Abstract

Background
HIV and nutrition are intimately related. The demand for nutrition for PLHIVs is higher than a person who is not infected who are on the same age and activity level. The demand for nutrition is higher and special nutrient deficiencies develop when a patient is started on ARVs. Nutrition consideration therefore is vital for successful care and treatment outcomes among PLHIVs especially those on ARVs.
Aim of the study
The study was conducted to validate prior information that resulted from an intervention done in Rungwe district by HDT between January and June 2009. The intervention involved giving nutrition supplements to PLHIVs on ARVs for a period of six months. Initial data showed more increase in CD4 count and weight among individuals on ARVs receiving supplements as compared to those who didn’t. Whereas the proportion of PLWHIVs with CD4 counts below 200 got reduced by 56% that of PLWHIVs with CD4 counts between 400 and 600 increased by 244% (HDT, 2009).
Methodology: Clients data was obtained from patient files and through face to face interview with some clients. Data was coded, entered and analyzed using Epi Info and SPSS computer programs respectively.
Results: There was a similarity in socio-demographic variables in the two groups which would allow parallel comparison. A significant increase in CD4 count among the group given nutrition supplementation was clearly shown after six months follow up (p<0.001). On average, weight gain was higher among the group that was given nutrition supplementation but this was not statistically significant. Occurrence of opportunistic infections and adherence to medication was similar between the two groups.
Conclusion: The rate of CD4 count increase is higher when nutrition supplementation is given to PLHIVs who are on ARVs. This would lead to a faster improvement in general health. Thus, this group of people may resume their functional capacity earlier and in the long run lower costs of care.