Patsy Nakell

This is like a double whammy in many ways, when you don't have anything to begin with, your ability to stretch and be flexible is very limited.

People sometimes are having to resort to these extreme choices between eating and taking life-saving medication, this is the global epicentre of the HIV epidemic and when you have a situation like this where people are struggling to have access to food and to clean water then you know (they) will resort to what we call negative coping mechanisms.