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AJPH First Look, published online ahead of print Dec 4, 2008
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American Journal of Public Health, 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 1, Sylvester Kimaiyo 2, Stephen Lewis 3, Hannah Tadayo 4, Fanice Komen Jerop 5, Catherine Gichunge 5, Tomeka Petersen 6, Yuehwern Yih 7, Paula Braitstein 6, Robert Einterz 6*

1 Indiana University; Moi University
2 Moi University
3 (none)
4 Kenya Ministry of Health
5 Moi Teaching and Referral Hospital
6 Indiana University
7 Purdue University

* To whom correspondence should be addressed. E-mail: reinterz{at}iupui.edu.


   Abstract

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 50000 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.

Key Words: Global Health, HIV/AIDS, Nutrition/Food, Public Health Practice







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