{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:31:39Z","timestamp":1784194299291,"version":"3.55.0"},"reference-count":53,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T00:00:00Z","timestamp":1327881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Infant malnutrition in sub-Saharan Africa is a public health priority and a challenge in high HIV prevalence areas. The Drug Resources Enhancement Against AIDS and Malnutrition program, with multiple medical centers in Sub-Saharan Africa, developed an innovative intervention for the surveillance and control of malnutrition. In a pilot initiative, 36 HIV-exposed children were evaluated at baseline upon presentation for malnutrition and at six months post- treatment. Parameters included HIV-free survival, nutritional status and change in diet. Food diary data was entered and processed using the Nutrisurvey (WHO) software. At 6 months post-intervention, a significant improvement in anthropometric parameters was noted. Slowing of linear growth was observed in patients with malaria with a mean gain in centimetres of 4.4 \u00b1 1.7 as compared to 5.6 \u00b1 1.7 in children with no malaria, p &lt; 0.048 (CL 95%: \u22122.32, \u22120.01). Dietary diversity scores increased from 5.3 \u00b1 1.9 to 6.5 \u00b1 1.3, p &lt; 0.01 at 6 months. A significant increase (+25%, p &lt; 0.02) in the number of children eating fish meals was noted. Our pilot data describes positive outcomes from a rehabilitative nutritional approach based on use of local foods, peer education, anthropometric and clinical monitoring in areas of high food insecurity. The relationship between malaria and linear growth retardation requires further investigation.<\/jats:p>","DOI":"10.3390\/ijerph9020421","type":"journal-article","created":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T11:10:39Z","timestamp":1327921839000},"page":"421-434","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Nutritional Rehabilitation of HIV-Exposed Infants in Malawi: Results from the Drug Resources Enhancement Against AIDS and Malnutrition Program"],"prefix":"10.3390","volume":"9","author":[{"given":"Ersilia","family":"Buonomo","sequence":"first","affiliation":[{"name":"Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"De Luca","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Health Education Center, Perugia University, Perugia 06100, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dyna","family":"Tembo","sequence":"additional","affiliation":[{"name":"Department of Nutrition, DREAM Program Malawi, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Scarcella","sequence":"additional","affiliation":[{"name":"Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Germano","sequence":"additional","affiliation":[{"name":"DREAM Program, Community of Sant\u2019 Egidio, Piazza S. Egidio 3a, Rome 00153, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Maria","family":"Doro Altan","sequence":"additional","affiliation":[{"name":"Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Palombi","sequence":"additional","affiliation":[{"name":"Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Liotta","sequence":"additional","affiliation":[{"name":"Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Nielsen-Saines","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, David Geffen School of Medicine at UCLA, MDCC 22-442, 10833 LeConte Ave, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvio","family":"Erba","sequence":"additional","affiliation":[{"name":"Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina","family":"Marazzi","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, LUMSA University (Libera Universit\u00e0 Maria SS. Assunta), Via della Traspontina 21, Rome 00193, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2012,1,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0140-6736(07)61690-0","article-title":"Maternal and child undernutrition: Global and regional exposures and health consequences","volume":"371","author":"Black","year":"2008","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/S0140-6736(07)61693-6","article-title":"What works? 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