fields to the next.
- Mourning Period – The period when
relatives, friends and the local community observe a
period of respect for the deceased during which no
activities of an economic nature take place before and
after burial. In Namibia the period varies widely in the
regions and between various tribal groups.
(xi) Social Institutions – Institutions set up to cater for
the social interests of a community or society.
THE IMPACT OF HIV/AIDS ON
THE DIFFERENT FARMING SECTORS IN NAMIBIA
I. Introduction
Namibia is a large territory of
about 82,4292 square kilometres. It is the most arid country
south of the Sahara and has a population of about 1.7
million people. The population is ethnically varied and
consists of indigenous Africans, people of European descent
and those of mixed race. Five main language groups broadly
represent the different racial and ethnic groups in the
country. The San peoples, the Nama and the Damara speak
Khoisan languages. The Indo-European languages spoken
include Afrikaans, English and German. The overwhelming
majority speak Bantu languages, and include those speaking
Oshiwambo (about 51 percent of the country’s population),
Otjiherero, Rukavango, Lozi and Tswana. Most of the people
(around 70 percent) live in rural areas in the most heavily
populated and poorest northern parts of the country. Namibia
was a German colony from 1884 till the First World War when
it was occupied by South Africa. South Africa established
its system of apartheid and Bantustans that served as
reserves for indigenous Africans. In 1966, the year the
United Nations terminated South Africa’s mandate to
administer Namibia, the South West Africa Peoples
Organization (SWAPO), launched an armed struggle for
liberation. This struggle escalated with South African
intervention in Angola in the 1970s. The first democratic
elections in 1989 ended the war, which had mainly affected
Oshiwambo speaking areas. SWAPO won these elections and was
able to participate in the constituent assembly of 1990.
SWAPO won the subsequent elections that were held in 1994
and 1999 by large majorities.
The economy of the country is
mainly dependent on the mining of diamonds and uranium.
Fishing is also an important sector of the gross domestic
product (GDP), while tourism is beginning to make its mark
as a significant industry in Namibia. Since the early 1990’s
the country’s economy has grown by about 3.5 percent per
annum. Its GDP is US$ 2.9 billion and the average per capita
income is US$1 600. Thus, Namibia is classified as a
middle-income country. Namibia has a highly skewed income
distribution, with white, European, ethnic groups dominating
business ventures and ownership of assets with economic
significance. The European ethnic groups are the most
privileged in terms of income, education and health (UNDP,
1999).
Agricultural land in Namibia
comprises 69.6 million hectares, and is sub-divided into
communal and commercial farmland (Adams and Wolfgang, 1990).
About 41 percent of the agricultural land is owned by
roughly 4 000 white commercial farmers, compared to about 45
percent occupied by 70 percent of the population living on
communally owned land (Fuller, 2001). However, since
independence, Namibians have been buying into the commercial
farming areas. Men own most land in Namibia.
In Namibia, farm workers are
defined as paid employees who perform a variety of tasks on
the farm such as those related to crop and animal production
(Central Statistics Office - CSO, 1995). There are about
33 000 farm workers in Namibia, accommodating in their
households approximately 127 000 people, or roughly 8
percent of the country's population (UNICEF, 1995). Farm
workers are among the most vulnerable sectors to the impacts
of HIV/AIDS of the Namibian society. The most recent and
definitive work on farm workers is the HIES (Household
Income and Expenditures Survey) done by the CSO (1995).
These surveys found that 90 percent of farm workers are
rural dwellers, and most live in the southern and central
areas of the country. Only 7 percent of farm workers are
women; the rest are men. According to the HIES, 75 percent
of farm workers are between 15 and 44 years of age (CSO,
1995). Thus, farm work involves people in the most
productive age group. The HIES study found that more than 55
percent of farm workers households in Namibia had a food
consumption ratio of 60 percent or more (CSO, 1995). A
household is poor if its food consumption, as a proportion
of total consumption, exceeds 60 percent (UNICEF, 1995).
This ratio is much higher than that of rural Namibia. The
per capita income of farm workers is N$1,741, which is far
below the country’s average of N$3,073 (UNICEF, 1995). All
these indicators confirm that Namibian farm workers live in
poverty and are among the most vulnerable people in the
country.
HIV/AIDS was first recorded in
Namibia in 1986 when four people were diagnosed
HIV-positive. The figures increased dramatically to 21 737
in 1996, and to more than 53,000 in 1998 (UNO, 1999). In
per-capita terms, Namibia is among the four countries worst
affected by HIV/AIDS. There is an overall prevalence rate of
20 percent among sexually active adults (UNAIDS/WHO, 1998).
