UNDERNUTRITION AMONG HIV POSITIVE CHILDREN OF AGE 1-5 YEARS ATTENDING THE ART CLINIC IN BUSHENYI HEALTH CENTRE IV ISHAKA-BUSHENYI MUNICIPALITY, BUSHENYI District

TABLE OF CONTENTS

DECLARATION .......................................................................................................................................... i

APPROVAL ................................................................................................................................................. ii

ACKNOWLEDGEMENT ........................................................................................................................... iii

ABSTRACT ................................................................................................................................................ iv

TABLE OF CONTENTS .............................................................................................................................. v

LIST OF ABBREVIATIONS USED ......................................................................................................... viii

DEFINITIONS USED ................................................................................................................................. ix

CHAPTER ONE .......................................................................................................................................... 1

1.0 Introduction .............................................................................................................................. 1

1.1 Background .............................................................................................................................. 1

1.2 Problem Statement ................................................................................................................... 4

1.3 Study Objectives; ............................................... 5

1.3.1 General Objective. ................................................................... 5

1.3.2 Specific Objectives ..................................... 5

1.3.3 Research Questions.................................................... 5

1.4 Study Justification ............................................ 6

CHAPTER TWO ......................................................................................................................................... 8

LITRATURE REVIEW ................................................. 8

2.1 Introduction ................................................. 8

2.1 Common forms of malnutrition in HIV infected children .................................................................. 8

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2.2 Mothers, awareness to Malnutrition in HIV positive children ........................................................ 9

2.3 Management protocol for Malnutrition in HIV positive children .............................................. 9

CHAPTER THREE ........................................................13

METHODOLOGY .................................................13

3.0 Introduction .........................................13

3.1 Study Design ...............................................13

3.2 Study Area .............................................13

3.3 Study Population ...............................................14

3.4 Sample Size Determination ...............................14

3.5 Sampling Method .....................................14

3.6 Inclusion And Exclusion Criteria ........................................15

3.6.1 Inclusion Criteria ....................................................................................................................15

3.6.2 Exclusion Criteria ...................................................................................................................15

3.7 Data Collection Method ...........................................................................................................15

3.8 Data Quality Control ...........................15

3.9 Data Analysis And Presentation Methods................................................................................15

3.11 Ethical Considerations .......................................16

CHAPTER FOUR: RESULTS ...................................17

4.1 SOCIO-DEMOGRAPHIC CHARACTERISTICS. ................................................................................17

Table 1: summary of socio-demographic data .................................17

Table 2: Weight for Age .....................................19

Figure 1: Pie chart showing Guardians awareness of malnutrition ...............................................................20

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Table 4: Shows management protocol for malnutrition .................20

CHAPTER FIVE ..........................................................21

DISCUSSION ..........................................................21

CONCLUSION ..........................................................................................................................................22

RECOMMENDATION ..............................................22

REFERENCE LIST.......................................24

APPENDICES .............................................................27

Appendix I: Informed Consent For The Study Participants ..........................................................................27

Appendix II: Questionnaire ................................28

Appendix III: MAP OF BUSHENYI DISTRICT AND THE NEIGHBOURING DISTRICTS ....................      ABSTRACT  Background; Worldwide, more than 3.4 million children below 5 years are infected with HIV. Both acute and chronic malnutrition are major problems for HIV-positive children living in resource-limited setting. HIV sero-prevalence in severely malnourished Ghanaians children is 27.2% out of the 29.2% worldwide. In Uganda, the data from ART clinics revealed that up to 23% of mothers and 50% of children who were on treatment have moderate acute malnutrition. RTo understand Undernutrition in HIV positive children aged 1-5 years in Bushenyi District western Uganda; a study was conducted in Bushenyi Health Centre IV to determine the common forms of Undernutrition, mother awareness of Undernutrition and the management protocol conferred to HIV positive children Results; There were 61 participants of which 54% were females and 46% were males, 41% were between age 1-2 years, 31% 5 years and 28% 3-4 years. The study indicated that 82% of the guardians had good knowledge about Undernutrition, with 18% having little knowledge of the problem in HIV positive children. In this study using the z-score in data analysis, there were 3 children which were less than -2SD (-2 standard deviation) and the overall prevalence of Undernutrition was 5%. The guardians were asked whether they had heard about RUTF in the hospital management of Undernutrition in HIV positive children, and 79% of the respondents confirmed that they had heard about it and they prefer their Undernourished children to be managed with that form from the health units. However, 21% preferred managing their children from home without getting to the health unit. Conclusion; Prevalence of Undernutrition in HIV aged 1-5 years is high and majority of the children are underweight with Moderate Acute Malnutrition. Some HIV positive caretakers still have inadequate knowledge about Undernutrition in their children. Some people are lacking knowledge about the management of Undernutrition in HIV positive children