kapkatet district hospital is one of the best in the country (kenya) and it is situated in kericho county. paediatrict nutrition team is lead by sambu cheruiyot with MSCN, BSCN and BCN.

1. TITLE: PEDIATRIC NUTRITION STATUS AND RETENTION
AMONG HIV INFECTED CHILDREN AT KAPKATET SUB
COUNTY, KERICHO COUNTY.
Author(s): Sambu¹, Wesley Bor², Argwings Miruka², Appolonia
Aoko², Jonah, maswai²
Affiliation: 1. Kapkatet Sub County Referral Hospital 2.
KEMRI/Walter Reed Project, Kericho
Correspondence Email: cheruiyotsambu@yahoo.com: Contact: 0725 782700

2. OUTLINE
Background
Objectives
Methodology
Findings
Conclusion
Recommendations

3. BACKGROUND
 Pediatric adherence to antiretroviral therapy (ART) is not
well studied in resource-limited settings Vreeman et al.,
(2008).
 Baets De et al.,( 2007) reporting that more than 90% of
pediatric HIV infection occurs in sub-Saharan Africa and
75% of these children currently die before their fifth
birthday because of HIV infection and malnutrition.
0%
20%
40%
60%
80%
100%
PAEDS HIV infection DEATH due to HIV &
MALNUTRITION
90%
75%
SSA
SSA

4. OBJECTIVES
To determine nutritional status of children attending
pediatric HIV clinic at Kapkatet Sub County
Hospital.
 To establish retention rate among the children
attending pediatric clinic at Kapkatet sub county
Hospital

5. Methods
Retrospective review of pediatric (0-14 years)
data was done from the patients’ medical
records and the nutrition Daily activity register
(DAR) from 2010 to 2014.
 Nutrition assessment reported in the data was
analysed. MUAC was assessed in 2014 and
compared to MUAC assessed before the
initiation of pediatric clinic in 2010 and 2011
respectively.

6. METHODS CONT…..
Paediatric clinic days were established in 2014
with nutritious snacks provided during the clinic
days.
 Retreat during school holidays were conducted
with children given opportunity to play with care
givers and clinic staff.
 Nutrition counseling was done to care givers in
every clinic with focus on feeding according to
developmental milestones.

7. Findings
0
50
100
150
200
250
300
350
2010 2011 2012 2013 2014
249
269
294
310
325
NUMBER
YEARS
ACTIVE PEDIATRIC CLIENTS

8. Findings cont……
In 2010 and 2011, malnutrition rate was 39.5%
while in 2014 the rate of malnutrition was 8%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
2010/2011 2014
39.5%
8%
MALNUTRITION

9. Conclusion
77.5
78.0
78.5
79.0
79.5
80.0
80.5
81.0
81.5
2010 2011 2012 2013 2014
80.1
78.9
80.1
80.3
81.0
percentage
years
Pediatric Retention rate

10. CONCLUSION
Structured nutrition counseling and education delivered
to children and their care givers during the clinic health
talks and counseling sessions in the clinic are critical in
addressing mitigating against malnutrition and also in
preventive nutrition intervention.
 Provision of nutritious snacks during the pediatric clinic
motivates the children during pediatric clinic.
 Structured pediatric clinic assist in improving children
follow up and retention rate.

11. Recommendations
There is need to continuously support health
facilities to sustain friendly pediatric clinic for HIV
positive clients.
This enhances the optimal services to children and
their care gives and also helps in promoting
children retention in the clinic.

12. THANK YOU