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

• What issues must be explored in this session for guidance on infant feedingonce the child is born? What open-ended questions might be asked to ascertainthe infant feeding options available?• What other help would John and Jane need with regards to their HIV status?What advice and support is needed from their community and from you ascounselor?Case study 3Gertrude is about to give birth. She has visited the clinic for other antenatal servicesbut declined to be tested for HIV. Her husband has recently died, and rumors arethat he has died of AIDS. She has four children at home already, two of whom are ofschool age. She has recently moved back home with her mother. Gertrude tells youshe has many anxieties about how she is going to support her household. She doesnot have a formal job but is able to grow some vegetables to sell in the market.Gertrude has managed to gain adequate gestational weight. She states that she hasbreastfed all of other children, although not exclusively, introducing foods withinthe first or second months.• What are the nutritional care and support issues for the mother, unborn child,and household?• What other preventative messages would you convey?Case study 4Hilary is 3 months pregnant and has tested HIV positive. She is a fairly successfulentrepreneur who has built a small business selling beer in the city. Hilary has twoother children who have been healthy. Her partner has not been tested, and she hasnot yet told him she is HIV infected. She seems to have enough resources to affordsome form of replacement feeding. She has breastfed her other children. Hilary hasheard that some herbal products (garlic supplements) and micronutrientsupplements (i.e., vitamins A and C) could help with HIV infection. She wonderswhether you would recommend these products. She has also asked about takingARVs.212