Agricultural and Finance Intervention Increased Dietary Intake and Weight of Children Living in HIV-Affected Households in Western Kenya

Author(s)

Lisa M. Butler, Institute for Collaboration on Health, Intervention and Policy, University of Connecticut, Storrs, CT, USA
Shiva Bhandari, Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA
Phelgona Otieno, Kenya Medical Research Institute, Nairobi, Kenya
Sheri D. Weiser, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
Craig R. Cohen, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
Edward A. Frongillo Jr., University of South CarolinaFollow

ORCID iD

Edward Frongillo: https://orcid.org/0000-0002-8265-9815

Document Type

Article

Abstract

We tested whether a multisectoral household agricultural and finance intervention increased the dietary intake and improved the nutritional status of HIV-affected children. Two hospitals in rural Kenya were randomly assigned to be either the intervention or the control arm. The intervention comprised a human-powered water pump, microfinance loan for farm commodities, and training in sustainable farming practices and financial management. In each arm, 100 children (0-59 mo of age) were enrolled from households with HIV-infected adults 18-49 y old. Children were assessed beginning in April 2012 and every 3 mo for 1 y for dietary intake and anthropometry. Children in the intervention arm had a larger increase in weight (β: 0.025 kg/mo, = 0.030), overall frequency of food consumption (β: 0.610 times · wk · mo, = 0.048), and intakes of staples (β: 0.222, = 0.024), fruits and vegetables (β: 0.425, = 0.005), meat (β: 0.074, < 0.001), and fat (β: 0.057, = 0.041). Livelihood interventions have potential to improve the nutrition of HIV-affected children. This trial was registered at clinicaltrials.gov as NCT01548599.

Digital Object Identifier (DOI)

https://doi.org/10.1093/cdn/nzaa003

Publication Info

Published in Current Developments in Nutrition, Volume 4, Issue 2, 2020, pages nzaa003-.

Rights

© The Author(s) 2020. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

APA Citation

Butler, L., Bhandari, S., Otieno, P., Weiser, S., Cohen, C., & Frongillo, E. (2020). Agricultural and Finance Intervention Increased Dietary Intake and Weight of Children Living in HIV-Affected Households in Western Kenya. Current Developments In Nutrition, 4(2). https://doi.org/10.1093/cdn/nzaa003