Amsterdam 2015
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| Abstract #3407 - Poster 2 | ||||
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Session: 59.32: Poster 2 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Dr Akshaya Bhagavathula - University of Gondar, Ethiopia |
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| Additional Authors: | ||||
| Aim: Despite global efforts to eradicate poverty and hunger, undernutrition is still a major health problem, especially in sub-Saharan Africa where HIV/AID prevalence is also a serious burden. This study was conducted to assess the retention and outcomes of an undernutrition treatment program in Gondar University Hospital. | ||||
| Method / Issue: A cross-sectional study was conducted using the hospital records of HIV positive children and adults eligible for the program. Outcome variables were mid-upper arm circumference (MUAC) values measured as severe acute malnutrition, moderate acute malnutrition, normal after treatment, non-respondent, relapsed and lost to follow up. | ||||
| Results / Comments: 636 patient records were followed-up for one year. Among these clients, 44.2% achieved MUAC measures = 125 mm for children and = 21 cm for adults at 4 and 6 months. 70.1% of those were children while 29.9% of the 281 were adults. Moreover, a more positive initial response to ready-to-use therapeutic food was found among children as there was significant increase (P<0.05) in MUAC value after the second month of initiating treatment while adults achieved a significant (P<0.05, P<0.01) in MUAC at the 4th and 6th month respectively. There was a significant association between age, nutrition status and treatment outcome, while sex, HIV status, education and residency were not associated with treatment outcome. | ||||
| Discussion: The finding of our study confirmed that there was a high defaulter rate, recovery rates of adults were less compared to children and there was a significant association between age and recovery. Further, significant association between age, nutrition status and recovery rates found in this study implies that more focus may need to be placed on those with that SAM and adults. However improved couselling and education, follow-up of defaulters and integrated RUTF and HIV treatment may be a more strategic option | ||||
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