WFP Recipients’ Weight Gain at Reach Out Clinic
By Antonia Torreblanca and Eileen Kim
This report outlines the weight progress of clients attending the Reach Out clinic of Mbuya parish clinic in 2002, who were receiving WFP food (see field article p28).
Both Antonia Torreblanca (MD, MPH) and Eileen Kim (MD) worked as physicians at the Reach Out clinic, Kampala, Uganda in November 2003. They are currently working as attending physicians at the Kaiser Permente Medical Centre, California, USA.
In October 2002, the medical records of 100 clients who were registered to receive World Food Programme (WFP) food through the Reach Out Clinic-Mbuya Parish HIV/AIDS Initiative were reviewed. The programme was based in Kampala, Uganda.
The food disbursed was based on a family size of 5, and was intended to comprise 50% of the food needs of the family. It consisted of maize meal (25 kg every 24 days), beans (25 kg every 45 days), corn-soya blend flour with micronutrient fortification (25 kg every 3 months), and cooking oil (4 L every 2 months).
Table 1 outlines the baseline characteristics of clients enrolled in the WFP-Reach Out programme. Of the 100 clients that began receiving food in October 2002, 85 were alive at 1 year. Of those 85 clients, 35 (41%) had HIV, 49 (58%) had HIV and TB, and one person (1%) had TB alone.
|Table 1 Baseline characteristics of clients enrolled in the WFP-Reach Out programme|
|A. Characteristics of the 85 clients alive at 12 months|
|Mean age, yr (SD)||36 (+9.6)||35 (+8.4)||45 (N/A)|
|Female, no. (%)||38 (79%)||35 (97%)||0 (0%)|
|Mean wt, kg (SD)||54 (+9.7)||59 (+10.9)||68 (N/A)|
|Started on HAART1||11 (23%)||8 (22%)||N/A|
|B. Characteristics of the 15 clients deceased at 12 months|
|Mean age, yr (SD)||36 (+6.7)||37 (+2.1)|
|Female, no. (%)||8 (62%)||2 (100%)|
|Mean wt, kg (SD)||57 (+13.2)||55(+0)|
|Started on HAART1||3 (23%)||0 (0%)|
|Table 2: Weight change according to disease status|
|Disease Status||Wt change, 4 months to start||Wt change, 3 months||Wt change, 6 months||Wt change, 12 months|
|HIV+TB||+ 0.40 kg (P=0.40)||+1.01 kg (P=0.044)||+2.49 kg (P<0.001)||+2.98 kg (P<0.001)|
|+0.58 kg (P=0.11)||+2.06 kg (P<0.001)||+1.68 kg (P=0.024)|
|Overall Average||+0.25 kg
|+0.80 kg (P=0.011)||+2.33 kg (P<0.001)||+2.43 kg (P<0.001)|
Table 2 reflects the trends in their weight prior to receiving food, and at 3 months, 6 months, and 12 months after joining the programme. During the four months prior to receiving WFP food, clients' weights remained stable (average change of +0.25kg, P=0.47). At 6 and 12 months, patients had statistically significant weight gains (+2.3kg, P<0.001 and +2.4kg, P<0.001 respectively). Although all groups demonstrated weight gain, the most marked gains were in the clients with both HIV and TB (see figure 1).
Although average weight gains were modest, at 6 and 12 months nearly 50% of clients had significant weight gains of 3 or more kilograms (6.6 lbs). Weight gain in the 'HIV alone' group peaked at 6 months and then began to decline. This may be secondary to the progression of their HIV infection. This study demonstrates a positive outcome from WFP food disbursements and proves the provision of food to patients with HIV and/or tuberculosis in impoverished nations should be supported.
For further information, contact: Antonia Torreblanca and Eileen Kim, The Permante Medical Group, 280 West MacArthur Blvd, Oakland, CA 94611, USA. email: and Eileen Kim, email: email@example.com and firstname.lastname@example.org
1Highly Active Antiretroviral Therapy
More like this
Summary of unpublished research Nursing health professional doing clinical investigation at Livningstone Hospital By Liana Steenkamp, Dr Jill von der Marwitz, and Charlene...
