Depression Often Overlooked in Treating HIV Patients

Depression is the most common psychiatric disorder among HIV-positive people, Photo: Eva-Lotta Jansson/IRIN

ADDIS ABABA, 7 December 2011 (PlusNews) – HIV patients in Africa frequently suffer shame and depression but the continent’s health systems are ill-equipped to handle the issue, which not only affects their quality of life, but can lead to poor adherence to HIV treatment regimens.

While HIV programmes focus heavily on reducing externalized stigma and ill-treatment of HIV patients by society, little is done to deal with a patients’ self-perception and how that might deteriorate following an HIV diagnosis, speakers said at a session on stigma at the 16th International Conference on AIDS and Sexually transmitted infections in Africa in Addis Ababa.

Studies show that depression is the most common psychiatric disorder among people living with HIV, and is more prevalent among HIV-positive people than the general population.

“Operational research carried out in Zambia has found a positive correlation between patients who self-stigmatized and failure to adhere to treatment,” said Sikazwe Izukanyi from Zambia’s Ministry of Health. “Self-stigma was often found in patients who did not disclose their status to partners or family members – making it difficult to maintain strict adherence to regimens while trying to hide the drugs.”

Izukanyi noted that while counselling was a standard part of HIV care in Zambia, counsellors needed to be made aware of the prevalence of self-stigma and how to deal with it.

A 2010 Ugandan study by Makerere University found that HIV-positive patients were more critical of themselves, had significantly greater problems making decisions, poorer sleep, tired more easily, experienced more appetite changes and had more cognitive impairment.

ARVs and self-stigma

According to a study by Yordanos Tiruneh, an Ethiopian academic with US-based Northwestern University, antiretroviral (ARV) therapy has been key to reducing external stigma by minimizing the visibility of physical imperfections and restoring functional daily activities such as the ability to work. The study, which used 105 interviews with Ethiopian men and women on ARVs, also found that the support networks formed by people living with HIV gave them much-needed social capital.

However, according to Yordanos, while ARVs were linked to a reduction in external stigma, the study found that they tended to increase internalized stigma, sometimes resulting in failure to properly adhere to ARVs.

“When I think of the two tablets that keep me alive, I hate myself and I feel that I am dead,” one of the study’s interviewees is quoted as saying. “Sometimes I get furious to see myself like a walking corpse, and other times I see myself as a doll that functions with a battery. I would say, without these batteries [pills], I am nothing.”

According to a US study, adherence to ARVs was higher in patients for whom anti-depressants were prescribed.

A severe shortage of mental health professionals in Africa means that HIV-associated depression is largely ignored. For instance, according to the UN World Health Organization, Burundi has just one psychosocial care provider per 100,000, against a target of at least eight, while Ethiopia has less than one, against a similar target.

“The problem is largely a human resources one; while strengthening health systems, governments should remember to focus on mental-health issues,” said Izukanyi. “As it is, we have no systems for screening, diagnosing and treating patients with mental-health issues.”

Among other things, experts recommend integrating mental-health services into primary healthcare activities, developing mechanisms to ensure a good supply of psychotropic medication and more research into mental-health issues in Africa.

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13-Year Old Boy Refused Admission to a School in Pensylvania Because He’s HIV Positive

Yes, this is in PA in the United States, not in rural area in a 5th world country. And this did not happen in the early 1980’s when the information available on HIV was scanty and only partially correct. This incident happened in 2011; over 30 year after HIV was discovered and after billions has been spent to educate the public on the virus and the disease.

Read my analysis of the schools decision.

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ICC Prosecutor Seeks Arrest warrant for Sudanese Minister for Darfur Crimes

2 December 2011 –

The prosecutor of the International Criminal Court (ICC) today requested an arrest warrant against Sudanese Defence Minister Abdelrahim Mohamed Hussein for crimes against humanity and war crimes committed in Darfur.

