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AJPH First Look, published online ahead of print Dec 4, 2008
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AJPH.2008.137174v1
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February 2009, Vol 99, No. 2 | American Journal of Public Health 215-221
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.137174


HEALTH POLICY AND ETHICS

Integrating Nutrition Support for Food-Insecure Patients and Their Dependents Into an HIV Care and Treatment Program in Western Kenya

Joseph Mamlin, MD, Sylvester Kimaiyo, MD, Stephen Lewis, Hannah Tadayo, MS, Fanice Komen Jerop, BS, Catherine Gichunge, MS, Tomeka Petersen, MSW, Yuehwern Yih, PhD, Paula Braitstein, PhD and Robert Einterz, MD

Joseph Mamlin, Tomeka Petersen, Paula Braitstein, and Robert Einterz are with the School of Medicine, Indiana University, Indianapolis. Sylvester Kimaiyo and Catherine Gichunge are with the School of Medicine, Moi University, Eldoret, Kenya. Stephen Lewis is with the Appropriate Grass Roots Initiative, Eldoret. Hannah Tadayo is with the Ministry of Health, Nairobi, Kenya. Fanice Komen Jerop is with Moi Teaching and Referral Hospital, Eldoret. Yuehwern Yih is with Purdue University, Lafayette, IN.

Correspondence: Requests for reprints should be sent to Robert Einterz, MD, Indiana University School of Medicine, 1001 West 10th St, OPW-M200, Indianapolis, IN 46202 (e-mail: reinterz{at}iupui.edu).

The Academic Model Providing Access to Healthcare (AMPATH) is a partnership between Moi Teaching and Referral Hospital, Moi University School of Medicine, and a consortium of universities led by Indiana University. AMPATH has over 50 000 patients in active care in 17 main clinics around western Kenya.

Despite antiretroviral therapy, many patients were not recovering their health because of food insecurity. AMPATH therefore established partnerships with the World Food Program and United States Agency for International Development and began high-production farms to complement food support.

Today, nutritionists assess all AMPATH patients and dependents for food security and refer those in need to the food program. We describe the implementation, challenges, and successes of this program.




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[Abstract] [Full Text] [PDF]




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