Nutrition and HIV/AIDS: A Training Manual - Linkages Project

5. Will referrals and targeting of people living with HIV/AIDS increase stigma?How can this be addressed?6. Can nutritional care and support counseling or follow-up be integrated intothe program? How?TASK 4: This three-person role-play addresses food security and managing drug andfood interactions. Students take the roles of a doctor, a father, and his daughter.The doctor is checking the status of a man living with HIV/AIDS who has recentlybegun antiretroviral therapy. The man’s 13-year-old daughter, who is his primarycaregiver, indicates that he has taken the medicines irregularly because of the sideeffects, including diarrhea and nausea. The doctor makes a number of dietaryrecommendations to address the side effects, but the father and daughter indicatethey do not have regular access to the foods the doctor recommends the fatherconsume daily. The doctor tries to understand the constraints they face anddiscusses other dietary and food preparation options to deal with the side effects.Students should discuss the following questions.1. What specific food constraints does the patient face? Are there alternativedietary recommendations?2. What information (e.g., hygiene, eating habits, and cooking techniques)would be useful for the doctor?3. Can some of these constraints be alleviated by meal planning? By adjustingfood expenditures? By referrals?4. What role can the daughter play in this process?5. What information should the man be given? The daughter?6. What sort of system would help ensure that the man does not miss any doses?95