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Nutritional Counseling
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NUTRITIONAL COUNSELING

The importance of nutrition is a vital component during Post - Test counseling. The problem of malnutrition occurs early on in the course of HIV disease and nutrition intervention should be viewed as a first line of defense against the progression of the disease. People living with HIV infection are faced with the task of maintaining optimal nutritional status despite an increasing insult to immune system integrity. Early intervention and attention to nutrition needs can have long term benefits for these individuals. Nutrition intervention can result in fewer complications , leading to a reduced cost of care and increased quality of life and therefore should start at the time of initial HIV (+) diagnosis and continue throughout the disease process.

Healthy Combinations: Putting Together a Well-Balanced Meal ( View Image)
A-
30% Vegetables: Raw and cooked Combine yellow and white and green
B -
15% Pulses (proteins): Beans Nuts/dovi (peanut butter) Lentils Soya mince Peas Textured vegetable (soya) protein
C -
5% Other: Select from fish, chicken,eggs, fruit, avocado, tomatoes, peppers, brinjal (eggplant), potato, cheeses and milk sparingly, organ meats, yogurt and lacto, mushrooms, honey occasionally, spices and herbs (especially fresh), garlic
D -
50% Whole Grains: Sadza from whole ground maize, sorghum or millet Whole wheat and things made from whole wheat Oats porridge Brek Wheet (wheat porridge) Barley Rye Pearl barley Bran Brown Rice

Foods to Avoid
  • Sugar and all food containing sugar: this includes cool drinks, cakes, sweets and cookies
  • Cooking oil (except olive oil or cold pressed oils). Heating oil to cook with it destroys any goodness-use for salads only.
  • Red meat and pork (liver and kidney are best if you crave meat)
  • Strong tea and coffee (tea, herb, fruit and bush tea, and decaffeinated coffee are substitutes)
  • Alcohol and tobacco (do not go into smoky places)
  • Fats should be used sparingly and not at all with diarrhea.
  • Tinned, processed and refined foods
Sample Menu
7 am
Good breakfast (paratha/roti/idli, glass of milk and fruit)

10 am
Snack (biscuits and banana)

1 pm
Lunch (roti-sabzi/dal-chawal-sabzi/ sandwich with egg and salad)

4 pm
Snack (small yogurt or some nuts and fruits)

7 pm
Supper (beans and vegetables)Always combine pulses and grains at the same meal.

 

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