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Under Nutrition and Its Determinants among Adults Receiving Antiretroviral Therapy in Ethiopia: A Systematic Review and Meta-analysis

Received: 17 December 2020     Accepted: 14 February 2021     Published: 26 April 2021
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Abstract

Under nutrition and human immune deficiency virus/HIV have a vicious cycle. This study aimed to assess the pooled prevalence of under nutrition and determinants among adults receiving antiretroviral therapy in Ethiopia. Google scholar, PubMed, Cochrane library and web of science data bases were searched. Studies were assessed using risk of bias assessment tool. The heterogeneity of study was assessed using I2 test statistics. Data were pooled and a random effect meta-analysis model was fitted to provide the prevalence of under nutrition. Twenty-one studies that satisfy the eligibility criteria were included. The pooled prevalence of under nutrition among adults receiving ART was 27.4% (95% CI: 24.4-31.4). The pooled analysis showed that lack of RUTF was more likely to lead to under nutrition [AOR=2.34 (95%CI: 1.85- 3.85)]. Also under nutrition was more likely among adults receiving ART with WHO clinical stage four [AOR=2.01 (95%CI: 1.91- 3.82). The pooled prevalence of under nutrition was high and Lack of RUTF as well as WHO clinical stage 4 showed significant associations with under nutrition. This finding has implication to develop policy to improve under nutrition and to continue RUTF supplement program as an integral part of HIV/AIDS continuum of care.

Published in International Journal of Homeopathy & Natural Medicines (Volume 7, Issue 1)
DOI 10.11648/j.ijhnm.20210701.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Under Nutrition, Determinants, and ART User

References
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Cite This Article
  • APA Style

    Tesfa Mengie, Demeke Dejen, Temesgen Muche, Lemma Getacher. (2021). Under Nutrition and Its Determinants among Adults Receiving Antiretroviral Therapy in Ethiopia: A Systematic Review and Meta-analysis. International Journal of Homeopathy & Natural Medicines, 7(1), 1-6. https://doi.org/10.11648/j.ijhnm.20210701.11

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    ACS Style

    Tesfa Mengie; Demeke Dejen; Temesgen Muche; Lemma Getacher. Under Nutrition and Its Determinants among Adults Receiving Antiretroviral Therapy in Ethiopia: A Systematic Review and Meta-analysis. Int. J. Homeopathy Nat. Med. 2021, 7(1), 1-6. doi: 10.11648/j.ijhnm.20210701.11

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    AMA Style

    Tesfa Mengie, Demeke Dejen, Temesgen Muche, Lemma Getacher. Under Nutrition and Its Determinants among Adults Receiving Antiretroviral Therapy in Ethiopia: A Systematic Review and Meta-analysis. Int J Homeopathy Nat Med. 2021;7(1):1-6. doi: 10.11648/j.ijhnm.20210701.11

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  • @article{10.11648/j.ijhnm.20210701.11,
      author = {Tesfa Mengie and Demeke Dejen and Temesgen Muche and Lemma Getacher},
      title = {Under Nutrition and Its Determinants among Adults Receiving Antiretroviral Therapy in Ethiopia: A Systematic Review and Meta-analysis},
      journal = {International Journal of Homeopathy & Natural Medicines},
      volume = {7},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijhnm.20210701.11},
      url = {https://doi.org/10.11648/j.ijhnm.20210701.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhnm.20210701.11},
      abstract = {Under nutrition and human immune deficiency virus/HIV have a vicious cycle. This study aimed to assess the pooled prevalence of under nutrition and determinants among adults receiving antiretroviral therapy in Ethiopia. Google scholar, PubMed, Cochrane library and web of science data bases were searched. Studies were assessed using risk of bias assessment tool. The heterogeneity of study was assessed using I2 test statistics. Data were pooled and a random effect meta-analysis model was fitted to provide the prevalence of under nutrition. Twenty-one studies that satisfy the eligibility criteria were included. The pooled prevalence of under nutrition among adults receiving ART was 27.4% (95% CI: 24.4-31.4). The pooled analysis showed that lack of RUTF was more likely to lead to under nutrition [AOR=2.34 (95%CI: 1.85- 3.85)]. Also under nutrition was more likely among adults receiving ART with WHO clinical stage four [AOR=2.01 (95%CI: 1.91- 3.82). The pooled prevalence of under nutrition was high and Lack of RUTF as well as WHO clinical stage 4 showed significant associations with under nutrition. This finding has implication to develop policy to improve under nutrition and to continue RUTF supplement program as an integral part of HIV/AIDS continuum of care.},
     year = {2021}
    }
    

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    AB  - Under nutrition and human immune deficiency virus/HIV have a vicious cycle. This study aimed to assess the pooled prevalence of under nutrition and determinants among adults receiving antiretroviral therapy in Ethiopia. Google scholar, PubMed, Cochrane library and web of science data bases were searched. Studies were assessed using risk of bias assessment tool. The heterogeneity of study was assessed using I2 test statistics. Data were pooled and a random effect meta-analysis model was fitted to provide the prevalence of under nutrition. Twenty-one studies that satisfy the eligibility criteria were included. The pooled prevalence of under nutrition among adults receiving ART was 27.4% (95% CI: 24.4-31.4). The pooled analysis showed that lack of RUTF was more likely to lead to under nutrition [AOR=2.34 (95%CI: 1.85- 3.85)]. Also under nutrition was more likely among adults receiving ART with WHO clinical stage four [AOR=2.01 (95%CI: 1.91- 3.82). The pooled prevalence of under nutrition was high and Lack of RUTF as well as WHO clinical stage 4 showed significant associations with under nutrition. This finding has implication to develop policy to improve under nutrition and to continue RUTF supplement program as an integral part of HIV/AIDS continuum of care.
    VL  - 7
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Author Information
  • Amhara Regional Health Bureau, CDC Project Zonal Monitoring and Evaluation Officer, Dessie, Ethiopia

  • North Wollo Zone Cluster Health Facilities HIV Case Detection, Linkage, Care & Treatment Coordinator, Woldia, Ethiopia

  • School of Public Health, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia

  • Department of Public Health, College of Health Science Institute of Medicine and Health Science, Debre Birhan University, Debre Birhan, Ethiopia

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