“I Have Remained Strong Because of That Food”: Acceptability and Use of Lipid-Based Nutrient Supplements Among Pregnant HIV-Infected Ugandan Women Receiving Combination Antiretroviral Therapy

Sera Young*, Barnabas Natamba, Flavia Luwedde, Dorcas Nyafwono, Ben Okia, Beth Osterbauer, Paul Natureeba, Lynn Johnson, Chloe Michel, Amy Zheng, Marion Robine, Jane Achan, Edwin Charlebois, Deb Cohan, Diane Havlir

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

We evaluated the acceptability and use of macronutrient supplementation among HIV-infected pregnant Ugandan women receiving antiretroviral therapy in a clinical study (NCT 00993031). We first conducted formative research among 56 pregnant and lactating women to select a supplement regimen. Acceptability and use of the supplementation regimen (35 sachets of lipid-based nutrient supplements (LNS) and 4 or 6 kg of instant soy porridge for the household provided monthly) were evaluated among 87 pregnant women. Organoleptic assessments of LNS were favorable. Participants reported consuming LNS a mean of 6.1 days per week, and adherence to recommended consumption behaviors (e.g. frequency, quantity, not sharing) was >80 %. Few women reported negative social consequences of supplementation. The majority of participants also consumed most of the porridge intended for the household. In sum, LNS was acceptable and used regularly. Larger studies to evaluate physical and psychosocial consequences of LNS during pregnancy among HIV-infected women are warranted.

Original languageEnglish (US)
Pages (from-to)1535-1547
Number of pages13
JournalAIDS and behavior
Volume19
Issue number8
DOIs
StatePublished - Aug 6 2015

Keywords

  • Acceptability
  • HIV/AIDS
  • Lipid-based nutrient supplement (LNS)
  • Macronutrient supplementation
  • Nutrition
  • Pregnancy
  • Uganda

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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