According to a news release issued by the court, the evidence led the prosecutor to conclude that Mr. Hussein is one of those who bears the greatest criminal responsibility for the same crimes and incidents presented in previous warrants of arrest for government minister Ahmed Harun and Janjaweed leader Ali Kushayb, both of whom have been indicted by the court.

The alleged crimes that Mr. Hussein is allegedly responsible for were perpetrated during attacks on the towns and villages of Kodoom, Bindisi, Mukjar and Arawala in the Wadi Salih and Mukjar localities of West Darfur from August 2003 to March 2004

The attacks followed a common pattern: Sudanese Government forces surrounded the villages, the Air Force dropped bombs indiscriminately and foot soldiers, including militia or Janjaweed, killed, raped and looted the entire village, forcing the displacement of four million inhabitants. Currently, 2.5 million people remain internally displaced.

At that time Mr. Hussein was the Sudanese Minister for the Interior as well as Special Representative of the President in Darfur, with all of the powers and responsibilities of the President. He delegated some of his responsibilities to Mr. Harun, the Minister of State for the Interior, whom he appointed to head the “Darfur Security Desk.”

In the case against Mr. Harun and Mr. Kushayb, the pre-trial chamber ruled that local security committees coordinated these attacks. They were supervised by state security committees, which reported to Mr. Harun, who in turn, according to the evidence, reported to Mr. Hussein.

“The evidence shows that this was a State policy supervised by Mr. Hussein to ensure the coordination of attacks against civilians,” said Prosecutor Luis Moreno-Ocampo.

“Moreover, the evidence shows that directly and through Mr. Harun, Mr. Hussein played a central role in coordinating the crimes, including in recruiting, mobilizing, funding, arming, training and the deployment of the militia/Janjaweed as part of the Government of the Sudan forces, with the knowledge that these forces would commit the crimes,” he stated.

The Prosecutor believes that Mr. Hussein should be arrested to prevent him from continuing to commit crimes within the jurisdiction of the court.

This is the ICC’s fourth case in Darfur, which the Security Council referred to it in 2005 after a UN inquiry found serious violations of international human rights law. In addition to Mr. Harun and Mr. Kushayb, ICC judges have issued arrest warrants against Sudanese President Omar Al-Bashir for genocide, crimes against humanity and war crimes, and summonses to appear for rebel leaders Abdallah Banda, Saleh Jerbo and Abu Garda for war crimes.

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HIV/AIDS: Countries Feeling the Funding Pinch

JOHANNESBURG/NAIROBI, 1 December 2011 (PlusNews) – Faced with the global economic downturn and less money from donors, national HIV programmes in East and Southern Africa – the region hardest hit by HIV/AIDS – are struggling to stay afloat. IRIN/PlusNews brings you a wrap of countries feeling the biggest pinch.

Democratic Republic of Congo (DRC)

According to medical relief agency Médecins Sans Frontières (MSF), funding shortfalls caused the government to cap the number of people starting on antiretroviral (ARV) treatment at 2,000 new patients for 2011, even though an estimated 15,000 people are on waiting lists for the drugs. Only 12 percent of those in need of the life-prolonging medication are receiving it.

NGOs have been asked by the Ministry of Health to limit HIV testing because there is no money available to buy drugs to treat those eligible for ARVs. Access to drugs for opportunistic infections and testing for CD4-counts or viral loads is extremely limited.

DRC is largely dependent on the Global Fund to Fight AIDS, Tuberculosis (TB) and Malaria to finance its treatment programmes, and other donor projects are winding up, making the country even more dependent on dwindling Global Fund grants.

Uganda

Poor funding in 2010 led HIV care facilities to reduce patient enrolment. Service providers said they were afraid to encourage people to test for HIV in case they needed ARVs and were unable to provide the medication. In August PEPFAR responded to appeals from healthcare providers overwhelmed by patients by making a commitment to increase its support to the national treatment programme.

