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

• Adequate gestational weight gainAssess and monitor weight gain• Adequate nutrient intakeCounsel on dietary management of nausea and ways to increase appetite tohelp improve intakeCarry out a detailed nutrition assessmentCounsel on healthy eating habits and intake of essential nutrients to promotegrowth and development of the fetusCounsel on avoiding cigarette smoking, which can reduce appetite andcontribute to poor health outcomes for the babyPrevent food-borne illnessesCounsel on safe food handling, hygiene, and water safetyTASK 3: Ask students to role-play the following case study illustrating nutritionalcare and support of an HIV-positive pregnant woman. One student should take therole of the pregnant woman and another, the role of the nutritional counselor.A young couple, Jacob and Rita, come to the clinic. Rita is HIV positive and 5 monthspregnant with her second child. Jacob’s test results indicate that he is HIV negative.Rita is aware of her status but has not told Jacob. Both Rita and Jacob areemployed. Rita has gained adequate gestational weight but tells you that she hasdiarrhea and nausea and finds it difficult to eat because she has sores in her mouth.In an earlier session, Rita revealed to you that she is afraid to tell Jacob her statusbecause of her fear of being stigmatized by Jacob and her family and losing her job.She is not taking ARVs.1. What factors should you address when counseling Rita and Jacob and how?176