Suarez, PabloGivah, PreciousStorey, KelvinLotsch, Alexander2012-05-302012-05-302008-05https://hdl.handle.net/10986/6694Southern African institutions involved in disaster management face two major new threats: the HIV/AIDS pandemic (eroding organizational capacity and increasing vulnerability of the population), and climate change (higher risk of extreme events and disasters). Analyzing the combined effects of these two threats on six disaster-related institutions in Malawi, the authors find evidence of a growing gap between demand for their services and capacity to satisfy that demand. HIV/AIDS leads to staff attrition, high vacancy rates, absenteeism, increased workload and other negative effects enhanced by human resources policies and financial limitations. Many necessary tasks cannot be carried out adequately with constraints such as the 42 percent vacancy rate in the Department of Poverty and Disaster Management Affairs, or the reduction of rainfall stations operated by the Meteorological Service from over 800 in 1988 to just 135 in 2006. The authors highlight implications of declining organizational capacity for climate change adaptation, and formulate recommendations.CC BY 3.0 IGOABSENTEEISMACCIDENTSADEQUATE NUTRITIONADULT POPULATIONADULT PREVALENCEADULT PREVALENCE RATEAFFECTED COMMUNITIESAGEDAIDS EPIDEMICAIDS PANDEMICAIDS PATIENTAIDS PREVALENCEALLIANCEASPECTS OF DISASTER MANAGEMENTAWARENESS CAMPAIGNSBEHAVIOUR CHANGEBEREAVEMENTBULLETINCAPACITY BUILDINGCASH CROPSCLIMATECLIMATE CHANGECLIMATE CHANGE ADAPTATIONCLIMATE CONDITIONSCLIMATE FORECASTSCLIMATE HAZARDSCLIMATE SYSTEMSCLINICAL DIAGNOSISCOMMUNICATION EFFORTSDEATH RATEDEMAND FOR SERVICESDEPENDANTSDEVELOPING COUNTRIESDISABILITYDISASTER MANAGEMENTDISASTER MANAGEMENT ACTIVITIESDISASTER MANAGERSDISASTER MITIGATIONDISASTER MITIGATION MEASURESDISASTER PREPAREDNESSDISASTER PREVENTIONDISASTER RELIEFDISASTER RESPONSEDISASTER RISKDISASTER RISK REDUCTIONDISASTERSDISEASESDISSEMINATIONDRINKING WATERDROUGHTDROUGHTSDRUGSEARLY WARNINGEARLY WARNING SYSTEMEARLY WARNINGSECONOMIC GROWTHECONOMIC IMPLICATIONSEMERGENCIESENTREPRENEURENVIRONMENTAL CHANGEEPIDEMICEQUITABLE ACCESSEXCESS MORTALITYEXTREME EVENTSFAMILIESFAMILY MEMBERSFAMINEFARMERFARMERSFERTILITYFLOODINGFLOODSFOOD INSECURITYFOOD SECURITYFOOD SELF-SUFFICIENCYFORESTRYFRAMEWORK CONVENTION ON CLIMATE CHANGEFUNERAL ATTENDANCEFUNERAL COSTSFUNERAL EXPENSESGENDER INEQUALITYGLOBAL AIDS EPIDEMICGLOBAL ENVIRONMENTGOVERNMENT AGENCIESGROUNDWATERHAILSTORMSHEALTH CAREHEALTH CARE SYSTEMHEALTH POLICYHEALTH SERVICESHIVHIV INFECTIONHIV POSITIVEHUMAN CAPACITYHUMAN HEALTHHUMAN RESOURCE MANAGEMENTHUMANITARIAN ASSISTANCEILLNESSILLNESSESIMMUNE SYSTEMIMPACT OF AIDSINSTITUTIONAL CAPACITYINTERGOVERNMENTAL PANEL ON CLIMATE CHANGEINTERNATIONAL LABOR ORGANIZATIONINTERNATIONAL OBLIGATIONSINTERNATIONAL ORGANIZATIONSINTERNATIONAL RESPONSEIPCCIRRIGATIONIRRIGATION PROJECTSLIVELIHOOD OPPORTUNITIESMALARIAMARKETINGMIGRATIONMINISTRY OF HEALTHMORBIDITYMORTALITYMORTALITY RATENATIONAL AIDSNATIONAL AIDS COMMISSIONNATIONAL LEVELNATIONAL LEVELSNATURAL DISASTERNATURAL DISASTERSNATURAL RESOURCESNUMBER OF DEATHSNUTRITIONNUTRITIONAL STATUSOLDER MENOPPORTUNISTIC DISEASESOPPORTUNISTIC INFECTIONSORPHANSOUTBREAKSPATIENT CAREPOLICY ENVIRONMENTPOLICY MAKERSPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOPULATION MOVEMENTSPOVERTY REDUCTIONPOVERTY REDUCTION STRATEGYPRACTITIONERSPRECIPITATIONPREVALENCE RATEPREVALENCE RATESPREVENTION ACTIVITIESPRIMARY EDUCATIONPROGRAMSPROGRESSPUBLIC HEALTHPUBLIC SERVICEQUALITY OF LIFEQUALITY OF SERVICESQUANTITATIVE INDICATORSRAINFALLRAINY SEASONREPRODUCTIVE HEALTHRICHER COUNTRIESRISK REDUCTIONRISKY SEXUAL BEHAVIORRURAL AREASRURAL COMMUNITIESRURAL DEVELOPMENTRURAL POVERTYSAFETYSAFETY NETSSANITATIONSELF-RELIANCESERVICE DELIVERYSERVICE PROVISIONSEXSEXUAL PARTNERSSICK LEAVESKILLED STAFFSOCIAL SERVICESSOCIAL WELFARESOILSOIL CONSERVATIONSOIL EROSIONSTDSSUB-SAHARAN AFRICASUPPLY SYSTEMSSUSTAINABLE ECONOMIC GROWTHTABOOTEMPERATURETHUNDERSTORMSTORNADOESTROPICAL CYCLONESTUBERCULOSISUNAIDSURBAN CENTERSURBAN DEVELOPMENTVULNERABILITYWATER MANAGEMENTWATER RESOURCESWORKERSWORLD HEALTH ORGANIZATIONYOUNG ADULTSWorld Bank10.1596/1813-9450-4634