Acceptability of Outpatient Ready-To-Use Food-Based Protocols in HIV-Infected Senegalese Children and Adolescents Within the MAGGSEN Cohort Study

Cames, Cécile; Varloteaux, Marie; Have, Ndeye Ngone; Diom, Alhadji Bassine; Msellati, Philippe; Mbaye, N.; Mbodj, Helene; Signate, H. S.; Diack, Aminata

doi:10.1177/0379572116679053

Cited by 9 publications

(11 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The observed level of adherence in this study is higher than the previous study conducted in the study area where 36.3% of the PLWHA were found to be adherent to the FBP program (Kebede and Haidar, 2014). However, the equivalent finding was reported from Senegal where the rate of RUTF consumption compared to the prescribed amount was approximately 50% among the study subjects (Cames et al, 2017). A qualitative study conducted in Kenya also revealed that half of malnourished AIDS adult patients failed to consume the daily prescription of RUTF (Dibari et al, 2011).…”

Section: Discussioncontrasting

confidence: 82%

“…The study conducted in Addis Ababa City also reported sharing the product with children and with other HIV-infected friends (Kebede and Haidar, 2014). The practice of sharing the RUTF with household members was also reported from similar studies conducted elsewhere (Gerberg and Stansbury, 2010;Dibari et al, 2011;Cames et al, 2017). The scarcity of food at the level of households, poverty, household food insecurity, and cultural issues are among the reasons behind sharing RUTF (Rodas-Moya et al, 2015;Food and Nutrition Technical Assistance, 2009;Kebede and Haidar, 2014).…”

Section: Discussionmentioning

confidence: 74%

See 1 more Smart Citation

The level of adherence to food by prescription (FBP) program among adults living with HIV/AIDS in Addis Ababa City, Ethiopia: A facility-based cross-sectional study

Kabtyimer¹,

Gebre²,

Tessema³

2020

Int. J. Nutr. Metab.

View full text Add to dashboard Cite

Considering the importance of nutritional health for people living with HIV, programs delivering nutritional support have been scaled up globally. Among various programs, the Food by Prescription (FBP) program has been implemented in Ethiopia since 2010. This study was undertaken to assess the level of adherence to the FBP program and identify the associated factors among HIV infected adults. Facility-based cross-sectional study design was conducted from May to June 2018 among 481 adult people living with HIV who have been enrolled in the program in 15 public health facilities. The study subjects were selected through a convenient sampling technique and data were collected using a structured interviewer-administered questionnaire. The data were entered and analyzed using Epi Info version 7 and Statistical Package for Social Science version 20 statistical software respectively. Bivariable and multivariable logistic regression were used. More than half 285(59.3) of the study subjects were found to be adherent to the FBP program. The amount of prescribed food, the duration of stay in nutrition program, the practice of sharing the supplement and experiencing of supplement stock out was found to be the most important predictors. The study revealed the level of adherence to the FBP program and identified some of the most important associated factors among adult people living with HIV. Strengthening the counseling component of the program, improving the supply management of the health facilities and linking people living with HIV to the economic strengthening activities should be considered to improve the adherence level of the program.

show abstract

Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 74%

The level of adherence to food by prescription (FBP) program among adults living with HIV/AIDS in Addis Ababa City, Ethiopia: A facility-based cross-sectional study

Kabtyimer¹,

Gebre²,

Tessema³

2020

Int. J. Nutr. Metab.

View full text Add to dashboard Cite

show abstract

“…Qualitative studies conducted in Southern Africa reported poor overall acceptability of RUF [16][17][18], whereas its organoleptic qualities were rated as good in studies from Vietnam [19] and Haiti [20]. Assessment of a pilot nutrition support providing RUF to 43 HIVinfected children and adolescents with acute malnutrition in two HIV clinics in Senegal shown that beneficiaries consumed 50% of their RUF on average and 20% defaulted from the programme [21]. Following this pilot study, the SNACS Study was implemented to assess the acceptability, effectiveness, and feasibility of outpatient RUF-based nutritional therapy among HIV-infected children and adolescents presenting with acute malnutrition across Senegal.…”

Section: Introductionmentioning

confidence: 99%

Adherence to ready-to-use food and acceptability of outpatient nutritional therapy in HIV-infected undernourished Senegalese adolescents: research-based recommendations for routine care