However, HIV programmes remain poorly funded and Uganda’s appeal for $270 million from the Global Fund in Round 8 was rejected. Although the government now contributes some $60 million annually to buying HIV drugs from a local manufacturer, critics say HIV/AIDS efforts will remain stunted unless the government makes a more meaningful contribution.

South Africa

In November 2011, South Africa’s leading HIV/AIDS lobby group, the Treatment Action Campaign (TAC), which is largely dependent on the Global Fund, released a statement warning that without this money, TAC will be forced to close its doors and retrench 280 employees in 130 branches at the end of January 2012. TAC volunteers distribute over 5 million condoms a year and the group’s treatment literacy project educates patients about HIV treatment in many of the country’s public health facilities.

As some donors pull out entirely and others shift from programme implementation to technical assistance, many patients who previously got their treatment from well run NGOs are being transferred to already overcrowded public health facilities.

Burundi

Following a Global Fund rejection of its application for money in November 2007, the government said there was a gap of $83 million to cover all the needs of the national AIDS strategic plan from 2007 to 2011.

In 2010, HIV-positive patients in some parts of the country complained that they were unable to access drugs to treat opportunistic infections and many could not afford a CD4 test, which measures immune strength and is required before health facilities can initiate patients on ARVs.

At the end of June 2011, World Bank funding – more than $50 million over a nine-year period – for Burundi’s AIDS response ended and has not been renewed. The Global Fund and the World Bank have been Burundi’s largest HIV donors. In September, associations of people living with HIV reported that several of their members had died due to an ongoing shortage of ARV drugs.

Swaziland

The country with the highest HIV prevalence has been grappling with shortages of HIV treatment, testing kits and laboratory tests essential for initiating and managing patients on ARV treatment, caused mainly by a drop in revenue from the Southern Africa Customs Union (SACU) as a result of the global economic downturn.

Swaziland recently received emergency funding from PEPFAR to help supply first-line ARVs until the end of April 2012, but further ARV shortages have been predicted.

Mozambique

An estimated 96 percent of the HIV budget is donor-funded, with the Global Fund and PEPFAR providing the largest portion. Mozambique’s Round 9 funding has not yet been released due to concerns over poor financial and supply management, and its Round 10 grant proposal was not approved. Other donors, including the Clinton HIV/AIDS Initiative, have withdrawn support as the UNITAID grant comes to a close.

Mozambique is expected to face shortages of first-line ARVs by the end of 2012 or even earlier, unless an emergency funding request to the Global Fund is approved. The country is looking for other funding alternatives to help bridge the projected shortfall.

Kenya

HIV/AIDS funding received a blow when the Global Fund rejected its proposals in rounds eight and nine. Kenya has a projected $167 billion shortfall to cover its HIV programmes up to 2013. The country has put more than 400,000 people on ARVs, but another 600,000 need the drugs and have no access to them.

At the end of November 2011, HIV-positive people in Coast Province, eastern Kenya, held demonstrations over the lack of drugs in health facilities, forcing people to purchase the drugs from private pharmacies, but many who can’t afford the drugs are going without.

Kenya’s Cabinet has proposed that the Ministry of Finance create an HIV/AIDS Trust Fund to support scaling up the HIV response. If approved, the government will contribute 1 percent of its annual revenue to the fund.

kr/kn/he

Theme(s): Care/Treatment – PlusNews, HIV/AIDS (PlusNews),

[This report does not necessarily reflect the views of the United Nations]

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HIV Deadly Funding Crisis

JOHANNESBURG, 1 December 2011 (PlusNews) – This World AIDS Day on 1 Dec should have been a much more joyous event: the global HIV/AIDS response has turned a significant corner, with record numbers of people on antiretroviral (ARV) treatment and fewer new HIV infections. But the announcement by the Global Fund to Fight AIDS Tuberculosis (TB) and Malaria, cancelling its next funding round, has cast a shadow over any celebrations and highlighted the precarious nature of HIV/AIDS funding.

