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Table 1 Recommendations by national HIV treatment guidelinesa in five areas of nutritional care and support for non-pregnant HIV-infected adults

From: Do countries rely on the World Health Organization for translating research findings into clinical guidelines? A case study

Component of nutritional care and support

Does the guideline specify…

Countries providing guidance

Countries not providing guidance

Assessment of nutritional status

… that an assessment of nutritional status should be carried out at least once?

Botswana, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, South Sudan, Swaziland, Tanzania, Uganda

Ethiopia, Nigeria, Rwanda, Sierra Leone, South Africa, Zambia, Zimbabwe

… when in the HIV care cascade nutritional status should first be assessed?

Kenya, Lesotho, Liberia, Malawi, South Sudan, Uganda

Botswana, Ethiopia, Ghana, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Zambia, Zimbabwe

… how regularly nutritional status should be re-assessed?

Kenya, Liberia, Malawi, South Sudan, Uganda

Botswana, Ethiopia, Ghana, Lesotho, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Zambia, Zimbabwe

… how the assessment should be carried out?

Botswana, Kenya, Liberia, Malawi, Namibia, South Sudan, Tanzania

Ethiopia, Ghana, Lesotho, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Uganda, Zambia, Zimbabwe

Dietary counseling

… that dietary counseling should be provided?

Botswana, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, Nigeria, Sierra Leone, South Sudan, Tanzania, Uganda, Zimbabwe

Ethiopia, Rwanda, South Africa, Swaziland, Zambia

… when in the HIV care cascade it should first be provided?

Malawi, Nigeria, South Sudan, Uganda

Botswana, Ethiopia, Ghana, Kenya, Lesotho, Liberia, Namibia, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Zambia, Zimbabwe

… how regularly it should be provided?

Botswana, Malawi, South Sudan, Zimbabwe

Ethiopia, Ghana, Kenya, Lesotho, Liberia, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Uganda, Zambia

… what topics should be covered during the counseling?

Botswana, Kenya, Liberia, Namibia, Nigeria, Sierra Leone, Tanzania, Uganda

Ethiopia, Ghana, Lesotho, Malawi, Rwanda, South Africa, South Sudan, Swaziland, Zambia, Zimbabwe

Micronutrient supplementation

… whether a micronutrient supplement should be provided?

Kenya, Nigeria, South Sudan

Botswana, Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

… under what circumstances a micronutrient supplement should be provided?

Botswana, Kenya, South Sudan

Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

… which micronutrient(s) should be provided?

Botswana, Kenya

Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

… the dosage of at least one micronutrient supplement?

Kenya, South Sudan

Botswana, Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

Ready-to-use therapeutic and supplementary foods (RUTFs)

… whether a RUTF should be provided?

Kenya, South Sudan, Tanzania, Uganda

Botswana, Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, Swaziland, Zambia, Zimbabwe

… under what circumstances a RUTF should be provided?

Kenya, Nigeria, South Sudan, Tanzania, Uganda

Botswana, Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Rwanda, Sierra Leone, South Africa, Swaziland, Zambia, Zimbabwe

… which RUTF(s) should be provided?

-

Botswana, Ethiopia, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

… the dosage of at least one RUTF?

Kenya

Botswana, Ethiopia, Ghana, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

Food subsidies

… whether a food subsidy should be provided?

-

Botswana, Ethiopia, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

… under what circumstances a food subsidy should be provided?

-

Botswana, Ethiopia, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

… how the food subsidy should be provided (e.g., vouchers, food baskets, etc.)?

-

Botswana, Ethiopia, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe

  1. Abbreviations: HIV human immunodeficiency virus, RUTF Ready-to-use therapeutic or supplementary food
  2. aNational HIV treatment guidelines in English were not identified for the following countries: Cameroon, Eritrea, Mauritius, Seychelles, Sudan, and The Gambia