TY - JOUR
T1 - Growth patterns and anaemia status of HIV-infected children living in an institutional facility in India
AU - Kapavarapu, Prasanna K.
AU - Bari, Omar
AU - Perumpil, Mathew
AU - Duggan, Christopher
AU - Dinakar, Chitra
AU - Krishnamurthy, Shubha
AU - Arumugam, Karthika
AU - Shet, Anita
PY - 2012/8
Y1 - 2012/8
N2 - Objective To understand the health status of HIV orphans in a well-structured institutional facility in India. Method Prospective longitudinal analysis of growth and anaemia prevalence among these children, between June 2008 and May 2011. Results A total of 85 HIV-infected orphan children residing at Sneha Care Home, Bangalore, for at least 1year, were included in the analysis. Prevalence of anaemia at entry into the home was 40%, with the cumulative incidence of anaemia during the study period being 85%. At baseline, 79% were underweight and 72% were stunted. All children, irrespective of their antiretroviral therapy (ART) status, showed an improvement in nutritional status over time as demonstrated by a significant increase in weight (median weight-for-age Z-score: -2.75 to -1.74, P<0.001) and height Z-scores (median height-for-age Z-score: -2.69 to -1.63, P<0.001). Conclusion These findings suggest that good nutrition even in the absence of ART can bring about improvement in growth. The Sneha Care Home model indicates that the holistic approach used in the Home may have been helpful in combating HIV and poor nutritional status in severely malnourished orphaned children.
AB - Objective To understand the health status of HIV orphans in a well-structured institutional facility in India. Method Prospective longitudinal analysis of growth and anaemia prevalence among these children, between June 2008 and May 2011. Results A total of 85 HIV-infected orphan children residing at Sneha Care Home, Bangalore, for at least 1year, were included in the analysis. Prevalence of anaemia at entry into the home was 40%, with the cumulative incidence of anaemia during the study period being 85%. At baseline, 79% were underweight and 72% were stunted. All children, irrespective of their antiretroviral therapy (ART) status, showed an improvement in nutritional status over time as demonstrated by a significant increase in weight (median weight-for-age Z-score: -2.75 to -1.74, P<0.001) and height Z-scores (median height-for-age Z-score: -2.69 to -1.63, P<0.001). Conclusion These findings suggest that good nutrition even in the absence of ART can bring about improvement in growth. The Sneha Care Home model indicates that the holistic approach used in the Home may have been helpful in combating HIV and poor nutritional status in severely malnourished orphaned children.
KW - Antiretroviral therapy
KW - Growth
KW - HIV
KW - Institutional facility
KW - Nutrition
KW - Orphans
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U2 - 10.1111/j.1365-3156.2012.03022.x
DO - 10.1111/j.1365-3156.2012.03022.x
M3 - Article
C2 - 22686454
AN - SCOPUS:84864390446
SN - 1360-2276
VL - 17
SP - 962
EP - 971
JO - Tropical Medicine and International Health
JF - Tropical Medicine and International Health
IS - 8
ER -