That money for HIV/AIDS efforts is not as plentiful as in previous years hardly comes as a surprise. UNAIDS notes that the global economic crisis appears to have put an end to a decade of funding increases by donors – after flattening out in 2009 for the first time, international AIDS assistance fell by 10 percent in 2010. 

Nandini Oomman, director of the HIV/AIDS Monitor, which tracks AIDS spending at the Washington-based Centre for Global Development, admits that “we are in a bad situation” and faced with “less money and more [health] priorities”. Moreover, non-communicable diseases have overtaken HIV/AIDS as the leading cause of death worldwide. Global and national leaders are now confronted with a “set of tough choices”, she noted.

Zimbabwe’s Minister of Health, Dr Henry Madzorera, believes it is still too early to gauge the full impact of the global funding decline. “We do anticipate that [this] will have a negative impact on our universal access goal… that the consequences of this global economic meltdown will be catastrophic to our programmes… [and] will take us back many years,” he told IRIN/PlusNews.

The big squeeze

As the world’s largest donor to HIV/AIDS efforts, the United States contributes 54 percent of international AIDS financing, but the Centre for Global Development warns that in America’s current political and fiscal climate, this level of support for AIDS funding may have reached a “tipping point” and “will be increasingly difficult to maintain in coming years”.

Oomman pointed out that the US President’s Emergency Plan for AIDS Relief (PEPFAR) was protected by legislation until 2013, so cuts in the funding mechanism may not be as deep as feared. “The real questions [about the future of PEPFAR] will open up in two years, when the US is faced with reauthorizing PEPFAR,” she noted.

In the meantime, the US global AIDS budget has been cut for the second year running – funding for PEPFAR in 2012 will be US$90 million less than the current allocation – and support for the Global Fund has flat-lined.

The cost implications are huge, particularly for countries such as Uganda that rely heavily on PEPFAR. According to Médecins Sans Frontières (MSF), less than half of the people needing treatment in Uganda get it, and PEPFAR currently supports 75 percent of all patients receiving ARVs in the country. International donors are increasingly requesting that Uganda look for domestic funds to support its response.

Although South Africa is better resourced and funds more than 80 percent of its treatment costs, it still receives substantial amounts from foreign donors. PEPFAR’s shift from direct service provision to technical assistance has caused hospices and institutions that were providing ARVs to close down, and patients have been referred to a public health system that is overstretched and poorly equipped to deal with the growing numbers, Nokhwezi Hoboyi, district coordinator for the Treatment Action Campaign, told journalists at a press briefing.

The UK’s Department for International Development (DfID) is also cutting bilateral aid for HIV/AIDS projects in developing countries by 32 percent, from £59.9 million ($92 million) to £41 million ($64million), between now and 2015.

Bailing out of the Fund?

With many donor countries preoccupied with the economic crises on their doorsteps and slowly starting to reduce their HIV/AIDS funding, the Global Fund remains a crucial player despite its latest setback. The amount of money that the multilateral body has made available since it was created in 2001 was “absolutely unprecedented” said Dr Eric Goemaere, head of MSF South Africa’s medical unit.

On 28 November, MSF warned that many low-income countries with a high HIV/AIDS burden were relying heavily on money from the Global Fund to continue providing treatment as well as to scale up their programmes. Some countries have been unable to implement the most recent World Health Organization guidelines, which call for earlier initiation of treatment and better first-line drugs.

The Global Fund has also been hit by a crisis in confidence in recent months, after reports of grant mismanagement found by the Fund’s Office of the Inspector General and the findings of a high-level independent review panel that recommended major changes to its accountability structures.

Oomman told IRIN/PlusNews that rather than “buckling down” to fix the Global Fund model, however, donors were “bailing out” by failing to live up to their commitments. “This doesn’t absolve the Fund of the responsibility to fix itself and reform… but it was created by the donors and should be fixed by the donors,” she commented.

