Additional Essential Nutrition Actions for HIV-Positive Adults, Pregnant and Lactating Women, and Their Children OR A (< 24 Support infant Early cessation Counsel on Supplementation Follow ENA Energy intake Diversified feeding of breastfeeding testing child at one for increased by 10 diet. option: when breastmilk (depending on recommended negative percent if Energy intake exclusive can be replaced test daily allowance individuals. symptomatic; increased by 10 breastfeeding by other milks availability). with multiple add one percent in (animal or micronutrients if feeding daily. or exclusive Immediate adults if not formula commercial); diet is not treatment of Energy intake feeding. otherwise adequately sickness. increased by 20 add one extra breastfeed for diverse. Encourage to 30 percent if meal daily. at least 1 year. Diet exclusive symptomatic or management Energy intake breastfeeding Energy intake losing weight; of nausea, increased by 20 for 6 months increased by 10 add two extra vomiting, and to 30 percent if for infants percent if feedings daily. oral etc. symptomatic confirmed to suspected BMI for or losing be positive and not Energy intake nutritional weight; add losing weight increased by monitoring or two extra (one extra 50 to 100 Energy intake MUAC for feedings daily. feeding per percent if increased by pregnant day). losing weight Evaluation of 10 percent if women. (double the interaction of suspected Use fortified, daily feedings). Breastfeeding nutrition and HIV-positive blended foods, stopped on ARVs. and not losing when available. Supplementary affected breast weight (one or therapeutic Monitor weight Assess health if encounter extra feeding feeding for and BMI. and growth of breast per day). moderate or problems. Dietary severely management malnourished Dietary of vomiting, child, per management nausea, and international of other guidelines. symptoms. symptoms. Importance of Physical malaria exercise to prevention and build muscle deworming. mass. Counsel and refer for PMTCT and ART. Be sure to assess the household food security situation and to treat all illnesses immediately. Developed by Agnes Guyon, Victoria Quinn, and Robert Mwadime. Revised 2013.
Additional Essential Nutrition Actions for HIV-Positive Adults, Pregnant and Lactating Women, and Their Children (< 24 OR Support infant feeding option: exclusive breastfeeding or exclusive formula feeding. Encourage exclusive breastfeeding for 6 months for infants confirmed to be Energy intake increased by 10 percent if suspected HIV-positive and not losing weight (one extra feeding per day). Early cessation of breastfeeding when breastmilk can be replaced by other milks (animal or commercial); otherwise breastfeed for at least 1 year. Energy intake increased by 10 percent if suspected and not losing weight (one extra feeding per day). Use fortified, blended foods, when available. Assess health and growth of Counsel on testing child (depending on test availability). Immediate treatment of sickness. Diet management of nausea, vomiting, and oral etc. Energy intake increased by 50 to 100 percent if losing weight (double the daily feedings). Supplementary or therapeutic feeding for moderate or severely malnourished child, per international guidelines. Supplementation at one recommended daily allowance with multiple micronutrients if diet is not adequately diverse. Follow ENA for individuals. Energy intake increased by 10 percent if add one feeding daily. Energy intake increased by 20 to 30 percent if symptomatic or losing weight; add two extra feedings daily. BMI for nutritional monitoring or MUAC for pregnant women. Breastfeeding stopped on affected breast if encounter breast problems. Dietary management of symptoms. Importance of malaria prevention and deworming. Counsel and refer for PMTCT and ART. Diversified diet. Energy intake increased by 10 percent in adults if not symptomatic; add one extra meal daily. Energy intake increased by 20 to 30 percent if symptomatic or losing weight; add two extra feedings daily. Evaluation of interaction of nutrition and ARVs. Monitor weight and BMI. Dietary management of vomiting, nausea, and other symptoms. Physical exercise to build muscle mass. Be sure to assess the household food security situation and to treat all illnesses immediately. Developed by Agnes Guyon, Victoria Quinn, and Robert Mwadime. Revised 2013. negative positive A
ENA_EHA_Reference_Manual_Health_Workers_Nutrition__090115.docx