The estimates are that HIV/AIDS has surpassed Malaria and TB
combined, as the leading cause of morbidity in the country
(UNO, 1999). It is further estimated that in a country of
under two million people, about 180 000 people may be living
with HIV/AIDS (UNO, 1999). About 86 percent of
HIV/AIDS-infected people are between 15 and 44 years old.
In Namibia, an HIV/AIDS Sentinel
Survey is conducted anonymously every second year on
pregnant women. In the survey, unlinked blood-tested samples
are used to determine the prevalence rate of the disease
countrywide. The 1998 survey revealed that HIV/AIDS
infection among pregnant women had increased when compared
to the 1992 survey (MOHSS, 1999). It further showed that
women in urban areas are more affected than rural women, as
in the data for Oshakati (34 percent) and Opuwo (6 percent).
A study by Haoses et al. (1999) showed that
many students at the University of Namibia, including
females, do not believe that having more than one sexual
partner increases the risk of HIV/AIDS, and that 4.4 percent
of students did not know that HIV/AIDS infection can be
transmitted from mother to child during pregnancy and birth.
Two studies have attempted to
project the effect of HIV/AIDS on the Namibian economy. The
first is by Arowolo (2001) who projected (a) direct medical
costs of care for HIV/AIDS cases for 2001-6, (b) costs of
prevention measures, (c) costs of production foregone and
(d) costs of providing for orphans. The cost of care for
HIV/AIDS patients, as a percentage of the health budget, is
project to escalate from 15.8 percent in 2001 to 25.1
percent in 2006.
The study by IIASA (2001) is
less pessimistic with regard to the impact of HIV/AIDS on
the Namibian economy. It argues that HIV/AIDS could
potentially affect the economy by reducing exports, the pool
of skilled labour, and investments. IIASA (2001) argues that
none of Namibia’s exports are particularly sensitive to
reductions in population. Production of Namibia’s main
exports of diamonds, fish and animals requires few people
and, thus should not be affected by reductions in
population. A more detailed description of previous studies
conducted is presented in Section II.
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The terms of reference of the
study were to: (a) Determine characteristics of
HIV/AIDS-related vulnerable households and farming systems;
(b) Quantify potential short-term impacts at farm, village
and national level, including loss of foreign exchange
earnings through reduced agricultural exports; (c) Identify
coping mechanisms at household, community and commercial
level with documentation of mitigating interventions at
national and international level; (d) Identify the special
needs of changing heads of farm households; and (e) Develop
concrete recommendations to ensure that agriculture and
rural development projects give appropriate consideration to
mitigate the impact of the disease on commercial production
and household food security.
II. Background of the Impact
of HIV/AIDS on the Farming Sector
The first part of this report
provided an introduction to HIV/AIDS in Namibia. In this
section, studies and issues specifically related to the
farming sector, both communal and commercial, are reviewed.
It starts with how HIV/AIDS has affected the social
structure in the farming community. This is followed by the
impacts of the disease on labour and income, land ownership
and on the health and psychological well being of affected
households, including school-age children in schools.
Findings on the impact of the epidemic on crop and livestock
production, community coping mechanisms and strategies for
increasing labour productivity are also covered.
1. Family Composition
There are many different types
of families, which may include extended, nuclear and
single-parent families. In Africa, "the family" is an
extensive social network with a diversity of assured
contacts. Individuals find strength in relationships in a
group much larger than their immediate family and engage in
important support functions. Members of the extended family
are culturally bonded through ties that facilitate the
sharing of resources, goods and services." (Mtika, 2000).
"An important feature of Kagera households and, indeed, of
most African families, is interdependence in time of need."
(World Bank, 2000). It is this family structure that is
being altered by HIV/AIDS among many communal farmers in
Africa. HIV/AIDS is having a significant adverse effect on
household composition (Rugalema, 2000). In particular,
HIV/AIDS is transforming regular two-parent families into
single-parent families or, in fewer cases, parentless
families. This transformation has implications for the
existence of families and how they cope with everyday life.
Children in one-parent families
are disadvantaged because the family income is likely to be
lower than children living with two parents. Widows and
children who have lost their husbands and fathers to
HIV/AIDS find that they have their land confiscated, as
women are presumed not to have rights to land. They also
lose property to the man’s family in accordance with
customary law, especially if they do not have sons above 15
years to defend them (Topouzis, 1994). Topouzis (1994) also
found that in Uganda, families of communal farmers who had
died of HIV/AIDS-related illnesses lost access to support
services, as it was the dead man who had access to inputs
such as credit and extension advice. Children living with
single parents are also disadvantaged because family
supervision is less than for those children living with two
parents. Single parents exert weaker control and make fewer
demands on children than two parents. Even the involvement
of single mothers in their children’s affairs is much less
than that of two-parent families (Marks and Mclanahan,
1993). Single mothers also display lower aspirations for
their children in comparison with two-parent families (Marks
and Mclanahan 1993). The above processes are promoting
family dissolution in many communal areas across
HIV/AIDS-ravaged Africa. Households that are destroyed by
AIDS are often those where both parents are very ill, or die
while their children are still very young (World Bank,
2000).
