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Nutritional Recovery and Its Predictors among Adult HIV Patients on Therapeutic Feeding Program at Finote-Selam General Hospital, Northwest Ethiopia: A Retrospective Cohort Study
Joint Authors
Diress, Gedefaw
Abebe, Nurlilign
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Undernutrition is a major public health problem in HIV patients in sub-Saharan Africa.
To address the problem of malnutrition, the Ethiopian Ministry of Health implemented a therapeutic feeding program, which is the provision of nutritional treatment, care, and support for undernourished individuals.
However, little is known about the outcome of a therapeutic feeding program.
Therefore, this study aimed to assess nutritional recovery and its predictors among undernourished HIV patients enrolled in a therapeutic feeding program in Northwest Ethiopia.
Methods.
An institutional-based retrospective cohort study was conducted among 376 randomly selected adult undernourished HIV patients enrolled in the therapeutic feeding program from July 2010 to January 2017 at Finote-Selam General Hospital.
Data were collected by reviewing patients’ charts, follow-up cards, and undernutrition treatment registration books using a pretested structured checklist.
The main outcome variable was nutritional recovery, defined based on body mass index.
Bivariable and multivariable log-binomial regression models were used to identify the predictors of nutritional recovery.
Result.
From total undernourished HIV patients enrolled in the therapeutic feeding program, 61.2% were recovered with a median recovery time of 12 weeks (IQR 9–17 weeks) for moderate acute malnutrition and 25 weeks (IQR 22–31 weeks) for severe acute malnutrition.
Rural residence (adjusted risk ratio (ARR) = 0.53, 95% CI: 0.27–0.85), no formal education (ARR = 0.24, 95% CI: 0.13–0.54), poor ART adherence level (ARR = 0.14, 95% CI; 0.08–0.32), and WHO clinical stage III or IV (ARR = 0.38, 95% CI; 0.17–0.59) decrease the probability of nutritional recovery.
Conclusion.
Nutritional supplementation plays a critical role in the nutritional care and treatment of malnourished patients.
Healthcare providers should give more attention to persons with poor adherence levels, advanced WHO clinical stage, rural residence, and low educational status.
Future prospective follow-up studies should be performed to assess important variables such as family income, food sharing at the household level, and distance to health institutions.
American Psychological Association (APA)
Diress, Gedefaw& Abebe, Nurlilign. 2020. Nutritional Recovery and Its Predictors among Adult HIV Patients on Therapeutic Feeding Program at Finote-Selam General Hospital, Northwest Ethiopia: A Retrospective Cohort Study. AIDS Research and Treatment،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-986240
Modern Language Association (MLA)
Diress, Gedefaw& Abebe, Nurlilign. Nutritional Recovery and Its Predictors among Adult HIV Patients on Therapeutic Feeding Program at Finote-Selam General Hospital, Northwest Ethiopia: A Retrospective Cohort Study. AIDS Research and Treatment No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-986240
American Medical Association (AMA)
Diress, Gedefaw& Abebe, Nurlilign. Nutritional Recovery and Its Predictors among Adult HIV Patients on Therapeutic Feeding Program at Finote-Selam General Hospital, Northwest Ethiopia: A Retrospective Cohort Study. AIDS Research and Treatment. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-986240
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-986240