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J Parasit Dis Diagn Ther 2017
Volume 2 Issue 3
Tropical Medicine 2017
Notes:
Page 34
September 7-8, 2017 | Edinburgh, Scotland
4
th
International Conference on
Tropical Medicine, Infectious Diseases & Public Health
NUTRITIONASSESSMENT, AQUALITY
IMPROVEMENTAPPROACH
Kibirige Nangonde Safina
a
a
Mildmay Health Centre, Uganda
Introduction:
Nutrition assessment is a vital component
in the general care of HIV infected people. With access to
highly active antiretroviral therapy (HAART), HIV infection
may become a chronic, manageable disease. Nutritional and
metabolic complications associated with HIV infection like
hypertriglyceridemia, low levels of high-density lipoprotein
(HDL) cholesterol and weight loss usually occur. However
abnormalities like regional alterations in body shape
(fat re-distribution syndrome or HIV-associated lip dystrophy),
increasing body weight, high levels of low-density lipoprotein
(LDL) cholesterol, insulin resistance, and other metabolic
derangements occur if clients are not screened. In addition,
as patients are living longer, they may be susceptible to other
age-related diseases such as diabetes, cardiovascular disease, and
obesity. This quality improvement project aimed at making sure
each HIV client receives nutrition assessment at each visit so as
to reduce the burden of disease and promote an enhanced quality
of life in HIV-infected individuals.
Method:
Beginning June 2016 to June 2017 all clinicians at
Ndejje Health Centre IV was encouraged to carry out body
mass index (BMI) to all clients who visit the clinic. Continued
medical education was carried out every month, BMI chats were
provided as well as weighing scales and height boards. Random
sampling was used each month to retrieve client’s files to find out
how many had their BMI done.
Results:
One in five PLHIVs was found to be under nourished.
At the end of June 2017 there was an improvement of nutrition
assessment for all clients living positively at Ndejje Health Centre
IV from 30% to 89.2%.
Conclusion:
Nutrition interventions should form an integral
part of HIV care programs, understanding the presence of OI,
decline in CD4 count, and advancing WHO clinical stages as risk
factors can be helpful in preventing under nutrition and over
nutrition.
Biography
Kibirige Nangonde Safina is a 30 year old Ugandan, a counselor at Mild may
Uganda. She has a bachelor’s degree in public health and has a working
experience of 8 years with HIV and AIDS as a nurse counselor. She started
writing abstracts in 2015 and in March 2017 she presented one of her abstracts
(the game charger for realizing the 90 90 90 strategy) in the 11th Uganda
counseling association conference at hotel African
safinakibirige@yahoo.comKibirige Nangonde Safina, J Parasit Dis Diagn Ther 2017