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

Sunguya, Bruno F.; Ulenga, Nzovu; Siril, Hellen; Puryear, Sarah; Aris, Eric; Mtisi, Expeditho; Tarimo, Edith A. M.; Urassa, David P.; Fawzi, Wafaie W.; Mugusi, F

doi:10.1186/s40795-017-0180-0

Cited by 10 publications

(14 citation statements)

References 27 publications

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“…Our analysis has shown that the severity of malnutrition is higher among female PLHIV. This finding concurred with other studies conducted in Ethiopia (Daniel et al, 2013), Tanzania (Sunguya et al, 2017), and Zimbabwe (Takarinda et al, 2017), which have demonstrated that female PLHIV were more affected by malnutrition. The possible reason for females to become more malnourished than males may be that females take care of their household vis-à-vis diet preparation as well as prioritizing food for their children and to their family members instead of taking care of themselves.…”

Section: Discussionsupporting

confidence: 92%

“…Analogous to this finding, the study conducted in other parts of Ethiopia indicated that lowest asset possession is associated with malnutrition (Weldehaweria et al, 2017). On the other hand, higher wealth index was found associated with better nutritional status, and is less likely to exhibit malnutrition compared with their counterparts (Sunguya et al, 2017).…”

Section: Discussionmentioning

confidence: 93%

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High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme

Nigusso

Mavhandu-Mudzusi

2020

Nutr Health

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Background: Food insecurity and malnutrition has been reported to have a strong connection with human immunodeficiency viruses (HIV); this is more pervasive in Sub-Saharan Africa including Ethiopia. In this study, we examined the predictors of food insecurity and factors associated with malnutrition among people living with HIV (PLHIV) in Benishangul Gumuz Regional State, Ethiopia. Methods: We conducted a cross-sectional study at outpatient antiretroviral therapy (ART) clinics. Data were collected using participant interview, anthropometry, and participants’ chart review. Interviews were carried out with 390 PLHIVs who were on antiretroviral treatment follow-up. Four robust multivariate linear regression models were used to identify predictors of food insecurity and factors associated with malnutrition. Results: The prevalence of food insecurity and malnutrition among PLHIV were found to be 76% and 60%, respectively. The predictors of food insecurity were: urban residence; household dependency; average monthly income below 53.19 USD; poor asset possession; CD4 count below 350 cell/ μL; and recurrent episodes of opportunistic infections (OIs). Correspondingly, malnutrition among PLHIV was found strongly associated with: female gender; urban residence; income below 53.19 USD; poor asset possession; duration of less than one year on ART; and recurrent episodes of OIs. Conclusion: The study findings suggest that the higher prevalence of food insecurity and malnutrition among PLHIV underscore: the need for economic and livelihood intervention; addressing contextual factors including the gender dimensions; adoption of nutrition-specific and sensitive interventions; and integration of food and nutrition security with HIV treatment and care programmes.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 93%

High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme

Nigusso

Mavhandu-Mudzusi

2020

Nutr Health

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“…Subjects who had a CD4 cell count of 200–349 cells/mm 3 had a better DD than those who had CD4 cell counts less than 200 cells/mm 3 . This was due to poor nutritional status (particularly micronutrients can lead to immunosuppression), advanced HIV clinical stage, or disturbance of the metabolic system and loss of appetite ( 28 ) . This was similar to the study done in Uganda, which reveals that consumption of diversified diet was positively associated with higher CD4 cell count ( 29 ) .…”

Section: Discussionmentioning

confidence: 99%

Dietary diversity and associated factors among HIV-positive adults attending the anti-retroviral therapy clinic at Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia: a cross-sectional study