By Caroline Wilkinson and Sheila Isanaka Caroline Wilkinson was Nutrition Advisor with Action Contre la Faim - France (ACF-F), until November 2008. She spent most of 2007 in...
By Peter Paul Igu, Reach Out and Mary Corbett, ENN Peter Paul Igu has been a full-time volunteer with the organisation, Reach Out, since Jan 2002, and is the food programme...
Child eating BP100 in Freetown TFC. By Carlos Navarro-Colorado and Stéphanie Laquière Carlos Navarro-Colorado is a medical doctor, with a MSc Epidemiology. He has ten years...
FEX: Short children with a low MUAC respond to food supplementation: an observational study from Burkina Faso
By Fabiansen, C., Phelan, Kevin, P.Q., Cichon, B., Ritz, C., Briend, A., Michaelsen, K.F., Friis, H. and Shepherd, S Summary of research: Short children with a low midupper...
A mother feeding her baby using the SST By Odile Oberlin and Caroline Wilkinson, Action Contre la Faim (ACF) Odile Oberlin is a paediatrician working in a Paris hospital and...
Summary of research1 Mothers attending antenatal clinic Few studies have examined maternal anthropometry and its predictors during pregnancy in sub-Saharan Africa in the...
FEX: Comparison of the Efficacy of a Solid Ready-to-Use Food and a Liquid, Milk- Based Diet in Treating Severe Malnutrition
Kwashiorkor case, before and after management using RUTF (oedema resolved). Nutritional Rehabilitation Centre (Dispensaire Saint Martin), Senegal 2001 Summary of published...
By Mary Corbett Mary Corbett is a food security and nutrition consultant who visited the region on behalf of ENN in early 2005. This article is based on interviews with a...
FEX: Effect of adding RUSF to ageneral food distribution on child nutritional status and morbidity: a cluster randomised controlled trial
Summary of research1 Child during appetite test at a health facility offering treatment in Monrovia, Liberia The authors of a recent study hypothesized that including a daily...
When conducting a SMART survey; after running the plausibility check using ENA you realise that the weight for height standard deviation of some teams' data is close to out...
By Daphyne Williams Daphyne Williams is currently Technical Advisor HIV and AIDS with Catholic Relief Services where she has worked for the past 2 years. The author wishes to...
Summary of research1 This research contributes to the evidence base regarding which anthropometric indicators identify malnourished sick children most at risk of death. Low...
Through my experience meeting with different people in forums and workshops, I found that there are organizations and/or government agencies providing RUSF/Plumpy'Nut for...
Summary of presentation1 of published research2 View this article as a pdf By Susan Shepherd Dr Susan Shepherd is Director of Clinical and Operational Research for...
By Dr Jean-Pierre Papart and Dr Abimbola Lagunju Dr. Jean-Pierre Papart MD, MPH, is Health advisor, Fondation Terre des hommes, Lausanne, Switzerland Dr Abimbola Lagunju MD,...
Summary of published research1 Eating ready-to-use fortified spread in Malawi The prevalence of wasting, defined as a Body Mass Index (BMI) <18.5, in adults with advanced...
FEX: Community-based management of severe malnutrition: SAM and SUW in children under five in the Melghat tribal area, central India
By Dr Vibhavari Dani, Dr Ashish Satav, Mrs Jayashri Pendharkar, Dr Kavita Satav, Dr Ajay Sadanshiv, Dr Ambadas S Adhav and Dr Bharat S Thakare Dr. Vibhavari Dani is a...
Summary of research1 Location: Niger What we know: Routine use of broad-spectrum antibiotics is recommended in uncomplicated SAM case management; there is a lack of evidence...
n a facility based management centre for SAM, how much MUAC increase is expected in a child in 2 weeks after starting him on RUTF such as Plumpy Nut if ... 1. The child gains...
Reference this page
Antonia Torreblanca and Eileen Kim (). WFP Recipients’ Weight Gain at Reach Out Clinic. Field Exchange 25, May 2005. p4. www.ennonline.net/fex/25/wfp