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Ready-to-use food (RUF) is increasingly used for nutritional therapy in HIV-infected individuals. However, practical guidance advising nutrition care to HIV-infected adolescents is lacking, so that little is known about the acceptability of such therapy in this vulnerable population. This study assesses the overall acceptability and perception of a RUF-based therapy and risk factors associated with sub-optimal RUF intake in HIV-infected undernourished adolescents in Senegal. Methods Participants 5 to 18 years of age with acute malnutrition were enrolled in 12 HIV clinics in Senegal. Participants were provided with imported RUF, according to WHO prescription weight- and age-bands (2009), until recovery or for a maximum of 9–12 months. Malnutrition and recovery were defined according to WHO growth standards. Adherence was assessed fortnightly by self-reported RUF intake over the period. Sub-optimal RUF intake was defined as when consumption of the RUF provision was < 50%. RUF therapy acceptability and perceptions were assessed using a structured questionnaire at week 2 and focus group discussions (FGDs) at the end of the study. Factors associated with sub-optimal RUF intake at week 2 were identified using a stepwise logistic regression model. Results We enrolled 173 participants, with a median age of 12.5 years (Interquartile range: 9.5–14.9), of whom 61% recovered from malnutrition within the study period. Median follow-up duration was 66 days (21–224). RUF consumption was stable, varying between 64 and 57% of the RUF provided, throughout the follow-up. At week 2, sub-optimal RUF intake was observed in 31% of participants. Dislike of the taste of RUF (aOR = 5.0, 95% CI: 2.0–12.3), HIV non-disclosure (5.1, 1.9–13.9) and food insecurity (2.8, 1.1–7.2) were the major risk factors associated with sub-optimal RUF intake at week 2. FGDs showed that the need to hide from others to avoid sharing and undesirable effects were other constraints on RUF feeding. Conclusions This study revealed several factors reducing the acceptability and adherence to RUF therapy based on WHO guidelines in HIV-infected adolescents. Tailoring prescription guidance and empowering young patients in their care are crucial levers for improving the acceptability of RUF-based therapy in routine care. Trial registration ClinicalTrials.gov identifier: NCT03101852, 04/04/2017.

show abstract

“…Qualitative studies conducted in Southern Africa reported poor overall acceptability of RUF (16)(17)(18), whereas its organoleptic qualities were rated as good in studies from Vietnam (19) and Haiti (20). Assessment of a pilot nutrition support providing RUF to 43 HIV-infected children and adolescents with acute malnutrition in two HIV clinics in Senegal shown that beneficiaries consumed 50% of their RUF on average and 20% defaulted from the programme (21). Following this pilot study, the SNACS Study was implemented to assess the acceptability, effectiveness, and feasibility of outpatient RUF-based nutritional therapy among HIV-infected children and adolescents presenting with acute malnutrition across Senegal.…”

Section: Introductionmentioning

confidence: 99%

Adherence to ready-to-use food and acceptability of outpatient nutritional therapy in HIV-infected undernourished Senegalese adolescents: research-based recommendations for routine care.

Niasse

Varloteaux

Diop

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Ready-to-use food (RUF) is increasingly used for nutritional therapy in HIV-infected individuals. However, practical guidance advising nutrition care to HIV-infected adolescents is lacking, so that little is known about the acceptability of such therapy in this vulnerable population. This study assesses the overall acceptability and perception of a RUF-based therapy and risk factors associated with sub-optimal RUF intake in HIV-infected undernourished adolescents in Senegal.Methods: Participants 5 to 18 years of age with acute malnutrition were enrolled in 12 HIV clinics in Senegal. Participants were provided with imported RUF, according to WHO prescription weight- and age-bands (2009), until recovery or for a maximum of 9-12 months. Malnutrition and recovery were defined according to WHO growth standards. Adherence was assessed fortnightly by self-reported RUF intake over the period. Sub-optimal RUF intake was defined as when consumption of the RUF provision was < 50%. RUF therapy acceptability and perceptions were assessed using a structured questionnaire at week 2 and focus group discussions (FGDs) at the end of the study. Factors associated with sub-optimal RUF intake at week 2 were identified using a stepwise logistic regression model. Results: We enrolled 173 participants, with a median age of 12.5 years (Interquartile range: 9.5 – 14.9), of whom 61% recovered from malnutrition within the study period. Median follow-up duration was 66 days (21 – 224). RUF consumption was stable, varying between 64% and 57% of the RUF provided, throughout the follow-up. At week 2, sub-optimal RUF intake was observed in 31% of participants. Dislike of the taste of RUF (aOR=5.0, 95% CI: 2.0 – 12.3), HIV non-disclosure (5.1, 1.9 – 13.9) and food insecurity (2.8, 1.1 – 7.2) were the major risk factors associated with sub-optimal RUF intake at week 2. FGDs showed that the need to hide from others to avoid sharing and undesirable effects were other constraints on RUF feeding. Conclusions: This study revealed several factors reducing the acceptability and adherence to RUF therapy based on WHO guidelines in HIV-infected adolescents. Tailoring prescription guidance and empowering young patients in their care are crucial levers for improving the acceptability of RUF-based therapy in routine care. ClinicalTrials.gov identifier: NCT03101852, 04/04/2017

show abstract

Acceptability of Outpatient Ready-To-Use Food-Based Protocols in HIV-Infected Senegalese Children and Adolescents Within the MAGGSEN Cohort Study

Abstract: NCT01771562 (Current Controlled Trials).

Cited by 9 publications

References 21 publications

The level of adherence to food by prescription (FBP) program among adults living with HIV/AIDS in Addis Ababa City, Ethiopia: A facility-based cross-sectional study

The level of adherence to food by prescription (FBP) program among adults living with HIV/AIDS in Addis Ababa City, Ethiopia: A facility-based cross-sectional study

Adherence to ready-to-use food and acceptability of outpatient nutritional therapy in HIV-infected undernourished Senegalese adolescents: research-based recommendations for routine care

Adherence to ready-to-use food and acceptability of outpatient nutritional therapy in HIV-infected undernourished Senegalese adolescents: research-based recommendations for routine care.

Contact Info

Product

Resources

About