Death due to HIV/AIDS is also
altering household composition in other ways. According to
the World Bank (2000), one of the most frequently observed
changes is that upon the death of the breadwinner, many
families in Sub-Saharan Africa send one or more dependent
children to live with relatives. Other families invite
unmarried uncles or aunts to join the household in exchange
for assistance with farming and household tasks.
Single parenthood due to
HIV/AIDS brings with it certain stigma and shame in many
communities. People widowed through HIV/AIDS may experience
isolation. Topouzis (1994) found that stigma severs access
to assistance from the extended family and the community. In
a number of cases, the death of a husband is blamed on the
alleged promiscuity and immorality of the widow. Many lose
the respect of the extended family and are subject to abuse
and repression. Wife inheritance, which is the regular
traditional mechanism for extending support to widows, is
denied such women. There is a fear of inheriting such
widows, and they and their children are often abandoned. In
other words, the traditional value system is breaking down
under the impact of HIV/AIDS. The close bonds associated
with the extended family system can no longer be relied
upon, as widows are being abandoned while children are hired
out too early in their lives to really know about family
connections. "Children are providing extra income or free
labour and can be treated like property or servants, kept
away from school and given inferior food and care." (Lyons,
2000). HIV/AIDS is weakening interpersonal ties. Children
orphaned because of HIV/AIDS are running away in numbers
from home and from the extended family to escape the stigma
and poverty afflicted by the disease. Thus, HIV/AIDS is
aiding family dissolution by encouraging migration. This
however differs across agro-ecological zones (AEZs) (du
Guerny, 1998). For example, in semi-arid zones, where yields
can vary considerably, migration can be much more intense
than in other zones where rains are more predictable and
better distributed. Therefore, one will find linkages
between different AEZs and migration, and between less well
endowed/poorer zones and better endowed/wealthier ones. The
interrelations between such zones can have an impact on the
spatial distribution and level of HIV/AIDS infection (du
Guerny, 1998).
Traditional support processes
are being eroded in terms of care for the elderly, who can
no longer expect to be supported by their children. Instead,
the elderly are shouldering the burden of caring for
children under conditions of increasing personal
impoverishment, and with associated living problems for both
generations (Cohen, 1998). Multigenerational families
without middle generations are becoming increasingly common.
The dependency ratio, which is the ratio of people younger
than 15 years needing the help and support of others for
their own survival, to those aged between 15 and 64 years
and considered belonging to the working age, is also
increasing. A high dependency ratio implies that children
leave school early to help the family. In Tanzania and
Uganda dependency ratios have increased in households with
adult HIV/AIDS-related deaths from 1:2 to 1:4 (World Bank,
2000).
2. Children, Youth and Women
Forty two percent of the
Namibian population is under the age of fifteen. UNAIDS
estimates that 5,000 Namibian children were living with
HIV/AIDS in 1997. The HIV/AIDS pandemic has a
disproportionate impact on children, causing high morbidity
and mortality rates among infected children and orphaning
many others.
School-age children and youth
are kept out of school if they are needed at home to care
for sick family members, or to work in the fields or on
other income-generating assignments, including prostitution.
When children care for a sick adult, they become mature
before their time and are deprived of normal childhood
activities, which may result in regression in years to come
(Jackson et al, 1999). Children drop out of school if their
families or sponsors cannot afford school fees, owing to
reduced household income as a result of an HIV/AIDS death or
incapacitating HIV/AIDS-related illnesses.
A third impact on children and
youth is that teenage children are especially susceptible to
HIV/AIDS infection. The impact of HIV/AIDS on children and
youth, both in ordinary subsistence agricultural communities
and commercial agricultural areas, requires a thorough
investigation to establish the base line situation beyond
preliminary studies already conducted (FAO/MAWRD, 2000) in
order to identify appropriate responses.
The number of women living with
HIV/AIDS, estimated at 75 000 in 1997, is growing. Women’s
social status combined with their greater biological
susceptibility to HIV/AIDS put them, and girls, at increased
risk of infection. Economic conditions in Namibia which make
it difficult for women to access health and social services,
compound their vulnerability. That the young are
particularly at risk of contracting HIV/AIDS undermines
their hopes for education and improvement in their lives.
