The specific objectives are to accomplish the following~To test the effectiveness of KOKOPlus to improve the nutritional status of HIV exposed infants aged 6-18 months.~To measure and compare nutritional status in intervention and control arms by monitoring growth in terms of height and weight over the period of 6 months~To measure and compare micronutrient status of intervention and control arms by comparing baseline midline and endline measurements of hemoglobin levels.~To measure and compare morbidity rates of intervention and control arms.~To measure and compare rates of achievement of child development goals between intervention and control arms using a standardized tool, the Caregiver Reported Early Development Instrument (CREDI).~To understand and record experiences relating to the use of KOKOPlus of mothers/caregivers in the intervention arm through focus group discussion
The overall aim of the research is to conduct a randomised controlled trial of KOKOPlus in young HIV exposed children attending HIV clinics in Accra, Ghana to test the effectiveness of KOKOPlus over a period of 6 months to improve nutritional status and child development in HIV exposed children 6-18 months of age in Accra