Evaluating The Impact of Food Support (Rice and Beans) On Treatment Retention, Viral Load Suppression, And Immunological Outcomes Among People Living with HIV in Mwanza City. (Record no. 29186)
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| fixed length control field | 04590nam a22003377a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241016090458.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OCoLC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241016092001.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241016b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, Premises, Post Code: 33102 | |
| Source | P. O. Box 1464 Mwanza, Tanzania | |
| Source | Phone: (255) 28-298-3384 | |
| Source | Fax: (255) 28-298-3386 | |
| Source | Email: vc@bugando.ac.tz | |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Relator term | CUHAS/MPH/6000317/T/21 |
| Fuller form of name | Sayuni Abraham Mollel |
| 245 ## - TITLE STATEMENT | |
| Title | Evaluating The Impact of Food Support (Rice and Beans) On Treatment Retention, Viral Load Suppression, And Immunological Outcomes Among People Living with HIV in Mwanza City. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania | |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | |
| Date of publication, distribution, etc. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 78 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <br/>Abstract:<br/><br/>Background: Food insecurity poses a significant challenge for people living with HIV (PLWHIV) in Tanzania, potentially hindering their ability to consistently adhere to Antiretroviral Therapy (ART) and achieve viral load suppression.<br/><br/>Objective: This study aimed to evaluate the impact of food support (rice and beans) on treatment retention, viral load suppression, and immunological outcomes among PLWHIV in Mwanza City, northwest Tanzania.<br/><br/>Methods: A retrospective cohort design was employed, medical records from Care and Treatment Clinics (CTCs) in Mwanza. Stratified sampling ensured representation from facilities with and without the Untold Foundation food support program, which provided rice and beans. Participants diagnosed with HIV and initiated on ART between January 2022 and December 2022 were recruited. Data collection included demographics, clinic visits, ART details, viral load results, and food support status. Statistical tests (Chi-square, Fisher’s exact, or t-tests) were conducted using SPSS 25 to assess associations between food support and outcomes of retention in care, ART adherence, and viral load suppression. A 95% confidence level was maintained, with p-values <0.05 considered statistically significant.<br/><br/>Results: The study enrolled 200 people living with HIV, including 60 males and 140 females aged 18 to 45. At enrollment, viral load suppression almost similar between the Untold Foundation Program (40.0%) compared to standard care (37.0%, p = 0.861). This difference emerged at 6 months (55.0% vs. 32.0%, p = 0.001) and 12 months (72.0% vs. 56.0%, p = 0.018). By 18 and 24 months, suppression rates were similar between groups (p = 0.762 and p = 0.322, respectively). CD4 count improvements were also notable. At 6 months, a higher percentage of participants in the Untold Foundation Program achieved CD4 counts ≥500 cells/mm³ (46.0%) compared to standard care (33.0%, p = 0.038). This trend continued at 12 months (68.0% vs. 47.0%, p = 0.010), 18 months (59.0% vs. 46.0%, p = 0.044), and 24 months (17.0% vs. 32.0%, p = 0.000). Retention rates were identical at 6 and 12 months (100% in each group). At 18 months, 95 (95.0%) participants in the Untold Foundation Program remained in care compared to 93 (91.0%) in standard care (p = 0.152). By 24 months, 92 (97.9%) in the program and 90 (94.6%) in standard care remained in care, with equal numbers lost to follow-up (1 participant each; p = 0.398).<br/><br/>Conclusion and Recommendations: The Untold Foundation’s food support program, provided for 12 months, initially enhanced viral load suppression, ART adherence, and CD4 counts. Although these benefits diminished after the support ended, the program’s impact was significant during the support period. It is recommended to integrate food support programs into long-term HIV care strategies to sustain improvements in clinical outcomes. Future research should explore the benefits of extended food support and other supplemental interventions to enhance the effectiveness of HIV treatment and retention in care.<br/><br/>Keywords: Food security, HIV/AIDS, ART adherence, retention in care, viral load suppression, Tanzania<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Community Medicine |
| General subdivision | Epidemiology, Biostatistics and Behavioral Sciences. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Severin Kabakama |
| Fuller form of name | Denna Michael |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | A Research Report for a Dissertation to be Submitted in Partial Fulfillment of Requirements for Award of Master of Public Health of the Catholic University of Health and Allied Sciences. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 10/16/2024 | 20241016090458.0 | 10/16/2024 | 10/16/2024 | POSTGRADUATE DISSERTATIONS |