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

HANDOUT 3.1 Case studies in HIV and nutritionCase study 1You are working as a counselor in a local clinic. José, an HIV-positive businessexecutive, has been having recurrent diarrhea for the past 2 months. He has a poorappetite, smokes a lot, and because of mouth sores prefers to eat cold food. Joséhas heard of antioxidant micronutrients through advertisements by local groups. Hewants to start taking antioxidants to help with HIV infection.1. How do you use this information to assess José’s nutritional status?2. What assessments will you do?3. What do you need to discuss with José regarding to his nutritional status?4. What interventions, follow up, and review actions would you propose to José?Case study 2You are a manager of a rural local NGO whose mandate is to provide care andsupport for people living with HIV/AIDS. You meet Adam and his wife Eve, who areboth HIV positive and asymptomatic. They have recently migrated from town to livein this rural farming community. While in town they had had regular laboratory teststo monitor their HIV status paid for by their employer, but the nearest HIV/AIDSservice center to their present village is 25 kilometers away.1. What should you discuss with Adam and Eve concerning their nutrition?2. What issues would you discuss with them concerning their ability to attain theirnutritional well-being and objectives in their rural home?3. What follow-up actions would you discuss with them?59