Skip to main content
Top
Published in: Nutrition Journal 1/2005

Open Access 01-12-2005 | Research

An assessment of food supplementation to chronically sick patients receiving home based care in Bangwe, Malawi : a descriptive study

Authors: Cameron Bowie, Linda Kalilani, Reg Marsh, Humphrey Misiri, Paul Cleary, Claire Bowie

Published in: Nutrition Journal | Issue 1/2005

Login to get access

Abstract

Background

The effect of food supplementation provided by the World Food Programme to patients and their families enrolled in a predominantly HIV/AIDS home based care programme in Bangwe Malawi is assessed.

Methods

The survival and nutritional status of patients and the nutritional status of their families recruited up to six months before a food supplementation programme started are compared to subsequent patients and their families over a further 12 months.

Results

360 patients, of whom 199 died, were studied. Food supplementation did not improve survival but had an effect (not statistically significant) on nutritional status. Additional oil was given to some families; it may have improved survival but not nutritional status.

Conclusion

Food supplementation to HIV/AIDS home based care patients and their families does not work well. This may be because the intervention is too late to affect the course of disease or insufficiently targeted perhaps due to problems of distribution in an urban setting. The World Food Programme's emphasis on supplementary feeding for these families needs to be reviewed.
Appendix
Available only for authorised users
Literature
3.
go back to reference Mahlungulu SN, Makola D, Volmink J: Nutritional interventions for reducing morbidity and mortality in HIV infected individuals (Protocol for a Cochrane Review). The Cochrane Library Issue 3. 2004, Chichester, UK: John Wiley & Sons, Ltd Mahlungulu SN, Makola D, Volmink J: Nutritional interventions for reducing morbidity and mortality in HIV infected individuals (Protocol for a Cochrane Review). The Cochrane Library Issue 3. 2004, Chichester, UK: John Wiley & Sons, Ltd
4.
go back to reference Piwoz EG, Preble EA: HIV/AIDS and nutrition; a review of the literature and recommendations for nutritional care and support in sub-Saharan Africa. SARA. Academy for Educational Development. Washington DC. 2000 Piwoz EG, Preble EA: HIV/AIDS and nutrition; a review of the literature and recommendations for nutritional care and support in sub-Saharan Africa. SARA. Academy for Educational Development. Washington DC. 2000
5.
go back to reference Food and Agriculture Organization of United Nations: Living Well with HIV/AIDS. A manual for nutritional care and support for people with HIV/AIDS. FAO Rome. 2002 Food and Agriculture Organization of United Nations: Living Well with HIV/AIDS. A manual for nutritional care and support for people with HIV/AIDS. FAO Rome. 2002
6.
go back to reference Fawzi WW, Msamanga GI, Spiegelman D, Wei R, Kapiga S, Villamor E, Mwakagile D, Mugusi F, Hertzmark E, Essex M, Hunter DJ: A randomized trial of multivitamin supplements and HIV disease progression and mortality. N Engl J Med. 2004, 351 (1): 23-32. 10.1056/NEJMoa040541.CrossRefPubMed Fawzi WW, Msamanga GI, Spiegelman D, Wei R, Kapiga S, Villamor E, Mwakagile D, Mugusi F, Hertzmark E, Essex M, Hunter DJ: A randomized trial of multivitamin supplements and HIV disease progression and mortality. N Engl J Med. 2004, 351 (1): 23-32. 10.1056/NEJMoa040541.CrossRefPubMed
7.
go back to reference Jiamton S, Pepin J, Suttent R, et al: A randomized trial of the impact of multiple micronutrient supplementation on mortality among HIV-infected individuals living in Bangkok. AIDS. 2003, 17: 2461-9. 10.1097/00002030-200311210-00008.CrossRefPubMed Jiamton S, Pepin J, Suttent R, et al: A randomized trial of the impact of multiple micronutrient supplementation on mortality among HIV-infected individuals living in Bangkok. AIDS. 2003, 17: 2461-9. 10.1097/00002030-200311210-00008.CrossRefPubMed
8.
go back to reference WHO: Scaling up antiretroviral therapy in resource-limited settings – Guidelines for a public health approach. WHO. 2002, (ISBN 92 4 154567 4) WHO: Scaling up antiretroviral therapy in resource-limited settings – Guidelines for a public health approach. WHO. 2002, (ISBN 92 4 154567 4)
9.
go back to reference WFP: Key Issues in Emergency Needs Assessment, Volume I. Report of the Technical Meeting 28–30 October, 2003, in Rome, Italy. © 2003 World Food Programme, Emergency Needs Assessment Unit (OEN). 2003, , in Rome, Italy. © 2003 World Food Programme, Emergency Needs Assessment Unit (OEN) WFP: Key Issues in Emergency Needs Assessment, Volume I. Report of the Technical Meeting 28–30 October, 2003, in Rome, Italy. © 2003 World Food Programme, Emergency Needs Assessment Unit (OEN). 2003, , in Rome, Italy. © 2003 World Food Programme, Emergency Needs Assessment Unit (OEN)
10.
go back to reference Manary MJ, Ndekha MJ, Ashorn P, Maleta K, Briend A: Home based therapy for severe malnutrition with ready-to use food. Arch Dis Child. 2004, 89: 557-61. 10.1136/adc.2003.034306.CrossRefPubMedPubMedCentral Manary MJ, Ndekha MJ, Ashorn P, Maleta K, Briend A: Home based therapy for severe malnutrition with ready-to use food. Arch Dis Child. 2004, 89: 557-61. 10.1136/adc.2003.034306.CrossRefPubMedPubMedCentral
Metadata
Title
An assessment of food supplementation to chronically sick patients receiving home based care in Bangwe, Malawi : a descriptive study
Authors
Cameron Bowie
Linda Kalilani
Reg Marsh
Humphrey Misiri
Paul Cleary
Claire Bowie
Publication date
01-12-2005
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2005
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-4-12

Other articles of this Issue 1/2005

Nutrition Journal 1/2005 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.