Food Security in the Context of HIV: Towards Harmonized Definitions and Indicators

Aranka Anema, Sarah J. Fielden, Tony Castleman, Nils Grede, Amie Heap, Martin Bloem

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Integration of HIV and food security services is imperative to improving the health and well-being of people living with HIV. However, consensus does not exist on definitions and measures of food security to guide service delivery and evaluation in the context of HIV. This paper reviews definitions and indicators of food security used by key agencies; outlines their relevance in the context of HIV; highlights opportunities for harmonized monitoring and evaluation indicators; and discusses promising developments in data collection and management. In addition to the commonly used dimensions of food availability, access, utilization and stability, we identify three components of food security—food sufficiency, dietary quality, and food safety—that are useful for understanding and measuring food security needs of HIV-affected and other vulnerable people. Harmonization across agencies of food security indicators in the context of HIV offers opportunities to improve measurement and tracking, strengthen coordination, and inform evidence-based programming.

Original languageEnglish (US)
Pages (from-to)476-489
Number of pages14
JournalAIDS and behavior
StatePublished - Oct 1 2014


  • Dietary diversity
  • Food insufficiency
  • Food safety
  • Food security
  • Indicators
  • Monitoring and evaluation (M&E)

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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