The resulting lower female education will undermine recent
gains in health, nutrition, and family planning (World Bank,
2000). The full extent of the HIV/AIDS pandemic in communal
and commercial agricultural communities needs to be assessed
to reverse this trend.
3. Rural Institutions
In many parts of rural Africa,
traditional institutions such as kinship systems,
traditional political structures, co-operative production
and trading groups and mutual assistance groups are involved
in many aspects of rural development and poverty
alleviation. Research in Sub-Saharan Africa has shown that
traditional institutions are affected by HIV/AIDS in three
ways (Topouzis, 1998). In the first place, HIV/AIDS and
poverty are highly correlated, and impoverished people are
simply too busy scraping a living to care about
participating in organizational and voluntary life. HIV/AIDS
mortality directly removes the human capital capable of
running organizations, and lastly HIV/AIDS disrupts the
smooth operation of rural institutions by severing key
linkages in the organizational and production chains.
Research in Malawi reveals a growing turnover among fishing
crews resulting from HIV/AIDS-related deaths (Topouzis,
1998). Such deaths have undermined training efforts. In the
past, the extended family was used to foster children and
provide care to the elderly. With the advent of HIV/AIDS, it
is the elderly that must provide support to the young,
thereby subverting the role of this critical institution in
traditional African society.
4. Health and Education of
Farm Workers
Amanor-Wilks (1997) has pointed
out that although health services have been expanding in all
African countries, they have largely bypassed farm workers.
In Zimbabwe, the health of farm workers is "largely
conditioned by their poor living environment, deficient
diets, low wages, lack of recreation, and inadequate social
security" (Amanor-Wilks, 1997). Loewenstein (1992) reported
extensive malnutrition among the children of farm workers in
Zimbabwe compared to those of peasants, miners and
urbanites; over 50 percent of children below two years of
age were underweight. In comparison, about 24 percent of
peasant children were underweight (Loewenstein, 1992).
Research by Blankenburg (1994) reveals that most farmers
employing these people are not aware that the nutrition
status of their workers is worse than that of rural people.
Many farmers attribute this situation to workers spending
too much of their money on alcohol or new clothes, lack of
knowledge on the nutritional needs of small children, or
large worker families. This situation makes farm workers
very susceptible to HIV/AIDS mortality as their immune
systems are already compromised by malnutrition.
In Zimbabwe, farmers consider
HIV/AIDS, malaria and bilharzia as among the more serious
health problems on their farms (Blankenburg, 1994). HIV/AIDS
is a particular problem for farm workers. Many of them are
seasonal workers who have to migrate from place to place in
search of employment. Many male migrants have girlfriends or
casual partners away from home. Being away from their
regular partners, migrant farm workers are more likely to
have multiple partners, to exchange money for sex and to use
or abuse alcohol in situations that involve sex. All these
are factors that promote HIV/AIDS transmission. A study by
Laver et al. (1997) found that farm workers in
Zimbabwe lacked knowledge of HIV/AIDS and did not know how
to protect themselves against it. In the Zvimba commercial
farms, Laver et al. (1997) found that 80
percent of male farm workers believed that they would
eventually get a sexually transmitted disease. There was
also a general social acceptance of high-risk behaviour,
although condom use was more common among the younger and
more educated individuals. Since illiteracy is high among
farm workers, written messages promoting safe sex did not
appear to have an impact. These factors would seem to apply
to South African farm workers as well. For example, there
has been a pronounced shift from permanent to casual
employment on South African farms. This has, according to
Callear (2000), increased separation between families.
Callear (2000) estimated that farm employment had dropped
from 1.4 million in 1994 to 637 000 in 1997. This drop was
really a shift to casual employment. Casual workers live far
from their families, in overcrowded conditions where women
find it difficult to say no to men’s demands (see Paton,
1999), thus creating a breeding ground for HIV/AIDS.
One reason why farm workers are
in the kind of employment they are is the low levels of
education. According to Le Beau (1993) and CSO (1995), 44
percent of farm workers have no formal education at all, and
only about 18 percent had some secondary school attendance
(CSO, 1995). Most farm workers do not have access to
non-formal education, and consequently cannot improve their
education. Lack of education extends to the families of farm
workers. Le Beau (1993) found that the children of farm
workers are among the most severely and educationally
deprived in Namibia. She reported on data showing that 94
percent of farm workers’ children have no/inadequate
education, while 47 percent of farm worker households had
one or more children of school going age out of school. Thus
it would appear that farm workers’ children are inheriting
their parents’ education along with the associated
disadvantages.
5. Labour, Land Ownership and
Inheritance
In production systems such as in
the commercial sector of Namibia, labour constitutes the
physical inputs into the various operations on the farm.
