Int. J. Environ. Res. Public Health 2012, 9(2), 421-434; doi:10.3390/ijerph9020421
Article

Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program

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Received: 19 October 2011; in revised form: 7 January 2012 / Accepted: 11 January 2012 / Published: 30 January 2012
(This article belongs to the Special Issue Malnutrition and Public Health)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: Infant malnutrition in sub-Saharan Africa is a public health priority and a challenge in high HIV prevalence areas. The Drug Resources Enhancement Against AIDS and Malnutrition program, with multiple medical centers in Sub-Saharan Africa, developed an innovative intervention for the surveillance and control of malnutrition. In a pilot initiative, 36 HIV-exposed children were evaluated at baseline upon presentation for malnutrition and at six months post- treatment. Parameters included HIV-free survival, nutritional status and change in diet. Food diary data was entered and processed using the Nutrisurvey (WHO) software. At 6 months post-intervention, a significant improvement in anthropometric parameters was noted. Slowing of linear growth was observed in patients with malaria with a mean gain in centimetres of 4.4 ± 1.7 as compared to 5.6 ± 1.7 in children with no malaria, p < 0.048 (CL 95%: −2.32, −0.01). Dietary diversity scores increased from 5.3 ± 1.9 to 6.5 ± 1.3, p < 0.01 at 6 months. A significant increase (+25%, p < 0.02) in the number of children eating fish meals was noted. Our pilot data describes positive outcomes from a rehabilitative nutritional approach based on use of local foods, peer education, anthropometric and clinical monitoring in areas of high food insecurity. The relationship between malaria and linear growth retardation requires further investigation.
Keywords: HIV-exposed children; malaria; infant malnutrition; peer education; nutritional rehabilitation
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MDPI and ACS Style

Buonomo, E.; de Luca, S.; Tembo, D.; Scarcella, P.; Germano, P.; Doro Altan, A.M.; Palombi, L.; Liotta, G.; Nielsen-Saines, K.; Erba, F.; Marazzi, M.C. Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program. Int. J. Environ. Res. Public Health 2012, 9, 421-434.

AMA Style

Buonomo E, de Luca S, Tembo D, Scarcella P, Germano P, Doro Altan AM, Palombi L, Liotta G, Nielsen-Saines K, Erba F, Marazzi MC. Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program. International Journal of Environmental Research and Public Health. 2012; 9(2):421-434.

Chicago/Turabian Style

Buonomo, Ersilia; de Luca, Simona; Tembo, Dyna; Scarcella, Paola; Germano, Paola; Doro Altan, Anna Maria; Palombi, Leonardo; Liotta, Giuseppe; Nielsen-Saines, Karin; Erba, Fulvio; Marazzi, Maria Cristina. 2012. "Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program." Int. J. Environ. Res. Public Health 9, no. 2: 421-434.


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