The Impact of a Food Assistance Program on Nutritional Status, Disease Progression, and Food Security Among People Living With HIV in Uganda

2014 ◽  
Vol 66 (1) ◽  
pp. e15-e22 ◽  
Author(s):  
Rahul Rawat ◽  
Elizabeth Faust ◽  
John A. Maluccio ◽  
Suneetha Kadiyala
2016 ◽  
Vol 21 (3) ◽  
pp. 766-782 ◽  
Author(s):  
John A. Maluccio ◽  
Fan Wu ◽  
Redwan B. Rokon ◽  
Rahul Rawat ◽  
Suneetha Kadiyala

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2636
Author(s):  
Heather A. Eicher-Miller ◽  
Rebecca L. Rivera ◽  
Hanxi Sun ◽  
Yumin Zhang ◽  
Melissa K. Maulding ◽  
...  

The purpose of this project was to determine whether consistent food assistance program participation or changes in participation over time mediated or moderated the effect of federal nutrition education through the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) on food security and determine the associations of SNAP-Ed program delivery characteristics with change in food security. This secondary analysis used data from a randomized controlled trial from September 2013 through April 2015. SNAP-Ed-eligible participants (n = 328; ≥18 years) in households with children were recruited from 39 counties in Indiana, USA. The dependent variable was one year change in household food security score measured using the United States Household Food Security Survey Module. Assessment of mediation used Barron-Kenny analysis and moderation used interactions of food assistance program use and changes over time with treatment group in general linear regression modeling. Program delivery characteristics were investigated using mixed linear regression modeling. Results showed that neither consistent participation nor changes in food assistance program participation over time mediated nor moderated the effect of SNAP-Ed on food security and neither were SNAP-Ed program delivery characteristics associated with change in food security over the one year study period. SNAP-Ed directly improved food security among SNAP-Ed-eligible Indiana households with children regardless of food assistance program participation and changes over time or varying program delivery characteristics.


2022 ◽  
Vol 38 (1) ◽  
Author(s):  
Mona Pourghaderi ◽  
Nasrin Omidvar ◽  
Amirhossein Takian ◽  
Arlette Saint Ville ◽  
Hannaneh Mohammadi Kangarani ◽  
...  

Abstract: Multi-stakeholder processes - as a necessary part in the development of public policies - can provide diverse perspectives to inform and to improve food security policy-making. Iran’s National Food Assistance Program (NFAP) is one of the major welfare programs in Iran that reduces food insecutiry to low-income households. This study aimed to identify and to categorize actual and potential stakeholders in NFAP using the stakeholder salience model. According to Mitchell’s theory, stakeholders’ attributes (power, legitimacy, and urgency) were assessed based on the nature of their interactions, roles, and level of engagement. Results revealed a number of significant but marginalized stakeholders, including Iranian Ministry of Health (office of community nutrition improvement), academia, center for food and nutrition research, target group, charities, and international organizations, who have not received any targeted organizational attention and priority to their claims. The unbalanced attention provided to some stakeholder groups characterized as “definitive” and “dominant” and ignoring some important ones will jeopardize long-term viability and undermine support for the program with inevitable declines in legitimacy. Understanding the change in the stakeholders’ characteristics is the main variable to determine the allocation of organizational resources in response to different and rising stakeholders’ demands and possibly the projects outcomes. This will facilitate and enhance the possibility of knowledge exchange and learning, and greater trust among stakeholders during the food and nutrition policy-making process.


2012 ◽  
Vol 16 (1) ◽  
pp. 164-170 ◽  
Author(s):  
Suneetha Kadiyala ◽  
Rahul Rawat

AbstractObjectiveAlthough undernutrition is recognized as a risk factor for mortality among people living with HIV (PLWHIV), even among those initiating antiretroviral therapy, few studies have explored the underlying determinants of undernutrition. The objectives of the present study were to: (i) examine the independent association between household food security, individual diet quality and nutritional status; and (ii) determine if any association between food security and nutritional status is mediated through diet quality.DesignCross-sectional baseline survey.SettingGulu and Soroti districts, Uganda.SubjectsNine hundred and two PLWHIV recruited into a study evaluating the impact of a food assistance programme supported by the World Food Programme.ResultsFood security and diet quality were measured using the Household Food Insecurity Access Scale (HFIAS) and the Individual Dietary Diversity Score (IDDS), respectively. Multivariate regression results demonstrated that HFIAS and IDDS independently predict BMI (P < 0·01) and mid upper-arm circumference (P < 0·05). The adjusted odds ratio of being underweight (BMI < 18·5 kg/m2) among individuals living in severely food-insecure households was 1·92 (P < 0·0 0 1); individuals consuming a highly diverse diet had an adjusted odds ratio of being underweight of 0·56 (P < 0·05) compared with those consuming a diet of low diversity. Similar results were observed when mid upper-arm circumference and wasting were modelled as outcomes. Using path analysis, we observed that the indirect effect of food insecurity on BMI mediated through dietary diversity is negligible, and mostly a result of the direct effect of food insecurity on BMI.ConclusionsOur results provide an empirical basis for focused efforts on improving food access and diet quality among PLWHIV. Addressing the broader structural determinants of food security of people infected and affected by HIV is crucial.


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