This may be directly on the particular operation, or
indirectly through a technical device such as a tractor. The
application of labour in any enterprise requires time and
energy. Measurements of energy expenditure on farm tasks
indicate that after four hours of hard work, most workers
would begin to feel weak because of depleted energy in the
body (Okai, 1996).
A study by FAO (FAO, 1996) in a
number of African countries indicated that a household that
has been struck by HIV/AIDS suffers the loss of the labour
of the sick. In addition, labour is diverted to the
household to look after the sick. This results in the
reduction of farm operations and loss of income. Labour
intensive farming systems, with low mechanisation and
agricultural inputs, are particularly vulnerable as the
economic return to labour is very low. After the death of
the sick family member, extended periods of mourning have
adverse effects on labour availability. This situation is
aggravated when deaths are frequent, as is the case now in
many rural communities in Africa. The other impacts of the
reduction of household labour on farming activities include
the following: (a) reduction in land use because of sickness
and subsequent death; (b) decline in crop yields because of
declines in animal husbandry practices; (c) decline in the
number of crops grown because of inadequate labour; (d)
limitations of land inheritance because when husband and
wife die, the children are distributed to relatives and the
land reverts to the community; and (e) as women are left
widowed and their right to land is constrained by
traditional inheritance customs, their access to land
becomes difficult.
Morbidity and mortality among
the farming community compromise the efficient use, planning
and management of labour on the farm. It makes it difficulty
to budget time and other resources, and one cannot set
productive targets with certainty, as there is always fear
of loss of labour due to ill health (Muchunguzi, 1999).
Thus, it can be seen that the impact HIV/AIDS on labour has
far reaching consequences on farming systems, crops grown,
livestock kept and the levels of nutrition of the
communities and therefore their quality of life.
Land in communal areas is still
managed by traditional authorities. Therefore, traditions
influence decisions concerning land ownership, access and
inheritance. For example in some cultures in Namibia women
and children cannot inherit land, but can have access to
land without owning it (Fuller, 2001). This situation
creates opportunity for land and property grabbing by the
husband’s family once the male head has passed away. Studies
in other countries have also shown that HIV/AIDS-related
illnesses increase the chances of children and women losing
family land and other assets following the loss of the
husband/father (FAO, 1993). When women are left without land
and property they are economically and socially vulnerable.
Legislation reform is taking place to improve the plight of
women and children in both commercial and communal land
(Fuller, 2001).
The consequences of the HIV/AIDS
epidemic on households and directly on land ownership,
access and inheritance of assets are clearly visible in many
parts in the world. Studies in Zambia (Anonymous, 1999) and
Uganda (Ayieko, 1997) have shown that HIV/AIDS has
reinforced problems of women with regard to property and
inheritance rights. This is particularly the situation in
communities where land tenure and inheritance traditions
favour male members of the family and constrain the rights
and access of women to land. In such cases, the effects of
HIV/AIDS will be severe since an increasing number of women
are becoming widowed through death from the disease.
An employee who becomes sick on
a commercial farm is usually taken to a health facility in
reasonable time by his/her employer, to reduce time losses
due to illness. Farmers with large workforces actually
arrange health outreach points for their workers, in
conjunction with the health authorities. However, when
workers are frequently sick, they are usually given unpaid
leave to cut down on losses due to ill health.
Unfortunately, such a policy reduces the income of the
worker with adverse consequences to the household (Rugalema,
1999). When it comes to work force streamlining, workers
with HIV/AIDS are the first to be retrenched. This is
because caring for an HIV/AIDS infected worker is very
costly, and the employer often has to make a choice between
making profit and paying high medical bills (Rugalema et
al., 1999). On communal farms, the decision to take one to
hospital is usually made by the head of the household after
exhausting community support systems and considering the
implications on scarce family resources.
Because of illnesses due to
HIV/AIDS infection, farmers experience a lot of worker
absenteeism. Workers are absent because they are away
seeking of treatment or have been booked off to recover. A
worker may also be caring for a sick family member, or
attending the funeral of a family member, colleague or
friend. Such absentee workers become a financial burden to
their employers. If dismissed or totally non-functional they
also become a burden to their families, who now have to care
for them.
Morbidity of one worker on a
commercial farm impacts on other colleagues who are then
requested to take on extra tasks or work extra time.
Overtime work puts stress on employees who are now compelled
to utilise their free time instead of spending it with their
families or relaxing with friends (Rugalema, 1999;
Muchunguzi, 1999). Exhaustion due to overwork often leads to
decline in the quality and quantity of the final products on
the farm. Sometimes, some workers fall sick in the process
(Rugalema, 1999).
