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Tim Quick 1

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  • 1. Getting the Knack of NACS Tim Quick February 22-23, 2012 Washington, DC
  • 2. Slim disease: a new disease in Ugandaand its association with HTLV-III infection Lancet 1985 Oct 19;2 (8460):849-52 D Serwadda, Nk Sewankambo, JW Carswell, AC Bayley, RS Tedder, RA Weiss, RD Mugerwa, A Lwegaba, GB Kirya, RG Downing, SA Clayden, & AG Dagleish
  • 3. HIV/AIDS: • Loss of appetite • Increased nutrient requirements • Impaired nutrient absorption • Altered nutrient metabolismMalnutrition:• Weakened immune system• Increased susceptibility to opportunistic infections• Wasting & increased mortality• Poorer adherence & response to treatment
  • 4. Nutrient requirements forpeople living with HIV/AIDS Report of a technical consultation World Health Organization Geneva, 13–15 May 2003
  • 5. WHO Consultation on Nutrition and HIV/AIDS in Africa: Evidence, Lessons and Recommendations for Action Durban, South Africa, 10–13 April 2005 Participants’ Statement1. HIV/AIDS is affecting more people in eastern and southern Africa than our fragile health systems can treat, demoralizing more children than our educational systems can inspire, creating more orphans than communities can care for, wasting families and threatening our food systems. The HIV/AIDS epidemic is increasingly driven by and contributes to factors that also create malnutrition - in particular, poverty, emergencies and inequalities.2. In urgent response to this situation, we call for the integration of nutrition into the essential package of care, treatment and support for people living with HIV/AIDS and efforts to prevent infection.
  • 6. Policy Guidance on the Use of Emergency Plan Funds to Address Food and Nutrition Needs September 2006 The Emergency Plan has a clear responsibility to support prevention, treatment and care for people living with HIV/AIDS (PLWHA), but comprehensively addressing issues of food insecurity is beyond the scope of the Emergency Plan. Key precepts of the Emergency Plan include remaining focused on HIV/AIDS, maximizing leverage with other partners that provide food resources and providing support for limited food assistance in defined circumstances.
  • 7. Kenya Food byPrescription Program
  • 8. NACS - Nutrition Assessment, Counseling & Support Clinical Mgmt PMTCT/ART Community Assessment Support Surveillance, Referral, Coun seling & Counseling SupportEntry Points Clinic Community