Details:

Alternative Title:
Public Health Nutr
Personal Author:
Anema, Aranka ; Zhang, Wendy ; Wu, Yingfeng ; Elul, Batya ; Weiser, Sheri D ; ... More +
Anema, Aranka ; Zhang, Wendy ; Wu, Yingfeng ; Elul, Batya ; Weiser, Sheri D ; Hogg, Robert S ; Montaner, Julio SG ; El Sadr, Wafaa ; Nash, Denis Less -
Description:
Objective

To examine the availability of nutritional support services in HIV care and treatment sites across sub-Saharan Africa.

Design

In 2008, we conducted a cross-sectional survey of sites providing antiretroviral therapy (ART) in nine sub-Saharan African countries. Outcomes included availability of: (i) nutritional counselling; (ii) micronutrient supplementation; (iii) treatment for severe malnutrition; and (iv) food rations. Associations with health system indicators were explored using bivariate and multivariate methods.

Setting

President’s Emergency Plan for AIDS Relief-supported HIV treatment and care sites across nine sub-Saharan African countries.

Subjects

A total of 336 HIV care and treatment sites, serving 467 175 enrolled patients.

Results

Of the sites under study, 303 (90%) offered some form of nutritional support service. Nutritional counselling, micronutrient supplementation, treatment for severe acute malnutrition and food rations were available at 98%, 64%, 36% and 31% of sites, respectively. In multivariate analysis, secondary or tertiary care sites were more likely to offer nutritional counselling (adjusted OR (AOR): 2·2, 95% CI 1·1, 4·5). Rural sites (AOR: 2·3, 95% CI 1·4, 3·8) had increased odds of micronutrient supplementation availability. Sites providing ART for >2 years had higher odds of availability of treatment for severe malnutrition (AOR: 2·4, 95% CI 1·4, 4·1). Sites providing ART for >2 years (AOR: 1·6, 95% CI 1·3, 1·9) and rural sites (AOR: 2·4, 95% CI 1·4, 4·4) had greater odds of food ration availability.

Conclusions

Availability of nutritional support services was high in this large sample of HIV care and treatment sites in sub-Saharan Africa. Further efforts are needed to determine the uptake, quality and effectiveness of these services and their impact on patient and programme outcomes.


Subjects:
[+]
Adolescent Adult Anti-Retroviral Agents Antiretroviral Therapy Article Child Child, Preschool Counseling Cross-Sectional Studies Dietary Supplements Female HIV HIV Infections Humans Male Malnutrition Nutrition Nutritional Support Patient Compliance Treatment Outcome Young Adult
Source:
Public Health Nutr. 15(5):938-947.
Pubmed ID:
21806867
Pubmed Central ID:
PMC5341131
Document Type:
Journal Article
Funding:
U62 PS223540/PS/NCHHSTP CDC HHS/United States ; Canadian Institutes of Health Research/Canada
U62 PS223540/PS/NCHHSTP CDC HHS/United States ; Canadian Institutes of Health Research/Canada Less -
Place as Subject:
Africa South of the Sahara
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:36f1eeb108d7e43a0af71ef0449ae62c13848cbed391bee43a86d80c8d891c48
Download URL:
https://stacks.cdc.gov/view/cdc/44571/cdc_44571_DS1.pdf
File Type:

Supporting Files

• 	nihms825985.nxml	bin
  	nihms825985f1.gif	gif
  	nihms825985f1.jpg	jpeg

More +