Re: [pronut-hiv] WFP's strategy to support UN and government plan tofight HIV/AIDS in the Republic of Congo (3)

["Kristof & Stacia Nordin" <nordin@eomw.net>]

That's great that WFP is providing food to homes affected with HIV, this is also happening in Malawi, not just through WFP, but other organizations as well.

What foods are they using in the Congo program, I've been trying to 
encourage the Malawi organizations to provide appropriate choices as some of the organizations were providing white flour, sugar and oil (if used for frying), all foods that are not the best choices for HIV infection.

* Whole Grains, Nuts, Small beans (for easy cooking or sprouting), Oilseeds 
(like sunflower, pumpkin, sesame, etc.) are some nice dry good choices.  WFP 
Malawi has been able to aquire Bulgar Wheat flour mixed with Soy flour which is a better nutritional mix (could also be replaced with any whole grain flour mixed with a legume, nut or oilseed powder).

* Local Fruits, Vegetables (like pumpkins or gourds), Roots, Avocadoes, 
Coconuts are some good fresh choices but transport could be an issue that 
needs consideration (we are a pretty smart bunch of people though and could overcome most barriers with some creative brainstorming!).

Some food is probably better than nothing in some cases, but we can always 
improve our programs along the way.  I note that the Congo program is 
developing a nutrition program to target the malnourished.

Stacia
~~~~~~~~~~~~~~~~~~~~~~
Stacia Nordin, RD
Nutrition Consultant
Specialist in Sustainable Food & Nutrition Security and HIV/AIDS
~~~~~~~~~~~~~~~~~~~~~~
Post Dot Net X-124, Crossroads, Lilongwe, Malawi
Physical Location:  Chitedze Trading Centre, Lilongwe, Malawi (Africa)
+265  1-707-213  (home)
+265  9-333-073  (home cell)
nordin@eomw.net
~~~~~~~~~~~~~~~~~~~~~~

-----ProNut-HIV wrote:


> This presentation was given at the Central Africa Nutrition Focal Point 
> Meeting in Brazzaville, held on July 20 - 22, 2005
>
> In November 2001, WFP Congo decided to provide food to people living with 
> HIV/AIDS in insecure households  in Congo. The objectives of the food aid 
> were to strengthen people living with HIV/AIDS nutritional status and to 
> motivate them to adhere to medical treatment in Brazzaville, Pointe-Noire, 
> Dolisie and Nkayi. Targeting of the beneficiaries took place at the 
> treatment center.  From January to June 2005, food was distributed to 3108 
> people affected by HIV/AIDS, including 1732 women and 1376 men.
>
> To help assess the impact of the intervention, information was collected 
> from the providers, family members and beneficiaries, using structured and 
> semi-structured interviews. The results of the survey revealed the 
> following:
> - A decreased drop out rate in people living with HIV/AIDS using the 
> treatment center  Improved follow up of the enrolled clients
> - Decreased stigma targeting people receiving food
> - Enhanced autonomy of clients receiving food who are increasingly able to 
> take care of themselves
> - Increased openness of enrolled clients about their HIV status
> - Income transfer  Enrolled clients spend more money allocated for 
> treatment and medicine.
> - Improved  food security for the affected household
> - Additional network of people living with HIV/AIDS created to fight 
> stigma
>
> The next steps include:
> -Expanding the program to Sibiti, Ouesso and Oyo
> -Designing and implementing a nutrition program targeting malnourished 
> people living with HIV/AIDS
>
>
> Vivianne Malonda : Vivianne.Malonda@wfp.org
> ---------------------------------------------
> Assistance alimentaire du PAM aux personnes vivant avec le VIH /SIDA au 
> CONGO- BRAZZAVILLE
>
> DISTRIBUTION DES VIVRES
> Dans le cadre d'un plan inter agence du systeme des Nations Unies de lutte 
> contre le VIH/SIDA, le PAM a demarre en Novembre 2001 le programme 
> d'assistance nutritionnelle aux personnes vivant avec le VIH /SIDA. Ceci 
> dans le but d'ameliorer le statut nutritionnel et de motiver les personnes 
> vivant avec le VIH/SIDA de poursuivre leur traitement medical.
> Ce programme est mis en oeuvre dans 4 localites au Congo  Brazzaville a 
> savoir Brazzaville, Pointe-Noire, Dolisie et Nkayi.
> Le ciblage des beneficiaires se fait dans les centres de traitement 
> ambulatoire (CTA) e Brazzaville et a Pointe-Noire, les centres de 
> transfusion sanguine a Dolisie et a Nkayi (il n'y a pas de CTA dans ces 
> deux localites).
> De janvier a juin 2005 ,1213 tonnes de vivres ont ete distribues a 3108 
> personnes vulnerables et vivant avec le VIH/SIDA dont 1732 femmes et 1376 
> hommes.
>
> IMPACT DE L'AIDE ALIMENTAIRE
> Pour apprecier l'impact de l'aide alimentaire sur les patients, nous avons 
> collecte les donnees au niveau du CTA de Brazzaville et aussi a partir des 
> entretiens formels et informels avec les responsables du CTA, les 
> beneficiaires et les familles des beneficiaires. Les resultats sont les 
> suivants :
> -amelioration du suivi des patients par le CTA (diminution des cas 
> d'abandon du suivi medical par le CTA),
> -amelioration  de l'image du CTA en reduisant le caractere stigmatisant de 
> cette structure,
> -restitution d'une certaine autonomie des malades au sein de leur famille,
> -les malades se devoilent de plus en plus en se presentant eux memes dans 
> le site de distribution des vivres,
> -emergence des nouvelles associations des PVVS parce qu'elles contribuent 
> a raduire la stigmatisation,
> -les beneficiaires arrivent a faire face a d'autres besoins tel que 
> l'achat des medicaments, payer les consultations avec l'argent qu'ils 
> affectaient anterieurement dans l'alimentation,
> -Assurer la securite alimentaire des menages vulnerables.
>
> PERSPECTIVES
> -Mise en oeuvre d'un programme d'assistance nutritionnelle aux personnes 
> vivant avec le VIH/SIDA presentant des signes de malnutrition (ce 
> programme est deja operationnel a Brazzaville depuis le mois de juin 
> 2005),
> -Couvrir les localites  de Sibiti, Ouesso et Oyo  il y a egalement une 
> forte prevalence du taux des PVVS .
>
> Vivianne Malonda Vivianne.Malonda@wfp.org
>
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