Compound Vulnerabilities: The Intersection of Climate Variability and HIV/AIDS in Northwestern Tanzania

Drawing on ethnographic research conducted in Nsisha, a rural village located close to the shores of Lake Victoria in northwestern Tanzania, this article analyzes how climate change and variability intersect with other stressors that affect rural livelihoods, particularly HIV/AIDS. The analysis integrates theories of vulnerability from both climate and HIV/AIDS literatures to show how these intersecting stressors compound livelihood vulnerability in complex ways. Climate change and variability are linked to declining agricultural yields and an increase in food and nutrition insecurity and poor health in this region. This situation heightens poverty and susceptibility to HIV/AIDS, compromising people’s abilities to cope and adapt. Because of social dynamics, single mothers and their children are particularly affected by these compound vulnerabilities. Climate change and variability are significant contributing vulnerability factors that sustain and exacerbate asymmetrical poverty, food and nutrition insecurity, and HIV/AIDS. By describing the links between vulnerability to HIV/AIDS and climate variability, findings highlight the importance of holistic and localized approaches to adaptation, instead of trying to isolate single issues. Prioritization of multidisciplinary research focusing on the socially differentiated and gendered distribution of vulnerability specifically in regard to poverty, food and nutrition insecurity, and HIV/AIDS is recommended as a means to enrich the understanding of climate change vulnerability. Adaptation strategies should address how climatic shifts interact with generalized poverty, food and nutrition insecurity, health, and gendered vulnerability in areas most affected.