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

Author

Listed:
  • Ersilia Buonomo

    (Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy)

  • Simona De Luca

    (Department of Nutrition, Health Education Center, Perugia University, Perugia 06100, Italy)

  • Dyna Tembo

    (Department of Nutrition, DREAM Program Malawi, Blantyre, Malawi)

  • Paola Scarcella

    (Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy)

  • Paola Germano

    (DREAM Program, Community of Sant’ Egidio, Piazza S. Egidio 3a, Rome 00153, Italy)

  • Anna Maria Doro Altan

    (Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy)

  • Leonardo Palombi

    (Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy)

  • Giuseppe Liotta

    (Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy)

  • Karin Nielsen-Saines

    (Department of Pediatrics, David Geffen School of Medicine at UCLA, MDCC 22-442, 10833 LeConte Ave, Los Angeles, CA 90095, USA)

  • Fulvio Erba

    (Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy)

  • Maria Cristina Marazzi

    (Department of Preventive Medicine, LUMSA University (Libera Università Maria SS. Assunta), Via della Traspontina 21, Rome 00193, Italy)

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 p p

Suggested Citation

  • Ersilia Buonomo & Simona De Luca & Dyna Tembo & Paola Scarcella & Paola Germano & Anna Maria Doro Altan & Leonardo Palombi & Giuseppe Liotta & Karin Nielsen-Saines & Fulvio Erba & Maria Cristina Maraz, 2012. "Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program," IJERPH, MDPI, vol. 9(2), pages 1-14, January.
  • Handle: RePEc:gam:jijerp:v:9:y:2012:i:2:p:421-434:d:15848
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    References listed on IDEAS

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    1. Petrou, Stavros & Kupek, Emil, 2010. "Poverty and childhood undernutrition in developing countries: A multi-national cohort study," Social Science & Medicine, Elsevier, vol. 71(7), pages 1366-1373, October.
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    Cited by:

    1. Giuseppe Liotta & Maria Cristina Marazzi & Khethimipilo E. Mothibi & Ines Zimba & Evelyne E. Amangoua & Esther K. Bonje & Bernard N. B. Bossiky & Precious A. Robinson & Paola Scarcella & Kebby Musokot, 2015. "Elimination of Mother-To-Child Transmission of HIV Infection: The Drug Resource Enhancement against AIDS and Malnutrition Model," IJERPH, MDPI, vol. 12(10), pages 1-16, October.

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