Background
Methods
Participants and selection criteria
RUTF intervention
Measures
Data collection
Data analysis
Ethical consideration
Results
Descriptive results
RUTF-treated (N = 140) | RUTF-naive (N = 79) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Variable | N | Mean | % | SD | N | Mean | % | SD | P-Value |
Age child (Months) | 37.2 | 15.6 | 36.1 | 17.3 | 0.648 | ||||
Sex
| |||||||||
Male | 81 | 57.9 | 42 | 53.2 | 0.502 | ||||
Female | 59 | 42.1 | 37 | 46.8 | |||||
Orphan hood
| |||||||||
Yes | 90 | 64.3 | 41 | 51.9 | 0.099 | ||||
No | 50 | 35.7 | 38 | 48.1 | |||||
Birth weight
| |||||||||
≥ 2500 g | 110 | 78.6 | 57 | 72.2 | 0.365 | ||||
< 2500 g | 30 | 21.4 | 22 | 27.8 | |||||
Age caregiver (Years) | 34.2 | 9.4 | 33.8 | 8.2 | 0.753 | ||||
Caregiver's education
| |||||||||
≤ Primary | 113 | 80.7 | 67 | 84.8 | 0.564 | ||||
≥ Secondary | 27 | 19.3 | 12 | 15.2 | |||||
Major religions
| |||||||||
Muslim | 88 | 63.3 | 52 | 65.8 | 0.822 | ||||
Christian | 51 | 36.7 | 27 | 34.2 | |||||
Employment status
| |||||||||
Unemployed | 84 | 60.0 | 52 | 65.8 | 0.479 | ||||
Employed | 56 | 40.0 | 27 | 34.2 | |||||
Marital status caregiver
| |||||||||
Married | 95 | 67.9 | 47 | 59.5 | 0.237 | ||||
Not married | 45 | 32.1 | 32 | 40.5 | |||||
Wealth index (tercile)
| |||||||||
High | 36 | 25.7 | 16 | 20.3 | 0.266 | ||||
Middle | 54 | 38.6 | 26 | 32.9 | |||||
Low | 50 | 35.7 | 37 | 46.8 | |||||
Food security score
| |||||||||
Secured | 76 | 54.3 | 25 | 31.6 | 0.004 | ||||
Insecure | 19 | 13.6 | 13 | 16.5 | |||||
Hunger | 45 | 32.1 | 41 | 51.9 | |||||
WAZ (underweight)
| |||||||||
> − 2SD* | 136 | 97.2 | 68 | 86.1 | 0.006 | ||||
> − 3SD** | 2 | 1.4 | 8 | 10.1 | |||||
<−3SD*** | 2 | 1.4 | 3 | 2.3 | |||||
WHZ (wasting)
| |||||||||
> − 2SD* | 136 | 97.2 | 191 | 83.5 | 0.001 | ||||
> − 3SD** | 1 | 0.7 | 18 | 11.4 | |||||
<−3SD*** | 3 | 2.1 | 4 | 5.1 | |||||
HAZ (stunting)
| |||||||||
> − 2SD* | 98 | 70.0 | 43 | 54.4 | 0.066 | ||||
> − 3SD** | 20 | 14.3 | 16 | 20.3 | |||||
<−3SD*** | 22 | 15.7 | 20 | 25.3 |
Nutrition status
Effectiveness of RUTF on nutrition status of ART-treated HIV-positive children
Variable | WAZ < −2SD | WHZ < −2SD | HAZ < −2SD | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
AOR | 95% C.I. for AOR | P-Value | AOR | 95% C.I. for AOR | P-Value | AOR | 95% C.I. for AOR | P-Value | ||||
Lower | Upper | Lower | Upper | Lower | Upper | |||||||
RUTF
| ||||||||||||
No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 0.19 | 0.04 | 0.78 | 0.021 | 0.24 | 0.07 | 0.81 | 0.021 | 0.80 | 0.41 | 1.57 | 0.511 |
Age (Ref <38 months)
| 0.96 | 0.21 | 4.38 | 0.960 | 0.44 | 0.12 | 1.66 | 0.225 | 0.72 | 0.35 | 1.50 | 0.379 |
Sex
| ||||||||||||
Male | 1.00 | 1.00 | 1.00 | |||||||||
Female | 0.14 | 0.03 | 0.70 | 0.016 | 0.96 | 0.30 | 3.04 | 0.944 | 1.44 | 0.75 | 2.77 | 0.271 |
Birth weight
| ||||||||||||
≥ 2500 | 1.00 | 1.00 | 1.00 | |||||||||
< 2500 | 4.77 | 1.16 | 19.67 | 0.031 | 4.88 | 1.52 | 15.63 | 0.008 | 1.66 | 0.80 | 3.45 | 0.176 |
Caregiver's education
| ||||||||||||
≤ Primary | 1.00 | 1.00 | 1.00 | |||||||||
≥ Secondary | 0.11 | 0.01 | 1.28 | 0.077 | 0.41 | 0.08 | 2.22 | 0.300 | 0.84 | 0.36 | 1.97 | 0.687 |
ART duration
| ||||||||||||
≤12 months | 1.00 | 1.00 | 1.00 | |||||||||
>12 months | 2.79 | 0.51 | 15.16 | 0.235 | 0.91 | 0.24 | 3.44 | 0.885 | 1.40 | 0.60 | 3.26 | 0.435 |
Employment status
| ||||||||||||
Un employed | 1.00 | 1.00 | 1.00 | |||||||||
Employed | 0.56 | 0.12 | 2.56 | 0.451 | 2.35 | 0.56 | 6.93 | 0.296 | 0.59 | 0.29 | 1.20 | 0.146 |
Economic status
| ||||||||||||
Low | 1.00 | 1.00 | 1.00 | |||||||||
High | 0.06 | 0.01 | 0.36 | 0.002 | 0.28 | 0.08 | 0.98 | 0.047 | 1.33 | 0.67 | 2.62 | 0.410 |
Food security
| ||||||||||||
Secured | 1.00 | 1.00 | 1.00 | |||||||||
Insecure | 16.24 | 1.08 | 244.43 | 0.044 | 10.77 | 1.60 | 72.54 | 0.015 | 1.60 | 0.57 | 4.42 | 0.371 |
Hunger | 15.99 | 1.70 | 150.56 | 0.015 | 4.55 | 0.87 | 23.99 | 0.074 | 6.93 | 3.35 | 14.33 | <0.001 |
Duration of RUTF intervention and the nutrition status of HIV-positive children
<4 months | ≥4 months | P-Value | ||||
---|---|---|---|---|---|---|
Nutrition status | N | % | N | % | ||
HAZ (stunting) | ||||||
> − 2SD* | 29 | 51.8 | 69 | 82.1 | <0.001 | |
<−2SD** | 27 | 48.2 | 15 | 17.9 | ||
WAZ (underweight) | ||||||
> − 2SD* | 52 | 92.9 | 84 | 100.0 | 0.049 | |
<−2SD** | 4 | 7.1 | 0 | 0.0 | ||
WHZ (wasting) | ||||||
> − 2SD* | 52 | 92.9 | 84 | 100.0 | 0.049 | |
<−2SD** | 4 | 7.1 | 0 | 0.0 |