Assessment On Food Security Nutritional Status And Their Association With Haart Adherence Among Adult Plwha In Public Hospitals Of Addis Ababa Ethiopia

Background: Morbidity and mortality related to HIV/AIDS remain unacceptably high inrndeveloping countries, despite major advance in HIV therapy and increased internationalrnfunding on HIV/AIDS. Individual’s ability to obtain, consume and utilize food isrncompromised by HIV/AIDS. It causes morbidity and mortality as a result of poor nutritionalrnstatus and weight loss. Interactions between antiretroviral therapy (ART) and nutrition canrnaffect medication efficacy, nutritional status, and adherence to drug regimens. The concept ofrnenhancing access to food among PLWHA and managing the interactions between ART andrnfood and nutrition is critical remains critical.rnObjective: To assess food security, nutritional status and their association with adherence ofrnHAART among adult People living with HIV/AIDS.rnMethods: A hospital based cross-sectional survey was conducted between December 2010rnand February 2011 among adult (≥18 years) PLWHA on HAART with a complementaryrnqualitative interview among HAART adherence supporters at selected public hospitals ofrnAddis Ababa, Ethiopia. A total of 394 adult PLWHA systematically selected and participatedrnin the study having a 100% response rate. Semi structured and structured questionnaires,rnadopted from FANTA were used to collect data on food security. BMI measurements wererntaken to assess nutritional status. Univariate, bivariate and multivariate logistic regressionrnanalysis was done using SPSS version 16. Qualitative content analysis was done afterrnimporting the transcribed text onto the Open code program.rnResult: Majority 252 (65%) of the study participants were females, 305 (77%) in the agerngroup 25-44 years. Overall 293(74.4%) PLWHA were food insecure with 95% CI: (70.09,rn78.71). And the rate of self reported adherence based on the combined indicator of the dosernand time adherence measurement was 321(81.5%) with 95% CI: (77.67, 85.33). Onlyrn61(16.5%) with 95% CI: (12.83, 20.17) were underweight. Household’s monthly incomern(≤500 ETB) predicted food insecurity (AOR, 6.37; 95% CI, 2.98-13.63). And there was nornstatistical significant association between food security and self reported HAART adherence.rnII food security, nutritional status & their association with HAART adherencernConclusions & recommendations: Large number of adult PLWHA was food insecure. Widernranges of coping strategies were taken to cope with food insecurity. Self reported HAARTrnadherence was high. Medium to long term intervention aiming at generating and diversifyingrnincome to improve self reliance of PLWHA would help mitigate the food insecurity problem.

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