National Nutrition and HIV/AIDS Guidelines for Service Providers of ...

nutrition. PLWHA found to fit in this category during screening and have a high score in the screening
tool should be referred to a dietitian promptly. Given the importance of regular screening, providers
are encouraged to have a scale and a stadiometer. PLWHA should also be encouraged to own bathroom
scales so that they can monitor their body weights periodically.
Nutrition Screening Tool Based on Subjective Global Assessment
Any weight loss in last 3 months? ( adults)
None
3kg lost [ 6kg lost [>2 clothes size]
BMI
> 20
18 -19.9
15 17
< 15
Assessment of growth (children)
Growing well(child growth curve continuously moving up)
Growth failure (flat or downward trend of the growth curve)
Weight-for-age below 2 standard deviations
Appetite
Good (most of plate eaten)
Poor (½ plate eaten)
Unable to eat (no food eaten for last 4 meals)
Ability to eat (select all that apply)
No problems
Mild vomiting/diarrhoea
Difficulty swallowing/ chewing e.g. mouth sores
Need help with Feeding
Severe vomiting/ diarrhoea
Other Problems
None
TB/HIV/AIDS
HIV/AIDS & other infections e.g. TB
Total Score
Score
0
1
2
3
0
1
2
3
0
4
6
0
2
3
0
1
2
2
3
0
2
3
___________
Scoring :
0-3: Not Currently at risk: Follow Healthy Eating as described in Chapter 2
4-5: Some nutrition risk: Follow Health Eating as described in Chapter 2 Use relevant sections of
the National Guideline to address identified nutrition concerns. Reassess after 1 month, is
successive weight loss, score as = 6 and refer to a dietitian
20