[pronut-hiv] Improving nutrition in children and mothers

["Dr. Robert Mwadime" <rmwadime@rcqhc.org>]

We need to (re)look at these ENAs in the context of HIV/AIDS
Robert Mwadime
---------------------

Friends,

I love what George is suggesting. But the list George has is only part of 
the story. In the context of HIV/AIDS, the Essential Nutrition Actions 
(ENAs) for Women and Young Children can't remain as we have had them, 
whether they are 6 actions promoted by BASICS or the longer list of 10 
actions promoted by the RCQHC/LINKAGES. We need to (re)look at these ENAs in the context of HIV/AIDS.

For instance, sanitation and safe food handling is a key action in the 
context of HIV/AIDS, and has serious implications on nutrition. But should 
this be included (including deworming) in the ENAs?

Robert Mwadime

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ESSENTIAL NUTRITION ACTIONS TOOLKIT PROVIDES MATERIALS FOR IMPROVING NUTRITION IN CHILDREN AND MOTHERS
promoted by BASICS II

George M. Carter wrote:

While I well understand limitations on access, clearly there have been 
programs that distribute micronutrients such as iron and iodine. The 
question is how relevant they, and vitamin A are. On the one hand, it shows that obtaining micronutrients is possible (now, this is talking about a 
supplement, not to replace food/clean water).

The data CONSISTENTLY show little benefit from vitamin A alone. Iron may be problematic, though not for women.

By contrast, there are increasing data on the benefits of a multi and/or a 
B complex. These are only slightly more expensive than these other 
nutrients and will have a better impact.

It is time people were given recommendations based on the literature and 
common sense. And based on the best possible outcome. I think is an 
inadequate approach and not particularly activist. It should be MUCH stronger.
--
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