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

1. How could HIV infection affect Rachael’s nutritional status?HIV infection superimposes additional energy requirements on top of the extraenergy and protein requirements caused by pregnancy. HIV also affects theimmune system, making the infected person susceptible to infection and at highrisk for morbidity and mortality.2. What are the nutritional goals for Rachael?• Maintain or improve nutritional status• Ensure adequate weight gain during pregnancy• Ensure adequate nutrient intake• Prevent food-borne illness• Enhance quality of life3. What information and advice would you give Rachel about her nutrition?• Eat a variety of locally available and affordable foods, including fruits andvegetables, regularly and take a multivitamin, if possible.• Eat more food than normal.• Increase the amount of food you eat in relation to your pregnancy and HIVstatus.• Pay particular attention to food safety and hygiene.• Consult a PMTCT clinic for counseling on infant feeding choices.3. What additional information would you need to help Rachael with appropriateinterventions?173