Document 1029
 DOCN  M94A1029
 TI    Meeting the nutrition needs of an ethnically diverse population with
       HIV/AIDS in a large urban setting.
 DT    9412
 AU    Stricker JD; Kraak V; God's Love We Deliver, NY, NY.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):225 (abstract no. PB0914). Unique
       Identifier : AIDSLINE ICA10/94371546
 AB    OBJECTIVE: Protein calorie malnutrition (PCM) in people living with
       HIV/AIDS (PLWAs) contributes to the immunosuppression induced by HIV and
       the weight loss initiated by secondary opportunistic infections. A
       culturally appropriate, community-based nutrition intervention can
       effectively prevent and reverse weight loss, sustain and improve the
       quality of life of an ethnically diverse HIV positive population.
       METHODS: God's Love We Deliver (GLWD) is a New York City community-based
       organization (CBO) that provides free nutrition education and counseling
       to asymptomatic and symptomatic PLWAs and their carpenters, as well as
       hot, nutritious and therapeutically-tailored meals free of charge daily
       to 800 homebound people with AIDS. GLWD provides flexible individual and
       family counseling over the phone or face-to-face which addresses: eating
       modifications for weight gain or maintenance; eating to reduce symptoms
       affecting oral intake; food safety guidelines; how to secure nutritional
       supplements and free food assistance. Group counseling is provided to
       HIV+ clients by networks established with over 150 CBOs within NYC. The
       combined efforts of 1900 volunteers and 56 Neighborhood Meal
       Distribution Centers allows GLWD to cook and deliver meals daily to
       homebound clients in a 300 square mile area. RESULTS: Asymptomatic and
       symptomatic PLWAs receive cost-effective counseling on their own terms
       to maintain muscle mass and preserve immune function. Homebound PLWAs
       receive life-sustaining meals and daily human interaction. The meal
       deliveries halt the progression of PCM, enhance the medical management
       and cost-effectiveness of HIV care and improve quality of life by
       fostering independence and psychological well-being. CONCLUSIONS: A
       nutrition education and counseling program for people with HIV
       complements the service of a home-delivered meal program for people with
       symptomatic AIDS. Together, these services sustain and extend the lives
       of PLWAs. PLWAs and their carepartners can access these comprehensive
       services throughout the continuum of HIV disease to enhance medical
       management.
 DE    Acquired Immunodeficiency Syndrome/*THERAPY  Cost-Benefit Analysis
       *Counseling  Ethnic Groups  *Food Services  *Health Education  Human
       HIV Infections/*THERAPY  New York City  *Nutrition  Quality of Life
       Urban Population  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).