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

• Rita’s dietary intake and eating habits, by reinforcing what she is doing right• Her plans to disclose her status to her partner, by addressing her fears aboutstigma, discrimination, and possible abuse• Her nausea, diarrhea, and mouth sores, which affect her food intake, bycounseling on how to manage these HIV problems• Her plans for feeding her baby, by counseling on infant feeding options• Her overall well-being and delivery of a term baby, by counseling on theImportance of good nutrition in the context of HIV• Her need for support, by discussing sources of support other than her partner• The effect of ARVs on preventing mother-to-child transmission of HIV, byasking whether she discussed prenatal and post-natal prophylaxis with herdoctor• Fear of being stigmatized, by counseling on community support systems• Maintenance of adequate gestational weight gain2. What are the main nutritional goals for Rita?• Adequate gestational weight gain (especially with nausea, diarrhea, mouthsores, and anxiety about disclosing her status, which can affect nutritionalintake)• Dietary management of her common HIV problems2. What are the main nutrition interventions for Rita?• Counseling on how to manage nausea, diarrhea, and mouth sores to maximizenutritional intake and promote adequate gestational weight gain (seeHandout 6.7: Dietary Management of Common Problems in HIV)177