Muhimbili University of Health and Allied Sciences
Institutional Repository

Household food insecurity and anti retro viral adherence among adult HIV positive patients attending care and treatment clinics in Temeke, Dar es Salaam

Show simple item record Nabwire, R. 2013-03-13T09:33:03Z 2013-03-13T09:33:03Z 2012
dc.description.abstract Background: Among those persons taking ARV therapies, more than half were food insecure, and food insecurity was associated with incomplete adherence and viral non-suppression in people who were less than 80% adherent .Main objective: To assess the magnitude of household food insecurity and its determinants, its association to adherence to ART among adult patients attending CTCs in Dar es salaam. Methodology: A descriptive cross sectional facility-based study, conducted in Feb 2012.Simple random sampling was done daily to select participants from the registry. Data was collected through face-to- face structured interviews using a structured questionnaire. Adherence was assessed by self report in the last month before the study and Household Food Insecurity Access Scale tool was used to access food insecurity. Subjects: A total of 272 HIV/AIDS patients aged 18years and above attending CTCs in Dar es Salaam who have been on ART were selected. Results: A total of 272 (females=67.9%; males= 32.1%) people living with HIV/AIDS attending CTC were interviewed. The average age of the respondents was 38 years old and most (43.9%)() were married. The majority (65.1%) respondents had primary school education. However, food insecurity was least (48.2%) among those who were single and highest (57.7%) among those widowed. Low level of food insecurity was associated with having completed secondary education (Adjusted OR=0.75; 95%CI, 0.047–1.19) and high household size with adults who are employed (OR=0.54; 95%CI, 0.34–0.85). Participants who lived as singles were less associated food security or less meals increased the likelihood of food insecurity (OR=4.2; 95% CI1.7-9.8). Low frequency of meals was significantly more prevalent (18.6%) multiple logistic regression to determine socio-demographic and factors associated with food insecurity which was measured using the Household Food Insecurity Access Scale. The study showed that approximately 42% of the households were categorized as food secure, 9.6% as mildly food-insecure, 32.9% as moderately food-insecure and 13.2% as severely food-insecure. Food insecurity was positively associated with the number of members in the household (P<0.05) and negatively associated with parental education level and job status and ART adherence (P<0.05). CONCLUSIONS AND RECOMMENDATIONS: Food insecurity was prevalent among households in HIV patients in Temeke district and food insecurity status was associated with socio-economic factors. Screening for and v addressing food insecurity should be a critical component of HIV prevention and treatment programs. Household food insecurity should be assessed in a larger and more diverse population in urban setting. en_GB
dc.language.iso en en_GB
dc.publisher Muhimbili University of Health and Allied Sciences
dc.subject household en_GB
dc.subject anti retroviral adherence en_GB
dc.subject HIV en_GB
dc.subject Dar es Salaam en_GB
dc.subject Food insecurity
dc.title Household food insecurity and anti retro viral adherence among adult HIV positive patients attending care and treatment clinics in Temeke, Dar es Salaam en_GB
dc.type Thesis en_GB

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search MUHAS Repository

Advanced Search MUHAS Repository


My Account