1. Getting the Knack of NACS
Tim Quick
February 22-23, 2012
Washington, DC

2. Slim disease: a new disease in Uganda
and its association with HTLV-III infection
Lancet 1985 Oct 19;2 (8460):849-52
D Serwadda, Nk Sewankambo, JW Carswell, AC Bayley, RS
Tedder, RA Weiss, RD Mugerwa, A Lwegaba, GB Kirya, RG
Downing, SA Clayden, & AG Dagleish

3. HIV/AIDS:
• Loss of appetite
• Increased nutrient
requirements
• Impaired nutrient absorption
• Altered nutrient metabolism
Malnutrition:
• Weakened immune system
• Increased susceptibility to
opportunistic infections
• Wasting & increased mortality
• Poorer adherence & response
to treatment

4. Nutrient requirements for
people living with HIV/AIDS
Report of a technical consultation
World Health Organization
Geneva, 13–15 May 2003

5. WHO Consultation on Nutrition and HIV/AIDS in
Africa: Evidence, Lessons and Recommendations
for Action Durban, South Africa, 10–13 April 2005
Participants’ Statement
1. HIV/AIDS is affecting more people in eastern and southern Africa
than our fragile health systems can treat, demoralizing more
children than our educational systems can inspire, creating more
orphans than communities can care for, wasting families and
threatening our food systems. The HIV/AIDS epidemic is
increasingly driven by and contributes to factors that also create
malnutrition - in particular, poverty, emergencies and inequalities.
2. In urgent response to this situation, we call for the integration of
nutrition into the essential package of care, treatment and
support for people living with HIV/AIDS and efforts to prevent
infection.

6. Policy Guidance on the Use of Emergency Plan Funds to Address
Food and Nutrition Needs
September 2006
The Emergency Plan has a clear responsibility to support
prevention, treatment and care for people living with HIV/AIDS
(PLWHA), but comprehensively addressing issues of food
insecurity is beyond the scope of the Emergency Plan.
Key precepts of the Emergency Plan include remaining focused
on HIV/AIDS, maximizing leverage with other partners that
provide food resources and providing support for limited food
assistance in defined circumstances.

7. Kenya Food
by
Prescription
Program

8. NACS - Nutrition Assessment, Counseling & Support
Clinical Mgmt
PMTCT/ART
Community
Assessment Support
Surveillance,
Referral, Coun
seling &
Counseling
Support
Entry Points Clinic
Community