Vengada Krishnaraj S. P1, Raja K2, Vijila S3, Amala Sharmila I4, Devika K5
BACKGROUND
Social factors in CLHA play important role in growth indicators. Both parents alive, loss of breadwinner of the family, widows working for children, orphaned CLHA, guardian and NGO’s taking care of CLHA, below poverty line status are some of the social factors that will have impact on growth indicators. This study was done to study these factors influence on growth indicators.
MATERIALS AND METHODS
Prospective study from April 2014 to March 2015. All children on ART. Consent was obtained. Demographic data, height and weight measured monthly. Nutritional counseling and adherence counseling was given to all CLHA and caretakers. Gain in mean weight and height were tabulated. Data were grouped with both parents alive, mother alive, father alive, both parent dead, under guardian care, under NGO or GO care, two sibling families, below and above poverty line, sibling with HIV, at least one family member earning and two family members earning. Results were analysed.
RESULTS
Subjects 212. Male:female ratio 126:86. Mean age 9.6 years. (Males 9.8 and females 9.4 years). Mean duration of ART 45.5 months. 35% had both parents alive, 38% only mother alive, 8% only father alive and 17% both parents dead. 40% of orphaned taken care by guardians, rest by NGO’s. 9 families had more than 2 siblings. 21% had no earning family members. 80% were below poverty line. Mean increase in height was 5.75cms and weight was 2.87kgs during one year. No difference in gain in height in social groups. Orphaned children taken care by NGO’s and guardians have high gain in weight. Number of earning member does not influence in gain in weight. Gain in weight in above poverty line is better than below poverty line. CLHA under father’s care gained only 2.47kgs. CLHA with mother’s care gained more weight than father’s care.
CONCLUSION
20% CLHA were orphaned and without earning member. Mothers, income of the family, NGO’s homes and guardians improve growth indicators. Both parent alive and CLHA without mother have less gain in weight. No social factors play significant role in height gain.
