Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya

The increased caloric requirements of HIV-positive individuals, undesirable side effects of treatment that may be worsened by malnutrition (but alleviated by nutritional support), and associated declines in adherence and possible increased drug resistance are all justifications for developing better...

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Autores principales: Bryan, Elizabeth, Gillespie, Stuart, Nangami, Mabel
Formato: Journal Article
Lenguaje:Inglés
Publicado: SAGE Publications 2008
Materias:
Acceso en línea:https://hdl.handle.net/10568/162487
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author Bryan, Elizabeth
Gillespie, Stuart
Nangami, Mabel
author_browse Bryan, Elizabeth
Gillespie, Stuart
Nangami, Mabel
author_facet Bryan, Elizabeth
Gillespie, Stuart
Nangami, Mabel
author_sort Bryan, Elizabeth
collection Repository of Agricultural Research Outputs (CGSpace)
description The increased caloric requirements of HIV-positive individuals, undesirable side effects of treatment that may be worsened by malnutrition (but alleviated by nutritional support), and associated declines in adherence and possible increased drug resistance are all justifications for developing better interventions to strengthen the nutrition security of individuals receiving antiretroviral treatment. To highlight key benefits and challenges relating to interventions aimed at strengthening the nutrition security of people living with HIV who are receiving antiretroviral treatment.Qualitative research was undertaken on a short-term nutrition intervention linked to the provision of free antiretroviral treatment for people living with HIV in western Kenya in late 2005 and early 2006.Patients enrolled in the food program while on treatment regimens self-reported greater adherence to their medication, fewer side effects, and a greater ability to satisfy increased appetite. Most clients self-reported weight gain, recovery of physical strength, and the resumption of labor activities while enrolled in dual (food supplementation and treatment) programs. Such improvements were seen to catalyze increased support from family and community. These findings provide further empirical support to calls for a more holistic and comprehensive response to the coexistence of AIDS epidemics with chronic nutrition insecurity. Future work is needed to clarify ways of bridging the gap between short-term nutritional support to individuals and longer-term livelihood security programming for communities affected by AIDS. Such interdisciplinary research will need to be matched by intersectoral action on the part of the agriculture and health sectors in such environments.
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spelling CGSpace1624872025-02-19T14:07:26Z Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya Bryan, Elizabeth Gillespie, Stuart Nangami, Mabel HIV infections malnutrition nutrition security agricultural policies The increased caloric requirements of HIV-positive individuals, undesirable side effects of treatment that may be worsened by malnutrition (but alleviated by nutritional support), and associated declines in adherence and possible increased drug resistance are all justifications for developing better interventions to strengthen the nutrition security of individuals receiving antiretroviral treatment. To highlight key benefits and challenges relating to interventions aimed at strengthening the nutrition security of people living with HIV who are receiving antiretroviral treatment.Qualitative research was undertaken on a short-term nutrition intervention linked to the provision of free antiretroviral treatment for people living with HIV in western Kenya in late 2005 and early 2006.Patients enrolled in the food program while on treatment regimens self-reported greater adherence to their medication, fewer side effects, and a greater ability to satisfy increased appetite. Most clients self-reported weight gain, recovery of physical strength, and the resumption of labor activities while enrolled in dual (food supplementation and treatment) programs. Such improvements were seen to catalyze increased support from family and community. These findings provide further empirical support to calls for a more holistic and comprehensive response to the coexistence of AIDS epidemics with chronic nutrition insecurity. Future work is needed to clarify ways of bridging the gap between short-term nutritional support to individuals and longer-term livelihood security programming for communities affected by AIDS. Such interdisciplinary research will need to be matched by intersectoral action on the part of the agriculture and health sectors in such environments. 2008-06 2024-11-21T10:03:17Z 2024-11-21T10:03:17Z Journal Article https://hdl.handle.net/10568/162487 en Limited Access SAGE Publications Byron, Elizabeth; Gillespie, Stuart; Nangami, Mabel. 2008. Integrating nutrition security with treatment of people living with HIV. Food and Nutrition Bulletin 29(2): 87-97
spellingShingle HIV infections
malnutrition
nutrition security
agricultural policies
Bryan, Elizabeth
Gillespie, Stuart
Nangami, Mabel
Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya
title Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya
title_full Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya
title_fullStr Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya
title_full_unstemmed Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya
title_short Integrating nutrition security with treatment of people living with HIV: Lessons from Kenya
title_sort integrating nutrition security with treatment of people living with hiv lessons from kenya
topic HIV infections
malnutrition
nutrition security
agricultural policies
url https://hdl.handle.net/10568/162487
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