title: Perceptions about probiotic yogurt for health and nutrition in the context of HIV/AIDS in Mwanza, Tanzania.
abstract: Recently, the food and malnutrition issues have taken centre stage within the arena of HIV/AIDS epidemic, with several calls being made for context-specific health and nutrition interventions to deal with the emerging food insecurity and malnutrition issues in settings with high burdens of HIV/AIDS. The use of probiotics as nutritional supplements in HIV/AIDS-affected and resource-poor settings has also been advocated. This paper presents the results of a qualitative study on community knowledge and perceptions about probiotics and their potential impact on people's everyday life in the context of the HIV/AIDS epidemic. In-depth interviews (n=26) were conducted with residents in Mwanza, Tanzania. The results showed that people living with HIV/AIDS, who were using probiotic yogurt produced through a joint partnership of Western Heads East, Tanzania Medical Research Institute and the Tukwamune Women's Group, reported perceived beneficial effects, such as gain in weight and improved health and well-being. Yet, these beneficial effects might be resulting in growing misconceptions about probiotic yogurt being 'medicine' for the treatment of HIV/AIDS; this is leading some people living with HIV/AIDS to abandon taking their antiretroviral medications based on the view that the probiotic yogurt is making them feel much better. The findings illustrate the potential challenges with regard to the introduction of nutritional food supplements into new contexts plagued by malnutrition and infectious diseases. Public-health education and awareness programmes are needed when introducing novel foods into such contexts.
authors.affiliation: Department of Geography, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Whaling
authors.forename: Isaac
authors.initials: I
authors.lastname: Luginaah
authors.forename: Gregor
authors.initials: G
authors.lastname: Reid
authors.forename: Sharereh
authors.initials: S
authors.lastname: Hekmat
authors.forename: Amardeep
authors.initials: A
authors.lastname: Thind
authors.forename: Joseph
authors.initials: J
authors.lastname: Mwanga
authors.forename: John
authors.initials: J
authors.lastname: Changalucha
mesh_terms: D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D005260:Female; D015658:HIV Infections / Q000523:psychology* / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D052756:Nutritional Sciences; D019936:Probiotics / Q000627:therapeutic use*; D012938:Social Perception; D013636:Tanzania; D015014:Yogurt; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents