PREVALENCE OF MALNUTRITION AND ITS ASSOCIATED FACTORS IN ADULT PEOPLE LIVINIG WITH HIV/AIDS, IN ASOSSA GENERAL HOSPITAL , BENISHANGUL GUMUZ REGION , ETIOPIA

Abstract

Human Immune deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and malnutrition effects are interrelated and exacerbate one another in a vicious cycle. Nutrition insecurity is a serious problem of People Living with Human Immunodeficiency Virus (PLWHA) and it is a silent factor that delays treatment outcomes. This study was designed to find additional facts on HIV/AIDS and Malnutrition through assessing prevalence of malnutrition and its associated factors among adult PLWHA in Asossa General Hospital. The objectives of the present study were; to assess the prevalence of malnutrition & its associated factor among adult PLWHA in Asossa general Hospital, Asossa, Benishangul Gumuuz, Ethiopia. Simple random sampling method was used to get 384 study participants. A structured pre-tested questionnaire, BMI, CD4 Count and Mid Upper Arm Circumference were used to collect data. Descriptive statistics bivariate and multivariate logistic regression were used for data analysis. The result obtained showed that among 384 study participants who were interviewed 47.1% were chronic energy deficiency (BMI <18.5Kg/m2). The proportion of mild and moderate sever malnourished of the study participants were 35.2%, 11.9.0% and respectively. Those that age from 40-49, in occupation (housewife and laborer), eating difficulty, food security without hunger, stage II ,weight loss 5-10%, opportunistic infection and duration of ART were (AOR=5.289, 95% CI (1.345, 20.799)), (AOR=3.999, 95% CI (1.011, 15.819)), (AOR=3.370, 95%,CI (1.003, 11.321)), (AOR=3.279, 95%, CI (1.153,9.328)), (AOR=3.692, 95% CI (1.495, 9.117)), (AOR=5.156, 95% CI (1.747, 15.218)), (AOR=2.631, 95% CI (1.165, 5.944)), (AOR=3.934, 95% CI (1.269, 12.201)), (AOR= 5.901, 95 % CI (2.112, 16.486)) respectively, and they were significantly associated and had high developed factors of under nutrition for ART in Asossa General Hospital PLWHA. It is concluded that the prevalence of malnutrition (under nutrition) were age from 40-49 years, in occupation (housewife and laborer), eating difficulty, food insecurity without hunger, WHO stage II ,weight loss 5-10%, opportunistic infection and duration of ART were found to be highly predictor of under nutrition (malnourished

Human Immune deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and malnutrition effects are interrelated and exacerbate one another in a vicious cycle. Nutrition insecurity is a serious problem of People Living with Human Immunodeficiency Virus (PLWHA) and it is a silent factor that delays treatment outcomes. This study was designed to find additional facts on HIV/AIDS and Malnutrition through assessing prevalence of malnutrition and its associated factors among adult PLWHA in Asossa General Hospital. The objectives of the present study were; to assess the prevalence of malnutrition & its associated factor among adult PLWHA in Asossa general Hospital, Asossa, Benishangul Gumuuz, Ethiopia. Simple random sampling method was used to get 384 study participants. A structured pre-tested questionnaire, BMI, CD4 Count and Mid Upper Arm Circumference were used to collect data. Descriptive statistics bivariate and multivariate logistic regression were used for data analysis. The result obtained showed that among 384 study participants who were interviewed 47.1% were chronic energy deficiency (BMI <18.5Kg/m2). The proportion of mild and moderate sever malnourished of the study participants were 35.2%, 11.9.0% and respectively. Those that age from 40-49, in occupation (housewife and laborer), eating difficulty, food security without hunger, stage II ,weight loss 5-10%, opportunistic infection and duration of ART were (AOR=5.289, 95% CI (1.345, 20.799)), (AOR=3.999, 95% CI (1.011, 15.819)), (AOR=3.370, 95%,CI (1.003, 11.321)), (AOR=3.279, 95%, CI (1.153,9.328)), (AOR=3.692, 95% CI (1.495, 9.117)), (AOR=5.156, 95% CI (1.747, 15.218)), (AOR=2.631, 95% CI (1.165, 5.944)), (AOR=3.934, 95% CI (1.269, 12.201)), (AOR= 5.901, 95 % CI (2.112, 16.486)) respectively, and they were significantly associated and had high developed factors of under nutrition for ART in Asossa General Hospital PLWHA. It is concluded that the prevalence of malnutrition (under nutrition) were age from 40-49 years, in occupation (housewife and laborer), eating difficulty, food insecurity without hunger, WHO stage II ,weight loss 5-10%, opportunistic infection and duration of ART were found to be highly predictor of under nutrition (malnourished