Clinic-Based Food Assistance is Associated with Increased Medication Adherence among HIV-Infected Adults on Long-Term Antiretroviral Therapy in Zambia

摘要: Background: There has been limited research to date on the effects of food assistance provided HIV-infected adults in resource-constrained settings with a high prevalence malnutrition and chronic insecurity. We compare Antiretroviral Therapy (ART) adherence, weight gain, CD4+ lymphocyte change among adult enrolled clinic-based program Lusaka, Zambia versus control group non-recipients. Methods: conducted cohort study incorporating interviewer-administered surveys retrospective clinical data ART patients receiving Medication adherence was assessed using pharmacy dispensation records. use propensity score matching assess effect outcome measures. Results: After 6 months, recipients (n=145) had higher compared nonrecipients (n=147, 98.3% 88.8%, respectively; p<0.01), but no significant were observed for or count change. The improvement rates greater participants less than 230 days, those BMI<18.5 kg/m2, HIV disease stage, ≤ 350 cells/μl. Conclusions: Promoting optimal medication persons is relevant public health success efforts. provision may have an incentivizing which can improve particularly recently initiated treatment poor nutrition advanced disease. body immune reconstitution appear minimal.