In cases where workers die due
to ill health from HIV/AIDS, farmers incur costs related to
the funerals. These costs include contributions towards
funeral costs, provision of transport for the remains and
the co-workers who go to the funeral, family relocation,
paying for the workers who go to the funeral and cash
contributions to the family as condolences for their loss
(Rugalema et al, 1999). There are also psychological
stresses resulting from loss of someone on the farm, which
have been known to demoralise surviving workers and
negatively affect worker performance.
The impact of HIV/AIDS is worse
on families in communal areas. When adults become sick, the
children are forced to contribute labour for the survival of
the family, and sometimes they are forced to leave school to
care for dying parents. In the event of death occurring,
orphans may be forced to move in with other members of their
extended families for the necessary care. This process of
taking on extra mouths into a household is a health risk
especially where there is already food insecurity.
Ill health in a family deprives
it of certain essentials since all resources are mobilised
towards care for the sick. Inadequate food availability and
consumption by those caring for their relatives leads to
malnutrition and a compromised immune system that lowers the
body’s resistance to infection. If the person remains sick
for a long time, the family may even sell some of their
valuable assets to pay for the treatment and care of their
sick family members (Jackson et al., 1999;
Iipinge and Kinabo, 2000).
6. Income
Income is payment in exchange
for labour for undertaking particular tasks. On the farm,
income results from the sale of farm produce, on which
labour and other factors of production have been spent. With
the advent of the HIV/AIDS pandemic, it is reasonable to
assume that farm incomes would be affected because of the
loss of the other factors of production such as labour,
reduction in the area cultivated and the shift from cash
crops to food crops.
In the FAO study (FAO, 1996) it
was reported that cash income from farming activities is
diverted to the treatment of the sick instead of investing
it in farm activities. Similarly, cash income from the sale
of cattle and small livestock is used on HIV/AIDS-related
expenses. In studies in Kenya (Rugalema et al.,
1999) and Zambia (Waller, 1997) the loss of income in
households afflicted by HIV/AIDS is linked to increasing
poverty in the countryside, which in turn results in further
HIV/AIDS infections. This is because the poor often resort
to alcohol abuse and prostitution to raise money for
survival. These scenarios are not unique to HIV/AIDS, as
they have been responsible for the spread of sexually
transmitted diseases in the past. The major difference is
that HIV/AIDS is a terminator, while the others are curable
and allow the victim to return to a normal way of life once
the situation changed.
7. Agricultural Production
Perhaps the most obvious impact
of HIV/AIDS on agriculture is labour shortage. This is the
result of ‘downtime’ when a productive member of the
household is sick, and is exacerbated by the high prevalence
of HIV/AIDS cases in the most active part of the labour
force (30-45 years). Labour shortage results in poor
attendance to recommended agronomic practices such as early
planting, weeding, fertiliser application and disease and
pest control, and timely harvesting. Labour shortage also
leads to reduction in cultivated areas as a coping
mechanism, with subsequent reduction in crop yields (Ncube,
1999; Munyombwe et al., 1999; Muchunguzi,
1999).
Labour shortages caused by
HIV/AIDS have resulted in poor herding of livestock in
afflicted households, which has in turn resulted in
increased stock theft and deaths from failure to dip cattle.
In addition to mortality losses caused by lack of veterinary
care and prevention, there are also morbidity losses. In
Zimbabwe it was found that tick-borne diseases were on the
increase, and this was attributed to failure to dip cattle
regularly. Although there are other plausible causes,
frequent funerals and the responsibility of looking after
cattle falling on the elderly and children who may not be
able to walk long distances to dips, may be to blame
(Munyombwe et al., 1999).
In a number of households, the
income earners - typically men - work in urban areas, and
part of their income is spent on agricultural inputs.
Sickness and subsequent death of an income earner leads to
loss of input supplies to agriculture such as fertiliser,
improved seed and pesticides. Lack of required inputs will
impact negatively on crop yields. The implication is that
families afflicted with HIV/AIDS not only lose labour to
support their production, but also the limited financial
investment into agriculture, due to reduction and changed
priority in spending of family income (Ncube, 1999).
There is increased attrition of
livestock numbers in afflicted households due to sale to
cover medical and funeral expenses. This negatively impacts
the size of the national herd (Munyombwe et al., 1999).
Additionally, afflicted families dispose of farm implements
and draught animals when resources to cover medical bills
and associated bills of hospitalisation are inadequate. In
afflicted families the dependency ratio increases because of
orphans, and this implies increased expenditure on items
such as food, clothing, and education to the detriment of
investments in agriculture (Muchunguzi, 1999).
