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Availability of nutritional support services in HIV care and treatment sites in sub-Saharan African countries

Anema, Aranka; Zhang, Wendy; Wu, Yingfeng; Elul, Batya O.; Hogg, Robert S.; Montaner, Julio S. G.; El-Sadr, Wafaa Mahmoud; Nash, Denis

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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Title
Public Health Nutrition
DOI
https://doi.org/10.1017/S136898001100125X

More About This Work

Academic Units
International Center for AIDS Care and Treatment Programs
Epidemiology
Publisher
Cambridge University Press
Published Here
October 9, 2015