High-burden nations need to do more

With its future at stake, the Global Fund has been encouraging emerging markets to pick up the baton, but the reality is that financial backing from traditional donors such as America and the European countries is still vitally important. “If I were an emerging market government, would I put my money in [an organization] which Western donors are pulling out of?” Oomman asked.

Activists agree that although some countries with high HIV prevalence rates still can’t afford to put a lot of money into their AIDS response, they cannot be completely absolved.

“Sustainability depends on domestic funding. Even in this hard economic environment, countries can at least lay down the enabling instruments that will grow over time and take over from donor funds when these funds dry up,” Zimbabwe’s Madzorera acknowledged.

“African governments are not doing enough at this stage,” he said, “and it cannot be allowed to be ‘business as usual’ in the face of this global economic crisis.”

Read more on the impact of the HIV/AIDS funding crunch

UN IRIN NEWS

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The First Lady and The Pregnant African Women

Commentary/Ghana/Africa

For the past years, the Ghana’s enlightenment movement have shown that rational choices are essential to how Africans distinguish and argue about their culture in relation to their progress. The enlightenment campaigners have identified cultural challenges – from the impact of witchcraft to developing policies from within the African culture – and raised their consequences should Africans continue to integrate their cultural values into their formal development process.

The ‘City Forum on Culture and Development,’ a multi-sectorial undertaking that took place recently and was opened by Prof. Kofi Awoonor, chair of Ghana’s Council of State, at the Accra International Conference Centre, demonstrates the influence of the enlightenment movement on national thinking. More so the fact that the City of Accra, Ghana’s Ministry of Trade and Industries, Arterial Network, UNESCO, Goethe-Institut, Agenda 21 and Accra Arts and Culture Network participated in the culture-progress seminar. Continue reading “The First Lady and The Pregnant African Women”

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African Poorest Farmers Hit by Climate Change

HARARE, Zimbabwe — As she surveys her small, bare plot in Zimbabwe’s capital, farmer Janet Vambe knows something serious is happening, even if she has never heard of climate change.

“Long ago, I could set my calendar with the date the rains started,” the 72-year-old said. Nowadays, “we have to gamble with the rains. If you plant early you might lose and if you plant late you might win. We are at a loss of what to do.”

Paramu Mafongoya, a University of Zimbabwe agronomist, says Vambe’s worries and those of millions of other poor farmers – most of them women – across Africa are a clear sign of the impact of climate change on a continent already struggling to feed itself. Changes have been noted in the timing and the distribution of rainfall on the continent. Zimbabweans say the rainy season has become shorter and more unpredictable, Mafongoya said.

Climate change “is a serious threat to human life,” Mafongoya said. “It affects agriculture and food security everywhere.”

International climate change negotiators meet in the South African coastal city of Durban starting Monday. Their agenda includes how to get African and other developing countries the technology and knowledge to ensure that people like Vambe can keep feeding their families without looking for emergency food aid.

A Green Climate Fund that would give $100 billion a year by 2020 to developing countries to help them fight climate change and its effects was agreed on at last year’s climate talks in Cancun, Mexico. Durban negotiators hope to make progress on addressing questions such as where the money will come from and how will it be managed.

Climate change specialist Rashmi Mistry said her anti-hunger group Oxfam will be in Durban lobbying to ensure that women have a voice in managing the Green Fund, and that their needs are addressed when its money is spent. Most small-scale farmers in Africa are women, and they also are the ones shopping for the family’s food. But tradition often keeps them out of policymaking roles.

Mistry said when yields are low and market prices are high, women are the first to suffer.

“She’s the one usually who will feed her husband first and feed her children first, and she will go hungry,” Mistry said.

Across Africa, said Andrew Steer, the World Bank’s special envoy on climate change, farmers need to triple production by 2050 to meet growing needs.

“At the same time, you’ve got climate change lowering average yields by what’s expected to be 28 percent,” Steer said. He called for more investment in such areas as agricultural research and water management.

