Skip to main content
    • Aa
    • Aa
  • Access
  • Cited by 14
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Muzenda-Mudavanhu, Chipo 2016. A review of children’s participation in disaster risk reduction. Jàmbá: Journal of Disaster Risk Studies, Vol. 8, Issue. 1,

    Serbessa, Mirgissa Kaba Mariam, Damen Haile Kassa, Afework Alwan, Fathia and Kloos, Helmut 2016. HIV/AIDS among pastoralists and refugees in north-east Africa: a neglected problem. African Journal of AIDS Research, Vol. 15, Issue. 1, p. 45.

    Pyone, Thidar Dickinson, Fiona Kerr, Robbie Boschi-Pinto, Cynthia Mathai, Matthews and van den Broek, Nynke 2015. Data collection tools for maternal and child health in humanitarian emergencies: a systematic review. Bulletin of the World Health Organization, Vol. 93, Issue. 9, p. 648.

    Chitiyo, Morgan 2014. Challenges Affecting the Education of Children in Zimbabwe. Childhood Education, Vol. 90, Issue. 6, p. 414.

    Sassi, Maria 2014. Economic and Health Determinants of Child Nutritional Status in the Malawian District of Salima. The European Journal of Development Research, Vol. 26, Issue. 5, p. 761.

    Nkhoma, Owen W. W. Duffy, Maresa E. Davidson, Philip W. Cory-Slechta, Deborah A. McSorley, Emeir M. Strain, J. J. and O'Brien, Gerard M. 2013. Nutritional and cognitive status of entry-level primary school children in Zomba, rural Malawi. International Journal of Food Sciences and Nutrition, Vol. 64, Issue. 3, p. 282.

    Vincent, K. and Cull, T. 2013. Climate Vulnerability.

    Buonomo, Ersilia de Luca, Simona Tembo, Dyna Scarcella, Paola Germano, Paola Doro Altan, Anna Maria Palombi, Leonardo Liotta, Giuseppe Nielsen-Saines, Karin Erba, Fulvio and Marazzi, Maria Cristina 2012. Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program. International Journal of Environmental Research and Public Health, Vol. 9, Issue. 12, p. 421.

    le Roux, Ingrid M. le Roux, Karl Mbeutu, Kwanie Comulada, W. Scott Desmond, Katherine A. and Rotheram-Borus, Mary Jane 2011. A randomized controlled trial of home visits by neighborhood mentor mothers to improve children's nutrition in South Africa. Vulnerable Children and Youth Studies, Vol. 6, Issue. 2, p. 91.

    Sellen, Daniel W. and Hadley, Craig 2011. FOOD INSECURITY AND MATERNAL-TO-CHILD TRANSMISSION OF HIV AND AIDS IN SUB-SAHARAN AFRICA. Annals of Anthropological Practice, Vol. 35, Issue. 1, p. 28.

    le Roux, Ingrid M le Roux, Karl Comulada, W Scott Greco, Erin M Desmond, Katherine A Mbewu, Nokwanele and Rotheram-Borus, Mary Jane 2010. Home visits by neighborhood Mentor Mothers provide timely recovery from childhood malnutrition in South Africa: results from a randomized controlled trial. Nutrition Journal, Vol. 9, Issue. 1,

    Mason, Nicole M. Jayne, T.S. Chapoto, Antony and Myers, Robert J. 2010. A Test of the New Variant Famine Hypothesis: Panel Survey Evidence from Zambia. World Development, Vol. 38, Issue. 3, p. 356.

    Tirado, M.C. Cohen, M.J. Aberman, N. Meerman, J. and Thompson, B. 2010. Addressing the challenges of climate change and biofuel production for food and nutrition security. Food Research International, Vol. 43, Issue. 7, p. 1729.

    Tseng, Marilyn 2005. Conceptualizing dietary Westernization, observing dietary transitions. Public Health Nutrition, Vol. 8, Issue. 06,


AIDS, drought, and child malnutrition in southern Africa

  • John B Mason (a1), Adam Bailes (a1), Karen E Mason (a2), Olivia Yambi (a3), Urban Jonsson (a3), Claudia Hudspeth (a4), Peter Hailey (a5), Andrea Kendle (a6), Dominique Brunet (a7) and Pierre Martel (a8)
  • DOI:
  • Published online: 01 January 2007

To investigate trends in child malnutrition in six countries in southern Africa, in relation to the HIV epidemic and drought in crop years 2001/2 and 2002/3.


Epidemiological analysis of sub-national and national surveys with related data.


Data from Lesotho, Malawi, Mozambique, Swaziland, Zambia and Zimbabwe, compiled and analysed under UNICEF auspices.


Secondary data: children 0–5 years for weight-for-age; HIV prevalence data from various sources especially antenatal clinic surveillance.


Child nutritional status as measured by prevalence of underweight deteriorated from 2001 onwards in all countries except Lesotho, with very substantial increases in some provinces/districts (e.g. from 5 to 20% in Maputo (Mozambique, 1997–2002), 17 to 32% in Copperbelt (Zambia, 1999–2001/2) and 11 to 26% in Midlands province (Zimbabwe, 1999–2002)). Greater deterioration in underweight occurred in better-off areas. Areas with higher HIV/AIDS prevalences had (so far) lower malnutrition rates (and infant mortality rates), presumably because more modern areas – with greater reliance on trade and wage employment – have more HIV/AIDS. Areas with higher HIV/AIDS showed more deterioration in child nutrition. A significant area-level interaction was found of HIV/AIDS with the drought period, associated with particularly rapid deterioration in nutritional status.


First, the most vulnerable may be households in more modern areas, nearer towns, to whom resources need to be directed. Second, the causes of this vulnerability need to be investigated. Third, HIV/AIDS amplifies the effect of drought on nutrition, so rapid and effective response will be crucial if drought strikes again. Fourth, expanded nutritional surveillance is now needed to monitor and respond to deteriorating trends. Finally, with or without drought, new means are needed of bringing help, comfort and assistance to the child population.

    • Send article to Kindle

      To send this article to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      AIDS, drought, and child malnutrition in southern Africa
      Available formats
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      AIDS, drought, and child malnutrition in southern Africa
      Available formats
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      AIDS, drought, and child malnutrition in southern Africa
      Available formats
Corresponding author
*Corresponding author: Email
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

4E Asamoah-Odei , JM Garcia Calleja , JT Boerma . HIV prevalence and trends in sub-Saharan Africa: no decline and large subregional differences. Lancet 2004; 364(9428): 3540.

6L Haddad , SR Gillespie . Effective food and nutrition policy responses to HIV/AIDS: what we know and what we need to know. Journal of International Development 2001; 13: 487511.

9A de Waal , A Whiteside . New variant famine: AIDS and food, crisis in southern Africa. Lancet 2003; 362(9391): 1234–7.

14P Bakaki , J Kayita , JE Moura Machado , JB Coulter , D Tindyebwa , CM Ndugwa , Epidemiologic and clinical features of HIV-infected and HIV-uninfected Ugandan children younger than 18 months. Journal of Acquired Immune Deficiency Syndromes 2001; 28(1): 3542.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *