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

Case study 1A school teacher, Regina, comes into the clinic to discuss infant feeding options. Shetested HIV positive earlier in her pregnancy. She is now 8 months pregnant. Reginahas read about and heard that giving infant formula instead of breastmilk willeliminate the risk of passing on the virus to her infant during breastfeeding. Reginaalso tells you that she has just enough income to cover her basic needs.• What additional information is needed to help Regina make an informed choiceand also manage her nutritional needs?• Can she afford to replacement feed?• Is there community or household support for her infant feeding decision?• What are her feelings on the issue?• What is her partner’s HIV status?• Has she gained adequate gestational weight?Case study 2A young couple, John and Jane, come to the clinic. You have already been meetingwith Jane, who is HIV positive. She is 6 months pregnant with her first child. John’stest results indicate that he is HIV negative. Jane is aware of her HIV status, but hasnot told John. Both John and Jane are unemployed. Jane has not gained adequategestational weight and is complaining of diarrhea and nausea. She is not taking anyARVs.• How does this information help you assess Jane’s nutritional status? Whatadditional questions might be appropriate? (e.g., What have you eaten today,yesterday? What variety of food have you taken the last week?)• What interventions would you propose to Jane?211