Over the past
couple of weeks, we traversed many miles of roads and dirt tracks on the backs
of boda bodas (motorcycle taxis) and on foot as we visited families and support
groups who have started kitchen gardens in the past year. The purpose of our
visits was to meet the beneficiaries of the kitchen garden program and hear
about their successes and challenges. After listening to their stories, and
then writing a report on the kitchen garden initiative, I wanted to reflect on
the big picture, rather than all the small details and logistics I’ve been
learning about bit by bit.
It might not immediately be clear
why an organization such as WOPLAH, which is dedicated to supporting people
infected and affected by HIV, is focusing on a project such as kitchen gardens.
The jump between growing kale and managing HIV might seem like a stretch.
However, with a little thought, the connection becomes very clear. It’s so
basic and simple that it can be easily overlooked. Without consistent access to
nutritious food, any other health interventions are just band-aids. The
administration of antiretroviral drugs to control HIV/AIDS is a case-in-point
example. When taken without food, the drugs often have debilitating
side-effects, such as nausea and dizziness. Dealing with these type of side
effects on a daily basis can discourage people from taking their drugs,
rendering the entire treatment process futile. In this case, the solution is
not more expensive drugs or complicated initiatives. The solution can be as
simple as turning over a small plot of land in a backyard and planting some
seeds. A drug targets and treats a very specific problem. A kitchen garden
addresses a wide variety of problems at their very roots.
When a community, family, or
individual gains the tools to grow a kitchen garden, they gain the ability to
provide one of the most basic human necessities for themselves and those around
them. The act of planting a seed, tending a
plant, and finally preparing and sharing a meal that is the product solely of
one’s own hard work can instill a vital sense of self-worth, self-confidence,
and self-respect. In a place where people living positively with HIV are often
ostracized and viewed as a burden, the independence that comes from being able
to provide for one’s self and one’s family can play a powerful role in reducing
stigma. When people see a HIV+ community member growing a verdant garden full
of kale, cowpeas, pumpkins, maize, spinach, and tomatoes, they are forced to
reconsider all their preconceptions about HIV/AIDS.
Food is the greatest equalizer: it
is a need we all have in common. When we sit down to share a meal with other
people, we recognize our shared humanity. The barriers of race, age,
socioeconomic status, and HIV status disappear as we fulfill the same basic
needs at the same table. Eating is a simple act, one that many of us don’t give
much thought to, but its power cannot be underestimated. A few weeks ago, we
visited a health center where a children’s club for kids who are living
positively or who have been impacted in some way by HIV meet once a month. It
is a place where the children come to play, eat, learn, and be carefree. When
we met up with Edwin that morning, he informed us of our plan for the day. We
would spend the morning at the children’s club before moving on to another
house for lunch. He said that even though we were going straight from the
children’s club to a big lunch that was being prepared for us, we must be sure
to eat some food with the children. He stressed that if we didn’t, the children
would think we didn’t want to share food with them because of their HIV status.
Eating with them, on the other hand, would send a message of equality and
solidarity.
The connection between global health
work and kitchen gardens might be difficult to discern at first, but our human
need for food cannot be separated from any aspect of life, especially basic
health. Good nutrition is the keystone of good health, so it is important to
consider the consistent provision of healthy food as a pillar of health
care. Kitchen gardens can be a great
source of healthy food, as well as help generate income, and give people hope
and self-respect.
Of course, there are challenges
associated with kitchen gardens, as we have learned from talking to many of the
beneficiaries of WOPLAH’s garden project over the past few weeks. They struggle
with pests that eat crops, unhealthy soil, water sources that are difficult to
access, and changes in the climate that are making it increasingly difficult to
get good yields. However, the beauty in planting a garden is that there is
always hope. Each seed is placed in the ground with the promise that the future
will bring a green sprout, a growing plant, a good harvest, and increased
health.
-Sarah
-Sarah
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