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Nutrition and HIV/AIDS Overview of agencies' work and Progress. SCN Geneva, 14 March 2006 Randa Saadeh World Health Organization Nutrition for Health and Development. Contribution to specific MDG goals: (1) eradicate extreme poverty and hunger (6) combat HIV/AIDS, malaria

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Nutrition and HIV/AIDS Overview of agencies' work and Progress

SCNGeneva, 14 March 2006Randa SaadehWorld Health OrganizationNutrition for Health and Development

Contribution to specific MDG


(1) eradicate extreme poverty

and hunger

(6) combat HIV/AIDS, malaria

and other diseases.

The three diseases "can be

largely controlled through

education, prevention and

when illness strikes,

treatment and care".

What is the role of nutrition in the care and support of PLWHA?

The Goal of the consultation is to:

  • Develop evidence-based strategies

  • Review and disseminate latest scientific evidence and ensure integration

  • Identify research agenda

Scientific review on nutrition and HIV/AIDS

  • Micronutrients

    How HIV infection leads to micronutrients deficiency, and how deficiencies/supplementation may affect various transmission and progression-related outcomes

  • Macronutrients (Energy and Protein)

    How HIV infection affects energy/protein requirements, and how deficiencies/supplementation may affect various transmission and progression-related outcomes

  • Infant feeding and HIV transmission

  • Growth faltering and wasting in children

  • Maternal Nutrition or pregnant and lactating women

  • Nutrition and ARVs

    How nutrition may affect ARV efficacy and how ARVs may lead to better nutritional status on the one hand and dyslipidemia and insulin resistance on the other

WHO website – click on Nutrition and HIV


  • 116TH Session EB116/12

  • 117TH Session EB117/7

  • _____________________________________________________

  • WHO's progress

  • Nutrition and HIV/AIDS on EB agenda in

  • 2005 & 2006

  • Resolution EB 117.R2 states our policy

  • and framework for action

In meeting the challenge, WHO is developing a comprehensive evidence-based strategic approach that will ensure full integration of nutritional care in response to the global AIDS treatment emergency

5 pillars of WHO's strategic approach

5 pillars of WHO's strategic approach(Contd)

1. Strengthening & integrating nutrition

& HIV/AIDS policies, strategies &


  • Build on existing efforts

  • Identify nutrition interventions for

  • integration into HIV/AIDS programming

  • Advocacy tools – decision-makers

  • Multi-sectoral collaboration

5 pillars of WHO's strategic approach (Contd)

2. Developing Norms & Strategies

  • Support evidence-based

    findings including micro-

    nutrient & HIV/IF issues

  • Nutrition assessment tool –

    stages of disease, sex &


5 pillars of WHO's strategic approach(Contd)

  • Guidelines

  • Review existing ones and


  • Generic for nutritional care & support for PLWHA

  • Children & HIV/AIDS

  • Severe malnutrition & HIV

  • IYCF Global Strategy (HIV/IF, BFHI)

  • Guidelines for providing food assistance in care and treatment programmes

  • Guidelines for resource mobilization efforts

5 pillars of WHO's strategic approach (Contd)

3. Capacity Building

  • Hospital & community-based health workers

  • Accelerating training & use of guidelines/tools for infant feeding programmes & PMTCT of HIV

  • Nutrition counselling courses

  • Revision of curricula & pre-service training

5 pillars of WHO's strategic approach (Contd)

4. Research

  • Developing and implement operational and clinical research to identify effective science-based interventions

  • Document, publish and disseminate results

5 pillars of WHO's strategic approach (Contd)

5.Developing of appropriate M & E Indicators

  • Measuring progress

  • Measuring impacts

  • Build and complement existing efforts




Other agencies – UNICEF, FAO, UNAIDS, UNHCR


NGOs/Institutions/Universities/National Groups/


FAO, HIV/AIDS, Food Security and Nutrition

HIV/AIDS leads to food insecurity, poverty and malnutrition through a number of known pathways at both farm and individual levels.

And since good nutrition allows PLWHA to feel better and live longer..

Ensuring food and nutrition security and supporting livelihoods is central to any response.

To mitigate the effects of HIV/AIDS, FAO

  • strengthens local capacities for delivering nutritional care and support services

    • “Living well with HIV/AIDS: A manual on nutritional care and support” and the associated Training course with WHO

  • supports food security, livelihoods and nutrition of the infected and affected

    • Guidelines on incorporating HIV/AIDS considerations into food security and livelihoods projects

    • Guidelines for HIV/AIDS interventions in emergency settings

    • HFS and nut projects ongoing in Lesotho and Malawi for orphans LWHA, and in Ethiopia, Mozambique and Zambia

Food and Agriculture Sector Strategies

  • Ensure access to food

  • Nutritional care and support

  • Labour and time-saving technologies and practices

  • Gender equality in access and control of resources

  • Capacity building

  • Agriculture Knowledge systems

  • Policies

Overview and objectives of WFP’s nutrition and health related HIV/AIDS programmes

  • Four main activity types:

    • PMTCT: 13 countries

    • ART: 16 countries

    • Home based care: 13 countries

    • Support to TB patients: 23 countries

      (also have activities supporting orphans, prevention education)

WFP’s efforts to help build the evidence base related to nutrition, food support, HIV/AIDS

  • INIPSA study: 3 country study in West Africa aimed at understanding the outcomes associated with food support to patients in treatment programs

  • Collaborations underway with NGO’s and research institutions in Mozambique, Zambia, Uganda, other countries to answer questions of relevance to programming.

UNICEF activities in nutrition and HIV

*UN Framework for priority actions on HIV and IF- (13countries)

*National policies on HIV and IF (72 countries)

*Integrating nutrition interventions into PMTCT scale-up plan – joint technical missions in 5 countries

*UNICEF joined WHO in the introduction of IYCF courses

* Jointly with WHO, revised BFHI materials in HIV context

* Support governments in working with OVCs* Collaborating with WHO in development of guidelines including micronutrient supplementation

WHO/ The Global Fund

  • Development of a "guidance note" to assist countries in incorporating nutrition into funding proposals

    • Meeting of UN Agencies, GFATM, national representatives, other funders and bilaterals

Funded HIV/AIDS Proposals

Distribution of proposals by sub-region (n=42)

Distribution of food and nutrition activities by program area (n=32 countries)

Note: 1 country requested support within all 4 program areas


  • GFATM outlined process by which Board, Secretariat and Technical Review Panel issue call for applications, review and evaluate proposals and manage disbursement of funds

  • Country presentations of needs re. Nutrition and HIV

  • Potential nutrition interventions and frameworks for integration discussed in plenary and groups

  • Indicators for individual subject and project performance monitoring and evaluation considered


  • A framework on how nutrition interventions can be included in prevention/care/treatment and mitigation activities in HIV programmes

  • How (some of) these may be included in applications to the GFATM

  • Planning for training/briefing of regional consultants involved with assisting countries in their applications


Need to act now: balance the needs to fill knowledge gaps and implementing what we know

Building the capacity to make it "universal" and sustainable

Dissemination of information and good communication strategies

Coordination between partners and different players

Balance between production of normative work and country-community level activities

Adequate human and financial resources to put our knowledge into practice.

Thank you

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