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In the Zimbabwe study, it was
found that the age group most afflicted by the scourge is
that of 30-45 years. The second most afflicted was the 46-54
year age group; this age group provides indigenous technical
knowledge that has been passed on from the previous
generation through learning by doing. Since some of this
indigenous knowledge has not been documented, it implies
loss of this information before it can be passed on to the
young generation.
Agricultural extension agents
and veterinary staff provide technical advice for improved
crop and animal productivity. Research institutions provide
new technology that addresses problems in the agricultural
sector. HIV/AIDS is upsetting this support system directly
through chronic illness of affected staff, increased
absenteeism because of attendance to their afflicted
relatives and friends, and indirectly through time lost
attending funerals in their work places to which they are
obliged by social norms. In Zimbabwe for instance, it was
found that extension staff spent 10 percent of their working
time per month attending funerals (Ncube, 1999). In a
separate study in Zimbabwe, Munyombwe et al. (1999)
estimated that farmers spent 25 percent of their working
time attending funerals, and given the labour intensive
nature of smallholder agriculture, this negatively impacts
on productivity.
When parents die, orphans often
have to take care of the livestock. It has been observed
that extension personnel and veterinary staff tend to ignore
minors when providing advice. Moreover, underage orphans do
not have access to credit. All this translates into reduced
productivity in afflicted households.
In afflicted families, an
increasing trend is a shift towards poultry, pigs and dairy
cattle from beef cattle and sheep. This shift reflects an
increased interest in species with higher animal products’
turnover to meet nutritional requirements for the sick and
simultaneously generate some income. However, some
enterprises - like dairy cattle - are labour intensive and
may put additional strain on the available labour (Munyombwe
et al., 1999).
Labour shortage has been cited
as one obvious consequence of HIV/AIDS at the farm level.
Afflicted households have devised various coping strategies
including reduction in area cultivated, increased use of
child labour and a shift away from labour intensive crops
and organic farming (Munyombwe et al., 1999; Rugalema, 1999;
Ncube , 1999; Page and Davies, 1999). Most of these
strategies aim at stemming the food insecurity that arises
from labour shortage due to illness and death; however, the
crop yields are likely to be much lower than before the
emergence of HIV/AIDS.
In livestock production,
management strategies that have been suggested to cope with
increased work load due to fewer hands on the farm include
padlocking, use of hand spraying to control ticks, and use
of fodder crops (Ncube, 1999). In crop production, suggested
strategies include intercropping, organic farming, use of
disease-resistant varieties, use of drought-tolerant
varieties, minimum tillage and the development and use of
lighter ploughs.
Other community coping
strategies suggested to address the reduced labour due to
HIV/AIDS include joint operations for food production, for
instance land preparation, planting and weeding (Muchopa and
Mutangadura, 1999). Through co-operative schemes, farmers
can learn from each other and get support from extension
more effectively.
8. Previous FAO study in
Namibia
The FAO in collaboration with
the Ministry of Agriculture, Water and Rural Development
(MAWRD) sponsored a study on the impact of HIV/AIDS on
farming communities in Namibia in 1999 (FAO, 1999). The
study was based on a literature review and field data
collection from two communal area farming regions. The
Oshana and Caprivi regions were selected for the study
because they have high infection rates and were therefore
facing the greatest threat from the epidemic.
Two sets of data were collected.
The first was by a consultant through unstructured informal
interviews with staff in MAWRD, MOHSS, farmers’
organizations, farmers’ groups and individual farm families.
Field data collection was by enumerators using structured
questionnaires. Enumeration was carried out by Agricultural
Extension Technicians (AET) previously trained in the
aspects of enumeration. Areas for enumeration were
identified as Farmer Extension Development (FED) groups.
Each FED group was made up of between one and three Headman
areas.
Two questionnaires were
administered. The first sought general information on the
FED group such as death records, mourning culture,
cost-covering strategies, knowledge about HIV/AIDS and
community-based help for sick and bereaved families. This
questionnaire was completed during a group interview with
members of the fed group. The second interview was household
specific and targeted households identified to have been
affected by death or sickness during the group interview. It
intended to obtain data on the situation before and after
the HIV/AIDS outcome with respect to household sizes and
primary income sources, total cropped areas, crops grown and
yields, crop management and livestock ownership and
management. This questionnaire also solicited information on
how the HIV/AIDS costs were covered, the nature of help from
neighbours and relatives and household coping strategies.
All household members present were interviewed together,
while the household head was the primary respondent. The
duration of the study was not indicated. Twelve FED groups
in each region participated in the study and a total of 18
and 4 affected households were interviewed in Oshana and
Caprivi respectively.
