Minimum Acceptable Diet in Infants Aged 6 - 18 Months Exposed to HIV and Followed-Up through the Elimination Program of Mother to Child Transmission in Ouagadougou

---

Résumé

Introduction: The minimum acceptable diet is a feeding indicator of infants
and young children that improves children’s nutrition, growth and survival.
The seropositive mothers are facing several challenges that could influence the
feeding state of their infants exposed to HIV. This study aims to determine the
associated factors of minimum acceptable diet in infants aged 6 to 18 months
and exposed to HIV in the health facilities within the city of Ouagadougou.
Methodology: A cross-sectional study was conducted from October 1, 2019
to July 10, 2020 and involved 255 consenting seropositive mothers bearing infants
aged 6 to 18 months and followed up through the elimination program
of Mother to Child Transmission (eMTCT). A recall of 24-hour feeding was
used to assess feeding indicators for infants and young children. The minimum
acceptable diet is a composite indicator that englobes the minimum dietary
diversity and the minimum daily meal frequency. The logistic regression
through Stata 14 software helped identify the associated factors of minimal
acceptable diet. Results: In our study, 20.78% of infants exposed to HIV had
received a minimum acceptable diet; the infants exposed to HIV had respectively
received a minimum dietary diversity and a minimum daily meal frequency
in 27.54% and 77.25% of cases. The factors associated with a minimum acceptable
diet were represented by infant age between 12 and 18 months (adjusted
OR = 4.21; p = 0.002) and severe or mild/moderate food insecurity (adjusted
OR = 0.06; p = 0.000 and adjusted OR = 0.23; p = 0.000). Conclusion:
It is important to develop specific interventions targeting seropositive mothers
and aiming at reinforcing their nutritional education and helping them fight against food insecurity.

Mots-clés

Minimum Acceptable Diet, Infants Exposed to HIV, Associated Factors, Ouagadougou