Developing Pilot Interventions to Address Food Insecurity and Nutritional Needs of People Living With HIV in Latin America and the Caribbean: An Interinstitutional Approach Using Formative Research
| Autor: | Hugo Farias, Kartika Palar, Homero Martinez, Kathryn Pitkin Derose, Jayne Adams |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Latin Americans Adolescent Geography Planning and Development Psychological intervention Nutritional Status HIV Infections Pilot Projects Overweight Ambulatory Care Facilities Article Food Supply 03 medical and health sciences Young Adult 0302 clinical medicine Environmental health Political science medicine Humans 030212 general & internal medicine Aged 030505 public health Nutrition and Dietetics Food security digestive oral and skin physiology Body Weight Middle Aged medicine.disease Obesity Diet Food insecurity Malnutrition Latin America Caribbean Region Female Food Assistance medicine.symptom 0305 other medical science Body mass index Needs Assessment Food Science |
| Zdroj: | Food Nutr Bull |
| ISSN: | 1564-8265 |
| Popis: | BACKGROUND: Food insecurity and malnutrition present challenges to HIV management, but little research has been done in Latin America and the Caribbean (LAC). OBJECTIVE: To assess levels of food insecurity and malnutrition among people living with HIV (PLHIV) across multiple countries in LAC to inform pilot projects and policy. METHODS: Through interinstitutional collaboration, we collected data on sociodemographics, household food security, anthropometry, and commonly consumed foods among adults seeking care at HIV clinics in Bolivia, Honduras, and the Dominican Republic (DR; N = 400) and used the results for pilot projects. RESULTS: Most PLHIV had moderate or severe household food insecurity (61% in Bolivia, 71% in Honduras, and 68% in DR). Overweight and obesity were also highly prevalent, particularly among women (41%–53% had body mass index ≥25). High body fat was also prevalent, ranging from 36% to 59%. Among salient foods, fruits and vegetables were lacking. Country-specific pilot projects incorporated locally tailored nutrition counseling with a monthly household food ration, linkage to income-generating projects, or urban gardens. Nutritional counseling was conducted initially by professionals and later modified for peer counselors given the lack of nutritionists. CONCLUSION: High levels of food insecurity and overweight among PLHIV in LAC have important implications, since prior interventions to address food insecurity among PLHIV have focused on underweight and wasting. Formative research and intersectoral collaboration facilitated locally appropriate nutritional materials and interventions, enhanced local capacities, and helped incorporate nutritional guidelines into policies and practice. Addressing human capital constraints in resource-poor settings and developing complementary strategies were key recommendations. |
| Databáze: | OpenAIRE |
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