Food Insecurity and Associated Factors among HIV Positive Adults Attending ART At  Arba Minch General Hospital, Southern Ethiopia, 2016
Creators: name: ZELALEM NIGATU
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2016

description: Background: Food insecurity and HIV/AIDS are linked in viscous cycle. Food insecurity may 
increase  the  acquisition  of  HIV  via  vertical  and  horizontal  transmission  by  compromised 
nutritional status. The combined impacts of food insecurity and HIV/ AIDS place further strain 
already limited household resources as affected family members struggle to meet household food 
needs. The fore this study was conducted to determine the prevalence of food insecurity in order 
to give current evidence to design intervention measure for improvement of food insecurity.
Objective: The objective of this study is to determine prevalence of food insecurity and identify 
its associated factors among HIV positive adults attending ART clinic at Arba Minch hospital.
Methods: Hospital based cross sectional study design was carried out from February 15, 2016 to 
March  30,  2016 at  Arba  Minch  General  Hospital.  Interview  administered  questionnaires was 
used to collect data on socio demographics, behavioral, social and organizational support from
394 HIV infected patient through systematic sampling methods in ART clinic. In addition to data 
related to  HIV clinical  information  was  extracted  from  anti  retro  viral  therapy  clinical  charts.
Two diploma nurses recruited as data collectors and one Bsc nurses as supervisor.
Data  Analysis- Data was  analyzed  by  SPSS  version  20.  Frequency  and  cross  tabulation was 
conducted to clean data and describe the study variable in relation to outcome. Bivariate logistic 
regression  analysis  was  computed  to  assess  the  crude  association  between  dependent  and 
independent  variables.  Variables  which  shows  association  in  bivariate  logistic  regression 
analysis  and  have  P-value  less  than  0.25 was  entered  in  to  Multivariable  logistic  regression 
model,  to  identify  significant  factors  associated  with  outcome  variables  by  controlling 
confounding factors. Finally significant factors were identified based on AOR include with 95% 
Confidence level and P-value less than 0.05.
Result-The  prevalence  of  food  insecurity  in  this  study  was 19.5%  with  CI  [17.50,  21.5]. The 
dietary diversity score result indicates that high proportion (6.6%) of the respondents consumed 
low  dietary  diversity  below  3  food  items. In  multivariate  variables clients  who  are  female 
2.93(1.16, 7.40): those who are rural dwellers 3.59(1.65, 7.836): monthly income less than 1000 
Eth  birr  6.16(2.33,  16.32)  and  those  between  1000- 2000  Eth  birr  5.72(2.47,  13.38):  WHO 
clinical three &amp; four 4.78(1.95, 11.69): developing OIS 8.03(3.84, 16.78) and those who are poor
adherence 8.96(3.48, 23.05) were significantly associated with food insecurity
Conclusion  and  Recommendation-  Food  security  is  an  existing  problem  for  HIV/ADIS 
infected clients. Improving  socio-economic status,  involving  in  productive  job  by  designing 
income generation strategies is essential to solve food insecurity problems. Screening OIs and 
providing medical treatment early to improve economic productivity. Special emphasis should be 
give for PLWHIV who have low income, have  opportunistic infection and for WHO stage  III 
and IV at clinical and community level of intervention. 
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