Re: [pronut-hiv] ABSTRACT: Availability of nutritional support services in HIV care and treatment sites in sub-Saharan African countries

["Wendy Hammond" <whammond@fhi360.org>]

Dear Wendy,

With apologies - the citation was missing from this posting:

Public Health Nutr. 2012 May;15(5):938-47. Epub 2011 Aug 2.

best,
Pamela


Dear ProNut contributor,

Thank you for the interesting summary of the report below. Would it be
possible to give details on the title, date, and place of publication, if
any?

Thank you.

Wendy Hammond

On Wed, May 16, 2012 at 10:56 PM, <pronut-hiv@healthnet.org> wrote:

> Availability of nutritional support services in HIV care and treatment
> sites in sub-Saharan African countries
>  Abstract OBJECTIVE:
>
> To examine the availability of nutritional support services in HIV care and
> treatment sites across sub-Saharan Africa.
> DESIGN:
>
> In 2008, we conducted a cross-sectional survey of sites providing
> antiretroviral therapy (ART) in nine sub-Saharan African countries.
> Outcomes included availability of: (i) nutritional counselling; (ii)
> micronutrient supplementation; (iii) treatment for severe malnutrition; and
> (iv) food rations. Associations with health system indicators were explored
> using bivariate and multivariate methods.
>  SETTING:
>
> President's Emergency Plan for AIDS Relief-supported HIV treatment and care
> sites across nine sub-Saharan African countries.
> SUBJECTS:
>
> A total of 336 HIV care and treatment sites, serving 467 175 enrolled
> patients.
> RESULTS:
>
> Of the sites under study, 303 (90 %) offered some form of nutritional
> support service. Nutritional counselling, micronutrient supplementation,
> treatment for severe acute malnutrition and food rations were available at
> 98 %, 64 %, 36 % and 31 % of sites, respectively. In multivariate analysis,
> secondary or tertiary care sites were more likely to offer nutritional
> counselling (adjusted OR (AOR): 2.2, 95 % CI 1.1, 4.5). Rural sites (AOR:
> 2.3, 95 % CI 1.4, 3.8) had increased odds of micronutrient supplementation
> availability. Sites providing ART for >2 years had higher odds of
> availability of treatment for severe malnutrition (AOR: 2.4, 95 % CI 1.4,
> 4.1). Sites providing ART for >2 years (AOR: 1.6, 95 % CI 1.3, 1.9) and
> rural sites (AOR: 2.4, 95 % CI 1.4, 4.4) had greater odds of food ration
> availability.
>  CONCLUSIONS:
>
> Availability of nutritional support services was high in this large sample
> of HIV care and treatment sites in sub-Saharan Africa. Further efforts are
> needed to determine the uptake, quality and effectiveness of these services
> and their impact on patient and programme outcomes.
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*Wendy Hammond* *| Nutrition and HIV Specialist, FANTA*
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