2021

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The aim of the study was to assess dietary diversity (DD) and associated factors among human immune deficiency virus (HIV)-positive adults attending the anti-retroviral therapy (ART) clinic at Felege Hiwot Comprehensive Specialized Hospital (FHCSH) in Northwest Ethiopia. An institution-based cross-sectional study was conducted at FHCSH in 2019. A systematic random sampling technique was employed to select 352 study subjects. Data were collected using an interviewer-administered questionnaire and chart review. Statistical Package for the Social Science version 26 was used for analysis. A simple and multivariable binary logistic regression was used to determine associated factors. Two hundred and nine (59⋅4 %) adults had consumed a diversified diet. The mean individual DD score was 3⋅86 ± 1⋅18. Self-employment status (adjusted odd ratio (AOR): 4⋅60; 95 % confidence interval (CI): 1⋅72, 12⋅27), quintiles of wealth index (the second (AOR: 4⋅33; 95 % CI: 1⋅72, 10⋅89), middle (AOR: 4⋅40; 95 % CI: 1⋅71, 11⋅31), fourth (AOR: 6⋅60; 95 % CI: 2⋅36, 18⋅48) and the highest quintiles (AOR: 9⋅45: 95 % CI: 3⋅34, 26⋅77), the last CD4 count 200–349 cells/mm3 (AOR: 8⋅08; 95 % CI: 2⋅93, 22⋅23), those who took first-line ART regimen drugs (AOR: 4⋅49; 95 % CI: 2⋅19, 9⋅21), subjects who did not take co-trimoxazole prophylaxis (AOR: 6⋅36; 95 % CI: 2⋅54, 15⋅88), those who had nutritional counselling at a health institution (AOR: 2⋅36; 95 % CI: 1⋅08, 5⋅16), had no food preference (AOR: 2⋅42; 95 % CI: 1⋅14, 5⋅13) and a food-secure household (AOR: 3⋅51; 95 % CI: 1⋅85, 6⋅67) were associated factors of DD among adults on ART. This study exhibited that the DD status among adults attending the ART clinic was below two-thirds. Health institutions and health professionals working at ART clinics shall strengthen their efforts to sustain the nutritional counselling service and ART adherence at health institutions and encourage the patients to avoid food preference for their meal. It is vital to ensure the household food security of adults on ART.

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“…Dietary Diversity Scores were calculated by taking the sum of foods group consumed in the day that preceded the interview. Dietary diversity scores below three were considered low dietary intake, otherwise high (21,22). This tools is useful proxy indicator of nutrient adequacy of marginalized populations including rural elderly people in Sri lanka as indeed, the performance of the indicators is improved when considering the quantities of food consumed (23).…”

Section: Variables and Outcome Measuresmentioning

confidence: 99%

“…This includes safe water, food, health services, and education. Owning some important properties is an indicator of how wealthier a person can be and can also facilitate and improve the quality of life thereof (22,33,34).…”

Section: Factors Associated With Hrqolmentioning

confidence: 99%

Health-related Quality of Life Among People Who Inject Drugs on Methadone Assisted Treatment in Zanzibar, Tanzania

Haji¹,

Damian²,

Rajab³

et al. 2021

Preprint

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Background: The burden of drug use is growing rapidly in Low- and Middle-Income countries (LMICs) with access to coastlines and most major cities;Tanzania is not exception. Methadone Assisted Treatment (MAT) has a potential to reduce addiction and therefore health and quality of lives. MAT is known to improve health related quality of life and it is essential in addressing a number of drug use related challenges among People Who Inject Drugs (PWIDS). Evidence on the profiles of Health Related Quality of Life (HRQOL) among PWIDS who are in treatment programmes particualry MAT services, is scanty in Zanzibar, Tanzania, Objectives: To determine HRQOL and associated factors among PWIDS receiving MAT Services in Zanzibar, Tanzania. Methods: This was a cross-sectional study conducted in Unguja, Zanzibar from July to August 2019. A total of 376 PWIDS attending Kidongo Chekundu MAT clinic were randomly selected and enrolled in the study. Data were electronically collected using Open Data Kit (ODK) programme during face-to-face interviews with PWIDS HRQOL was measured using the WHO's Quality of Life questionnaire Descriptive and binary logistic regression analyses were used to describe and determine factors independently associated with HRQOL. Results: Of the 376 PWIDS enrolled in this study, Vast majority (92.6%) were male. The mean age of participants at enrollment was 39 (± standard deviation (SD) 8.9). Slightly more than one third (45.5%) were single, 56.4% have a secondary school education level. Slightly more than two third (82.7%) were employed, 42% reported living at Magharibi B districts. High proportion were on MAT services for more than one year (70.2%); had good adherence to MAT services (79%), and were receving 50 – 99 mg of methadodone dose per day (51.1%).The majority of PWIDS (82%) had of high HRQOL. Employed PWIDS [AOR=5.36; 95%CI (1.51, 19.04); p=0.009], and PWIDS who were in the middle wealth quintile [OR=24.15; 95%CI (2.01, 290.30); p=0.012] were more likely to have better HRQOL. Conclusion: In general, PWIDS on MAT services have good HRQOL in Zanzibar. Being employed or having better economic status among were associated with better HRQOL. To effect this there is a need to strengthen multisectoral collaborations, integrated and comprehensive MAT services within the clinic and other related areas with all relevant stakeholders so as to improve health related quality of life among PWIDS.

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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

Cited by 10 publications

References 27 publications

High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme

High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme

Dietary diversity and associated factors among HIV-positive adults attending the anti-retroviral therapy clinic at Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia: a cross-sectional study

Health-related Quality of Life Among People Who Inject Drugs on Methadone Assisted Treatment in Zanzibar, Tanzania

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