Experts already are working on solutions. For example, Africa Harvest, a think tank that uses science and technology to address poverty and improve livelihoods among some of the poorest people in Africa, is working with farmers in an arid stretch in eastern Kenya who were finding it harder and harder to grow their usual crops of corn and beans. Africa Harvest got farmers to switch to sorghum. They have seen bumper harvests as a result because they are focusing on the right crop and the right practices for the climate, said Moctar Toure, chairman of Africa Harvest, who will be in Durban for the talks.

“The way we do agricultural development has to change,” Toure told The Associated Press. “We need to balance the need to increase farm productivity with environmental conservation. We will also work towards broad policy changes in our target countries in order to address endemic problems (affecting women) such as land right security, access to credit and knowledge.”

Experts worry that one consequence of resources becoming scarcer will be more frequent conflict. Already, Zimbabwe has seen aid used as a political weapon. Those who can prove their loyalty to longtime President Robert Mugabe’s party have been seen to be favored when it comes time to hand out seeds or food.

Modern techniques of growing drought-resistant crops like sorghum and millet, staggering planting programs, irrigation and harvesting rain and river water in dams help minimize the risk to farmers. But Zimbabwe’s modern agricultural infrastructure has been disrupted by a decade of political and economic turmoil.

Acute food shortages eased after Zimbabwe adopted the U.S. dollar to end world-record inflation in 2009, but local farm production continues to decline. This month, the U.N. food agency said more than 1 million Zimbabweans needed food aid and poor families, especially households with orphans and vulnerable children, can’t afford much of the food that is available. Most of that food is imported.

Climate change, like the political problems linked to poverty in Zimbabwe, is manmade, though over a longer term.

Scientists say the accumulation of carbon dioxide traps the Earth’s heat, and is causing dramatic changes in weather patterns, agricultural conditions and heightened risks of devastating sea-level rise. Industrialized nations bear the bulk of the blame, since they have been pumping carbon dioxide into the atmosphere for 200 years.

Africa emits only about 3 percent of the total greenhouse gases per year, but its fragile systems and impoverished people are hardest hit by the consequences.

Weather experts say Zimbabwe’s average rainfall has decreased over the decade and October temperatures this year soared to above 40 Celsius (104 Fahrenheit), the highest since 1962.

Harare meteorologist Jephias Mugumbate said rains in January and February – crucial for the ripening of crops – can no longer be relied on.

It was often said drought in southern Africa recurred every 10 years.

“But now it has become more frequent and intensified. Temperatures show an upward trend and instead of being cooler our nights are becoming hotter,” Mugumbate said

Like Vambe, tens of millions of Africans rely on rain-fed agriculture.

Vambe’s corn crop has supported her family for more than five decades. But her yields have been steadily falling.

She walks at daybreak to her nearly bare field 10 miles (15 kilometers) from her home in the impoverished western Harare township of Highfield. She has finished planting her seed with the help of her two grandchildren. The dusty brown soil beckons for rain.

Maize, the nation’s staple food, needs 60 days of moisture to reach maturity.

“The rains have become erratic. We can no longer rely on the seasons,” Vambe said.

She has had to replant on several occasions because of a “false start” to the rainy season.

“This is what has been affecting our yields since 2000. We are no longer getting good yields because the rain comes and goes away,” she said.

In the past, the growing season ended in March and harvests were gathered through April.

“Today, nothing is definite. You get rain in April then our maize rots in the fields,” Vambe said. “If we are not respecting our spirits and if they are angry, there will be no rain.”

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Associated Press Writer Donna Bryson in Johannesburg contributed to this report.

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Food Security Concern Grows in Kenya as Farmers Switch from Maize to Coffee

ELDORET, 23 November 2011 (IRIN) – The switch by many farmers in Kenya’s Rift Valley province from staple cereals to more profitable coffee is likely to increase the country’s dependence on grain imports and possibly affect food security, agricultural experts have warned.

