Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.

<h4>Introduction</h4>Nutritional management is a fundamental practice of concern to all patients infected with the human immunodeficiency virus (HIV). The nature of HIV/AIDS and malnutrition impacts are interlocked and intensify one another.<h4>Objective</h4>This study aimed...

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Autores principales: Helen Ali Ewune, Kassa Daka, Befekadu Bekele, Mengistu Meskele
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:f2960bbc00e04ac9ad7e196a103afe932021-11-25T06:23:32ZChallenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.1932-620310.1371/journal.pone.0250919https://doaj.org/article/f2960bbc00e04ac9ad7e196a103afe932021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0250919https://doaj.org/toc/1932-6203<h4>Introduction</h4>Nutritional management is a fundamental practice of concern to all patients infected with the human immunodeficiency virus (HIV). The nature of HIV/AIDS and malnutrition impacts are interlocked and intensify one another.<h4>Objective</h4>This study aimed to explore nutrition management challenges among people living with HIV on antiretroviral therapy (ART) in primary health centres in Addis Ababa, Ethiopia.<h4>Methods and materials</h4>We used a hermeneutic (interpretive) phenomenological study design. The study used in-depth interviews to describe lived experiences among adult patients aged 18 and above. We selected the participants purposively until the saturation of the idea reached. We maintained the scientific rigor and trustworthiness by applying credibility, transferability, dependability, and conformability, followed by translation and re-reading of the data has been achieved. The data have been analyzed through inductive thematic analysis assisted by NVIVO version 12 pro software.<h4>Result</h4>Nutrition management challenges for HIV patients have been described using six significant themes. The major themes were: acceptance of the disease and the health status; facilitators and barriers to treatment adherence; behavioural changes in eating patterns; experience of food insecurity issues; nutrition knowledge; and support. The themes have explained how patients using ART have been challenged to manage their nutrition ever since their diagnosis. Of all challenges, food insecurity is found to be the core reason for poor nutrition management.<h4>Conclusion and recommendation</h4>We found that many factors in managing their nutrition challenged patients with HIV. There should be an increasing interest in managing food insecurity issues as food insecurity has been strongly related to other factors.Helen Ali EwuneKassa DakaBefekadu BekeleMengistu MeskelePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0250919 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Helen Ali Ewune
Kassa Daka
Befekadu Bekele
Mengistu Meskele
Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.
description <h4>Introduction</h4>Nutritional management is a fundamental practice of concern to all patients infected with the human immunodeficiency virus (HIV). The nature of HIV/AIDS and malnutrition impacts are interlocked and intensify one another.<h4>Objective</h4>This study aimed to explore nutrition management challenges among people living with HIV on antiretroviral therapy (ART) in primary health centres in Addis Ababa, Ethiopia.<h4>Methods and materials</h4>We used a hermeneutic (interpretive) phenomenological study design. The study used in-depth interviews to describe lived experiences among adult patients aged 18 and above. We selected the participants purposively until the saturation of the idea reached. We maintained the scientific rigor and trustworthiness by applying credibility, transferability, dependability, and conformability, followed by translation and re-reading of the data has been achieved. The data have been analyzed through inductive thematic analysis assisted by NVIVO version 12 pro software.<h4>Result</h4>Nutrition management challenges for HIV patients have been described using six significant themes. The major themes were: acceptance of the disease and the health status; facilitators and barriers to treatment adherence; behavioural changes in eating patterns; experience of food insecurity issues; nutrition knowledge; and support. The themes have explained how patients using ART have been challenged to manage their nutrition ever since their diagnosis. Of all challenges, food insecurity is found to be the core reason for poor nutrition management.<h4>Conclusion and recommendation</h4>We found that many factors in managing their nutrition challenged patients with HIV. There should be an increasing interest in managing food insecurity issues as food insecurity has been strongly related to other factors.
format article
author Helen Ali Ewune
Kassa Daka
Befekadu Bekele
Mengistu Meskele
author_facet Helen Ali Ewune
Kassa Daka
Befekadu Bekele
Mengistu Meskele
author_sort Helen Ali Ewune
title Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.
title_short Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.
title_full Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.
title_fullStr Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.
title_full_unstemmed Challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in Addis Ababa, Ethiopia: A phenomenological study.
title_sort challenges to nutrition management among patients using antiretroviral therapy in primary health 'centres' in addis ababa, ethiopia: a phenomenological study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/f2960bbc00e04ac9ad7e196a103afe93
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AT befekadubekele challengestonutritionmanagementamongpatientsusingantiretroviraltherapyinprimaryhealthcentresinaddisababaethiopiaaphenomenologicalstudy
AT mengistumeskele challengestonutritionmanagementamongpatientsusingantiretroviraltherapyinprimaryhealthcentresinaddisababaethiopiaaphenomenologicalstudy
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