Nairobi: NASCOP, 2006. 96 p.
Kenya. Ministry of Health, National AIDS and STD Program, NASCOP
People infected with HIV are at greater risk of malnutrition than those who are not infected. HIV and opportunistic infections interfere with the desire and ability to eat thus reducing dietary intake; causing mal-absorption of nutrients; increasing energy demand thus increasing nutrient requirements; and causing abnormal use of protein. Limited food security and inadequate knowledge of good nutrition in regions of Kenya where HIV is prevalent, makes the situation worse. The fundamental nutritional concerns for HIV-infected people include: the availability of a balanced diet on a continuous basis; factors that negatively impact food intake and utilization; drug/nutrient interactions; and interventions to help cope with nutrition-related, chronic conditions such as diabetes mellitus. HIV infection and associated malnutrition progressively weaken the immune system, lowering quality of life and odds for survival, thus infected persons and caregivers need clear, concise information on nutritional care and support. Nutritional care, as an adjunctive intervention to ART viral treatment, will enhance rehabilitation, optimize antiretroviral therapy, and enhance adherence to ART. The purpose of these Guidelines is to: Provide simple and practical ways to assess the nutritional status of HIV-infected clients and assess the risk of malnutrition; Assist service providers to identify locally-appropriate, sustainable ways of increasing dietary intake by those who are infected with HIV; and Mainstream nutrition interventions into the national HIV/AIDS response.
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