Factors associated with suboptimal intake of some important nutrients among HIV-positive pregnant adolescents from two Ghanaian districts

Laar, Amos; Ampofo, William; Tuakli, J. M.; Wonodi, Chizoba; Asante, Richard; Quakyi, Isabella A.

doi:10.4314/jgsa.v11i2.50930

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…The availability of this useful information to mothers will no doubt lead to an improvement in the well-being of their babies. There are studies that show a strong relationship between health service coverage and effective utilization (Abajobir and Zeleke, 2013; Laar et al, 2009). Increased routine immunization of under-five children is highly advocated, especially during harmattan seasons which usually come with diarrhoea outbreaks especially in the northern part of Nigeria.…”

Section: Implication For Social Workmentioning

confidence: 99%

Factors associated with the prevalence of diarrhoea among children in rural areas of Enugu State, Nigeria: Practice considerations for social workers

Odo

Onalu

Nwatu

et al. 2021

International Social Work

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Poor health conditions such as diarrhoea are often associated with low- and middle-income countries. Diarrhoea in Nigeria contributes to an estimated 151,700 (16%) annual infant deaths, with a prevalence of 10–18 percent. With the high rate of diarrhoea-related infant mortality, it becomes important to investigate the barriers to its prevention. Data were sourced using five Focus Group Discussions involving 18 health workers and 30 nursing mothers. Findings show high prevalence of diarrhoea and identified ignorance, cultural/religious beliefs, and lack of funds as major barriers to its prevention. To address these problems, engaging social workers as welfare professionals is recommended.

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Section: Implication For Social Workmentioning

confidence: 99%

Factors associated with the prevalence of diarrhoea among children in rural areas of Enugu State, Nigeria: Practice considerations for social workers

Odo

Onalu

Nwatu

et al. 2021

International Social Work

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“…A recent study publicized the experiences and the challenges that HIV-positive mothers (but not health workers) in Ghana face. [ 10 ] The current study explored the challenges that health care workers face implementing PMTCT guidelines, and the experiences of HIV-positive clients receiving these services in the Accra Metropolis in Ghana. Documenting and publicizing these challenges may prod policy makers and program implementers to develop strategies that address the challenges.…”

Section: Introductionmentioning

confidence: 99%

Prevention-of-Mother-To-Child-Transmission of HIV Services in Sub-Saharan Africa: A Qualitative Analysis of Healthcare Providers and Clients Challenges in Ghana

2013

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Background:Developed by the World Health Organization (WHO) and partners, the correct adaptation and implementation of the global guidelines on prevention of mother-to-child transmission (PMTCT) of HIV is critical. This study explored the challenges that health workers face implementing WHO’s PMTCT guidelines, and the experiences of HIV-positive clients receiving these services.Methods:We interacted with 14 health professionals, and 16 PMTCT clients through in-depth interviews. Four of seven PMTCT sites within the Accra Metropolis were purposively included. Interviews were tape-recorded, transcribed, analyzed, and then sorted into themes.Results:Health workers had challenges translating PMTCT guidelines into useful messages for their clients. Their counselling was often prescriptive. Counselors identified inadequate in-service training as a key reason for their out-dated and inconsistent messages. HIV-positive clients exhibited general knowledge about the importance of doing exclusive breast-feeding for the first six months of life. Clients had confidence in antiretroviral for PMTCT. However, deeply rooted socio-cultural practices and the attitudes of counselors remain challenges to clients.Conclusions and Global Health Implications:Counselors require refresher training which addresses, among other things, long-held socio-cultural practices. Publicizing these challenges will prod policy makers and program implementers to develop strategies that address the challenges both locally and globally.

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“…According to available research, WHO recommends a daily dose of the recommended nutrient intake (RNI) for all micronutrients [ 54 ], especially for PLHIV. The current study looked primarily at the prevalence of nutrient supplementation, although and earlier Ghanaian study in the setting of the current study reported suboptimal intake of various nutrients among female PLHIV [ 16 ]. Further exploration is needed to determine if our research population meets this recommended standard in the dosing, amount, and quality of their micronutrient supplementation.…”

Section: Discussionmentioning

confidence: 99%

“…Side effects of medications, which include nausea, vomiting, diarrhea, abdominal cramps, can also result in suboptimal dietary intakes. A recent Ghanaian study that determined the daily intakes of some important nutrients by HIV-positive pregnant women revealed a high prevalence of inadequate dietary intake among those with nausea, vomiting, and oral lesions [ 16 ]. Another possible cause of reduced intake is food insecurity resulting from HIV-related factors [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Food elimination, food substitution, and nutrient supplementation among ARV-exposed HIV-positive persons in southern Ghana

Laar

Lartey

Ankomah

et al. 2018

J Health Popul Nutr

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BackgroundOptimal nutrition is a determinant of health in all persons. In persons living with HIV (PLHIV), nutrition is particularly important. Various factors, including dietary practices, play a role in guaranteeing nutritional health.ObjectivesWe investigated multiple non-prescription drugs use among HIV-positive persons receiving antiretroviral therapy (ART) from four treatment centers in southern Ghana. This paper, however, focuses on nutrient supplement use, food elimination, and food substitution practices by the PLHIV.MethodsUsing quantitative and qualitative methods, we collected data from 540 HIV-positive persons at the health facility level. This paper focuses on only the quantitative data. Individual study participants were selected using a systematic random sampling procedure. Participants were interviewed after informed consent. We used univariate analysis to generate descriptive tabulations for key variables. Multivariable logistic regression modeling identified predictors of three practices (nutrient supplementation, food elimination, and food substitution). P value less than 0.05 or 95% confidence intervals facilitated determination of statistical significance. All analyses were performed using IBM SPSS Statistics for Windows, version 20.0.ResultsThe use of nutrient supplements was a popular practice; 72% of the PLHIV used various kinds. The primary motive for the practice was to boost appetite and to gain weight. A little over 20% of the participants reportedly eliminated certain foods and beverages, while 17% introduced new foods since their initial HIV diagnosis. All the three practices were largely driven by the quest for improved health status. We determined predictors of nutrient supplementation to be ART clinic location and having an ART adherence monitor. Having an ART adherence monitor was significantly associated with reduced odds of nutrient supplementation (AOR = 0.34; 95% CI 0.12–0.95). The only predictor for food elimination was education level (AOR = 0.29; 95% CI 0.30–0.92); predictors of food substitution were ART clinic location (AOR = 0.11; 95% CI 0.02–0.69) and anemia (defined as hemoglobin concentration less than 11.0 g/dl) (AOR = 0.21; 95% CI 0.12–0.85).ConclusionsThe practice of supplementation is popular among this group of PLHIV. Food elimination and substitution are practiced, albeit in moderation. The predictors identified may prove helpful in provider-client encounters as well as local HIV programming.

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Factors associated with suboptimal intake of some important nutrients among HIV-positive pregnant adolescents from two Ghanaian districts

Cited by 4 publications

References 23 publications

Factors associated with the prevalence of diarrhoea among children in rural areas of Enugu State, Nigeria: Practice considerations for social workers

Factors associated with the prevalence of diarrhoea among children in rural areas of Enugu State, Nigeria: Practice considerations for social workers

Prevention-of-Mother-To-Child-Transmission of HIV Services in Sub-Saharan Africa: A Qualitative Analysis of Healthcare Providers and Clients Challenges in Ghana

Food elimination, food substitution, and nutrient supplementation among ARV-exposed HIV-positive persons in southern Ghana

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