The impact of a food assistance program on nutritional status, disease progression and food security among people living with HIV in Uganda

Raj, Rahul; Faust, Elizabeth; Maluccio, John A.; Kadiyala, Suneetha

doi:10.23846/ow1078

Cited by 6 publications

(7 citation statements)

References 38 publications

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“…In so doing, we can improve their undernutrition and, in turn, improve their HIV treatment outcomes [10]. Such povertyalleviating interventions include conditional cash transfer [25,26], small productivity groups, microfinancing of economic activities, and other livelihood programs [27,28].…”

Section: Discussionmentioning

confidence: 99%

High magnitude of under nutrition among HIV infected adults who have not started ART in Tanzania--a call to include nutrition care and treatment in the test and treat model

et al. 2017

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Background: Undernutrition among people living with HIV (PLWHIV) can be ameliorated if nutrition specific and sensitive interventions are integrated into their HIV care and treatment centers (CTC). Integrated care is lacking despite expansion of antiretroviral therapy (ART) coverage, representing a substantial missed opportunity. This research aims to examine nutritional status and associated risk factors among HIV-positive adults prior to ART initiation in Tanzania in order to characterize existing gaps and inform early integration of nutrition care into CTC. Methods: We analyzed data from 3993 pre-ART adults living with HIV enrolled in CTCs within the Trial of Vitamin (TOV3) and progression of HIV/AIDS study in Dar es salaam, Tanzania. The primary outcome for this analysis was undernutrition, measured as body mass index (BMI) below 18.5 kg/m

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Section: Discussionmentioning

confidence: 99%

High magnitude of under nutrition among HIV infected adults who have not started ART in Tanzania--a call to include nutrition care and treatment in the test and treat model

et al. 2017

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“…The amount of labor available in their household increased as the patient recuperated [62]. In the 12-month prospective TASO-RENEWAL study, food assistance increased household food security, but not individual dietary diversity: Household Food Insecurity Access Score increased by 2.1 points [61].…”

Section: Safety Nets Targeted To Hiv-affected Householdsmentioning

confidence: 96%

“…Food assistance significantly increased BMI by 0.6 kg/m 2 , and mid-upper arm circumference (MUAC) by 6.7 mm among people not eligible for ART. Food assistance resulted in an increase of hemoglobin count by approximately 1.0 g/dl only among those with CD4 [350 cell/mm 3 [61]. This conditional impact of food assistance on hemoglobin by level of immunosuppression is likely related to dietary factors possibly comprising a larger attributable fraction for hemoglobin levels among individuals with less advanced HIV disease, when hemoglobin levels are less affected by HIV infection.…”

Section: Safety Nets Targeted To Hiv-affected Householdsmentioning

confidence: 99%

Food Security and Nutrition Interventions in Response to the Aids Epidemic: Assessing Global Action and Evidence

et al. 2014

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The number of people receiving antiretroviral therapy in developing countries has increased dramatically. The last decade has brought an increased understanding of the interconnectedness between HIV/AIDS, food insecurity, and undernutrition and a surge of evidence on how to address the food security and nutrition dimensions of the epidemic. We review this evidence as well as the corresponding evolution of policy support for incorporating food security and nutrition concerns into HIV programming. The available evidence, although varied in scope and methodologies, shows that nutrition supplementation and safety nets in the form of food assistance and livelihood interventions have potential in certain contexts to improve food security and nutrition outcomes in an HIV/AIDS context. In the face of funding uncertainties and competing priorities, we must maintain momentum towards effective and sustainable solutions to the epidemic through continued systematic research to inform policy and through the strengthening of monitoring systems to dynamically inform intervention development.

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“…The food basket provided approximately 4602·4 kJ (1100 kcal)/person per day and resulted in a BMI increase of 0·6 kg/m 2 and a MUAC increase of 6·7 mm. No significant association was observed between food assistance and CD4 count; however, in participants with a CD4 count >350 cells/m 3 , Hb concentrations increased by approximately 1·0 g/dl (43) .…”

Section: Selected Studiesmentioning

confidence: 75%

“…A prospective quasi-experimental study evaluated the impact of a WFP food basket (200 g maize meal, 40 g pulses, 10 g vitamin A-fortified vegetable oil, 5 g iodised salt, 50 g micronutrient fortified CSB/person per day) provided monthly over a 12-month period (August 2008-October 2009) to HIV adults in Uganda that were both food-insecure and ART naive (43) .…”

Section: Selected Studiesmentioning

confidence: 99%

Food supplementation among HIV-infected adults in Sub-Saharan Africa: impact on treatment adherence and weight gain

et al. 2015

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Sub-Saharan Africa has the highest proportion of undernourished people in the world, along with the highest number of people living with HIV and AIDS. Thus, as a result of high levels of food insecurity many HIV patients are also undernourished. The synergism between HIV and undernutrition leads to poor treatment adherence and high mortality rates. Undernutrition has a debilitating effect on the immune system due to key nutrient deficiencies and the overproduction of reactive species (oxidative stress), which causes rapid HIV progression and the onset of AIDS. Therapeutic food supplementation used in the treatment of severe acute malnutrition is being applied to HIV palliative care; however, little biochemical data exist to highlight its impact on oxidative stress and immune recovery. In addition, as most food supplements are imported by donor agencies, efforts are being put into local therapeutic food production such as the Food Multi-Mix concept to ensure sustainability. The purpose of this review is to highlight studies that examine the effectiveness of food supplementation in undernourished HIV patients in Sub-Saharan Africa; noting the parameters used to measure efficacy, as well as the long-term feasibility of supplementation.

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The impact of a food assistance program on nutritional status, disease progression and food security among people living with HIV in Uganda

Cited by 6 publications

References 38 publications

High magnitude of under nutrition among HIV infected adults who have not started ART in Tanzania--a call to include nutrition care and treatment in the test and treat model

High magnitude of under nutrition among HIV infected adults who have not started ART in Tanzania--a call to include nutrition care and treatment in the test and treat model

Food Security and Nutrition Interventions in Response to the Aids Epidemic: Assessing Global Action and Evidence

Food supplementation among HIV-infected adults in Sub-Saharan Africa: impact on treatment adherence and weight gain

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