“It is unsafe to use our land for crops with the hopes of being fed by other countries,” said James Nyoro, managing director for Africa of the Rockefeller Foundation, which works to “promote the wellbeing of humanity around the world”.

“What if these countries do not harvest excess for us?”

Kenya will have to import 2.3 million tonnes of cereal during the 2011-2012 marketing year to meet demand, a year-on-year increase of 37 percent, according to the UN Food and Agricultural Organization, which estimated domestic harvests of maize – a staple for 90 percent of Kenyans – at 2.5 million tonnes, down 18 percent because of poor weather.

This import dependency and the threat posed by increased coffee growing could be mitigated with the use of improved inputs by cereal growers, Nyoro said. Another food security specialist recommended improving storage conditions of grain after it is harvested, when some 30 percent of production is traditionally lost.

In the meantime, any additional costs accrued by importing will be passed on to consumers.

“There is inflation already, joblessness and low purchasing power for many Kenyans; if food prices go higher than they have in the recent past then the number of people accessing even two meals a day will be much lower,” he said.

Feasibility study

“The Rift Valley is the country’s granary; it is where most people get their food from. Increased coffee growing could compromise the country’s grain basket,” said one food security specialist, who asked not to be identified.

“If we lose significant land in the province to coffee, we have to weigh what we gain in the process. If coffee pays better and farmers can [by investing in inputs] improve the yield of maize crop in the acreage they put under maize, perhaps this could be the trade-off,” the specialist said, recommending that the government undertake a feasibility study on the implications of expanding coffee production in the Rift Valley.

A draft of Kenya’s land-use policy has been submitted to parliament and has yet to be debated for subsequent enactment.

There is little data available about how much former cereal-growing land in the province is now used to produce coffee. But in just one of its 50-odd districts, Trans Nzoia, the area under maize cultivation has fallen by 450 hectares over the last year, according to an agricultural officer there.

Across the province, areas of coffee cultivation grew by an annual 20 percent over the past two years, said Bonface Wekesa, manager of a new milling plant in the town of Eldoret.

“We have distributed over one million seedlings of coffee over the last one year and have even run short as the current demand stands at double what we have distributed to farmers,” Wekesa said, explaining that typically 2,200 seedlings would be planted on each hectare of land.

Coffee offers much better returns to farmers at a time when traditional coffee-growing areas in the centre of the country have been greatly reduced by real-estate developments.

In the past year, more than 2,000ha of coffee-growing land in Kiambu County, which neighbours the capital, Nairobi, have been given over to developers.

“Payback time”

Farmers in Rift Valley, according to agronomist Zabron Njoroge, “have been growing a lot of cereals to feed the nation while their pockets are left empty. It is their time to fill their pockets with income from the same farms.

“Maybe it’s time the government started massive irrigation in arid and semi-arid areas,” he said.

Joseph Kurui, a farmer and father of 10 in Tindiret, in Rift Valley’s Nandi County, told IRIN: “I have already planted coffee in 14 [5.7ha] out of my 21 acres [8.5ha]. I am waiting for seedlings to plant in six more acres and will only reserve one acre to plant maize for family consumption.”

Whereas 0.4047ha of maize earns him about Ksh25,000 (US$280) coffee delivers 10 times that, he said.

“A serious farmers who follows instructions from agronomists can make even more than Sh500,000 per acre,” said Wekesa.

Symon Mahungu, a food and agricultural scientist at Egerton University in Nakuru, Rift Valley’s provincial capital, said although coffee’s growing popularity could reduce cereal production, it would not affect people’s access to food, at least in the province.

“If these farmers are not accessing food through selling their maize but are well fed buying food from the proceeds of coffee, then this means they are food secure,” Mahungu told IRIN, adding that food security was not a matter of the amount of food produced from farms but, rather, people’s ability to access food.

He added: “Maize has been imported even when local farmers have their granaries full; let them [farmers] grow what suits their pockets best

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