III. Methodology of the Study
Two sets of tools were developed
in this study. The first consisted of two questionnaires,
one for the communal farming sector and the other for the
commercial farming sector, and these were administered to
households. It was assumed that a commercial farmer or
manager would have the most information concerning his
workers and, therefore, only a short checklist was used for
his/her farm workers as a supplement. Copies of the
questionnaires and checklists are available upon request
from FAO. The second tool comprised of focus group
discussions, which were meant to complement information
obtained from household interviews. These group discussions
were guided by a list of questions addressing the main
issues of the survey. Composition of the focus group
discussions varied from one region to another but included
staff from NGOs and MOHSS, community leaders, extension
personnel, women and the youth. At least 3 group discussions
were held in each region surveyed.
After development of the
questionnaires, pre-testing was done in the field on both
communal and commercial farmers to check on clarity,
consistency, correct understanding and translation of the
questions and duration of the interview. Debriefing sessions
were held after each interview to discuss problems
encountered, and improvements were made to the
questionnaires. The questionnaires were in English and the
enumerators were required to translate the individual
questions into the local language for the interviewee.
- Sampling Procedure
In this study, the objective was to obtain a sample that
was representative of the Namibian communal and commercial
agricultural sectors and to describe how these have been
affected by HIV/AIDS. Regions were therefore selected to
capture the following main characteristics: (i) communal
versus commercial farming; (ii) livestock versus crop
production, and (iii) high versus low HIV/AIDS prevalence.
The seven regions selected for the survey were Caprivi,
Erongo, Karas, Khomas, Omaheke, Omusati and Oshikoto.
In all regions except Caprivi and Omusati, where there
were no registered commercial farmers, 40 questionnaires
were administered to communal farmers while 25 were
administered to commercial farmers. In Caprivi and Omusati
only questionnaires for the communal farming sector were
administered. At the end of the study, a total of 428 usable
questionnaires were received, of which 319 were from
communal farmers and 109 from commercial farmers.
Stratified sampling was done within each of the seven
regions. In the communal farming areas, 3 constituencies
were selected with the primary guideline that two of them
had to have high, and one, low HIV/AIDS prevalence. The
selection of these constituencies was based on information
from the office of the regional HIV/AIDS co-ordinator. A
secondary guideline was to have as much variation as
possible based on the nature of the farming enterprise (e.g.
crops versus livestock; small stock versus cattle). Within
each constituency, four villages were randomly sampled. In
each village up to six questionnaires were administered to
randomly selected households. Respondents were mature
adults: usually the head of the household, though other
members participated.
Supervisors made logistical arrangements for surveys
within each region through the Agricultural Extension
Office. At the constituent level, arrangements were made
through the Office of the local Councillor. Lists of
villages, their headmen and number of households were
obtained from Councillors’ offices. The headmen of the
villages selected were first briefed, and then consent
sought before interviews of households
Discussions were held with the Namibia Agricultural Union
on the objectives of the study and a letter of introduction
to commercial farmers was obtained. Commercial farmers were
contacted through regional extension officers, and those who
consented were interviewed. In Omaheke region, farm workers
on some commercial farms were not interviewed as the
managers were in town and, consequently, only information
from the managers could be obtained.
2. Data Collection
Five enumerators with reasonable competence in both
English and the main local languages (Oshiwambo, Lozi,
Damara/Nama, Afrikaans and Otjiherero) were recruited from
each of the seven regions through the regional Agricultural
Extension Offices. Competent supervisors who had
participated in previous surveys were obtained from UNAM.
The enumerators and supervisors were trained in a three-day
workshop that addressed the sampling procedure, community
entry process, interview techniques, interpretation and
comprehension of questions, recording of responses, group
discussions and other logistics.
The survey was carried out between the 18th
and 30th of October 2001. At the end of each day
a supervisor met with the group to discuss problems
encountered in the field, check the questionnaires for
accuracy and consistency, and plan for the following day.
The team of consultants was also in the field at the same
time, to oversee the progress of the interview process and
to provide clarification on pertinent issues. A debriefing
of the survey process was carried out by the team of
consultants at the end of the data collection.
3. Data Analysis
Questionnaires were checked by the team of consultants
for obvious errors such as omissions of constituencies,
questions not applicable but answered, and returned to the
supervisors for rectification when necessary. Trained
clerical assistants coded and entered the data in Microsoft
Excel. Cross-tabulations, frequencies and Chi-square
analyses were then performed on the data. Significance in
Chi-square analyses were at the
a = 0.05 level.
Because of no or few responses, some categories in questions
with the Chi-square performed had to be merged. Some of the
questions involved ranking of responses and weighted
averages were used. For focus group discussions, qualitative
responses were summarised for each region.
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