Integrating Nutrition Security with Treatment of People Living with HIV: Lessons from Kenya

Byron, Elizabeth; Gillespie, Stuart; Nangami, Mabel

doi:10.1177/156482650802900202

Cited by 77 publications

(86 citation statements)

References 12 publications

(11 reference statements)

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“…The majority (61 %) of clients reported that, as a result of the food supplementation, they regained enough strength to return to their household chores, farming activities, or income-earning activities. 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: 93%

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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Section: Safety Nets Targeted To Hiv-affected Householdsmentioning

confidence: 93%

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

et al. 2014

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“…Previous qualitative work in Kenya 36 and other African settings have indicated that food insecurity may be a barrier to adherence. Baseline food insecurity was a strong predictor of poor adherence among people attending HIV clinics in rural Zambia.…”

Section: Discussionmentioning

confidence: 99%

Neuropsychiatric and Socioeconomic Status Impact Antiretroviral Adherence and Mortality in Rural Zambia

Birbeck¹,

Kvalsund²,

Byers³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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Abstract. We conducted a prospective cohort study of 496 adults starting antiretroviral treatment (ART) to determine the impact of neuropsychiatric symptoms and socioeconomic status on adherence and mortality. Almost 60% had good adherence based upon pharmacy records. Poor adherence was associated with being divorced, poorer, food insecure, and less educated. Longer travel time to clinic, concealing one's human immunodeficiency virus (HIV) status, and experiencing side effects predicted poor adherence. Over a third of the patients had cognitive impairment and poorer cognitive function was also associated with poor adherence. During follow-up (mean 275 days), 20% died-usually within 90 days of starting ART. Neuropsychiatric symptoms, advanced HIV, peripheral neuropathy symptoms, food insecurity, and poverty were associated with death. Neuropsychiatric symptoms, advanced HIV, and poverty remained significant independent predictors of death in a multivariate model adjusting for other significant factors. Social, economic, cognitive, and psychiatric problems impact adherence and survival for people receiving ART in rural Zambia.

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“…Nutritional intervention, leading to food security of patients receiving antiretroviral therapy, has increased medication adherence, fewer side effects, weight gain, and recovery of physical and work strength of the patients and their families 15 . The serious consequences of food insecurity in relation to HIV/ AIDS reported in several studies and their prevalence observed in this study indicate that food security should be an important component of HIV/AIDS treatment programs in Brazil.…”

Section: Conflict Of Interestmentioning

confidence: 99%

Food insecurity of HIV/AIDS patients at a unit of outpatient healthcare system in Brasilia, Federal District, Brazil

Charão

Batista²,

Ferreira

2012

Rev. Soc. Bras. Med. Trop.

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Introduction:Food security remains to be one of the world's biggest problems and is found to be related to HIV/AIDS. The objective was to examine food insecurity in HIV/AIDS patients from Brasilia, Brazil. Methods: Short version of the Food Security Scale was applied to patients with HIV/AIDS. Results: A total of 103 patients participated (65 HIV+ and 38 with AIDS). Food insecurity was found in 33.8% of HIV+ patients and 36.8% of patients with AIDS. A relation between food insecurity and low educational and social levels was established. Conclusions: Food security should be an important component in HIV/AIDS treatment programs.

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Integrating Nutrition Security with Treatment of People Living with HIV: Lessons from Kenya

Cited by 77 publications

References 12 publications

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

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

Neuropsychiatric and Socioeconomic Status Impact Antiretroviral Adherence and Mortality in Rural Zambia

Food insecurity of HIV/AIDS patients at a unit of outpatient healthcare system in Brasilia, Federal District, Brazil

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