Integration of HIV/AIDS activities with food and nutrition support in ...

How would this integrated programme strategy be monitored?
Programme-level indicators Population-level indicators
Input/process Output Outcome Impact
• No. of ART programme
participants receiving rations
(and % of planned)
• No. of people trained
to implement programme
(and % of planned)
• Amount of food distributed
through health and treatment
programmes (and % of
planned)
• % of ART participants
receiving adequate
supplementary
ration and nutrition
education (and %
of planned)
• % of population
eligible for
programme
actively
participating
in programme
(and % of
planned)
• Clinical indicators
of mortality,
morbidity and
recovery time
• Household food
security status,
income
• Incidence of
side-effects
• % of participants
making a
successful
transition to ART
Experiences from the field…
Kala and Mwange Camps, Zambia. Antiretroviral drugs are not currently available in Kala or
Mwange clinics, though they can be found at the referral hospital. The supplementary feeding
programme run by AAH for the chronically ill in Kala Camp included only TB patients, as no
one had yet “come out” to the programme staff as being HIV-positive. TB patients enrolled
in the home-based care programme who experience weight loss receive 5.8 kg of High Energy
Protein Supplement (HEPS, a corn–soya blend) per month as a take-home ration. HEPS has
at times been accompanied by oil, sugar, and dry skimmed milk when these commodities were
available. Participants admitted that the HEPS ration is sometimes shared with children in the
family, particularly those who are malnourished or “hungry”. TB patients also receive fruits and
vegetables from a World Vision project, but the micronutrient content of this distribution varies
by month, and the degree of sale of the ration is unknown.
4.3 Integrated programme strategies that use food and nutrition
resources to support training and capacity-building activities
for clinic-based and community-based care providers
(strategies 17 and 18)
A comprehensive HIV/AIDS prevention programme requires the collaboration of many players:
clinic-based health staff, traditional health care providers, staff of UN and cooperating partner
(CP) agencies, and other community resource persons. Clinic-based staff must be trained to
provide quality VCT and care. Traditional health care providers, such as traditional healers and
traditional birth attendants, can play a vital role in HIV/AIDS prevention through consistent
use of universal precautions in their practice as well as referral and care for people thought to
be HIV-infected. UN and CP staff must be sensitized to report signs of abuse or exploitation of
refugees. Finally, refugees who participate in HIV/AIDS prevention activities at the community
level (e.g., drama, peer education) must be given the education and communication skills to
do so effectively.
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