title: Acceptability and use of ready-to-use supplementary food compared to corn-soy blend as a targeted ration in an HIV program in rural Haiti: a qualitative study.
abstract: BACKGROUND
  Ready-to-use supplementary food (RUSF) is increasingly used as a component of food rations for adults with HIV.
  
  
  METHODS
  We undertook a qualitative study to evaluate the acceptability and use of peanut-based RUSF compared to corn-soy blend (CSB) among adults living with HIV in rural Haiti who had been enrolled in a prospective, randomized trial comparing the impact of those rations. A total of 13 focus groups were conducted with 84 participants-42 selected from the RUSF arm of the study, and 42 from the CSB arm-using a guide with pre-designated core topics and open-ended questions.
  
  
  RESULTS
  We found that RUSF was highly acceptable in terms of taste, preparation, and packaging. Both types of food ration were widely shared inside and outside households, especially with children. However, while CSB was without exception stored with the communal household food supply, RUSF was frequently separated from the household food supply and was more often reserved for consumption by individuals with HIV.
  
  
  CONCLUSIONS
  RUSF was a highly acceptable food ration that, compared to CSB, was more often reserved for use by the individual with HIV. Qualitative examination of the perceptions, use, and sharing of food rations is critical to understanding and improving the efficacy of food assistance for food-insecure people living with HIV.
authors.affiliation: Internal Medicine Residency, Department of Medicine, Brigham & Women's Hospital, 75 Francis St., Boston, MA 02115 USA ; Department of Medicine, Boston Children's Hospital, Boston, MA USA ; Partners In Health, Boston, MA USA.
authors.forename: Anne G
authors.initials: AG
authors.lastname: Beckett
authors.affiliation: Department of Epidemiology of Microbial Disease, Yale School of Public Health, 60 College Street, Ste 318, New Haven, CT 06510 USA.
authors.forename: Debbie
authors.initials: D
authors.lastname: Humphries
authors.affiliation: Zanmi Lasante, St. Marc, Haiti ; Zanmi Lasante, 18A, Santo 18, Croix-des-Bouquets, Haiti.
authors.forename: J Gregory
authors.initials: JG
authors.lastname: Jerome
authors.affiliation: Internal Medicine Residency, Department of Medicine, Brigham & Women's Hospital, 75 Francis St., Boston, MA 02115 USA ; Partners In Health, Boston, MA USA ; Division of Global Health Equity, Brigham & Women's Hospital, 641 Huntington Avenue, Boston, MA 02115 USA.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Teng
authors.affiliation: Zanmi Lasante, St. Marc, Haiti ; Zanmi Lasante, 18A, Santo 18, Croix-des-Bouquets, Haiti.
authors.forename: Patrick
authors.initials: P
authors.lastname: Ulysse
authors.affiliation: Internal Medicine Residency, Department of Medicine, Brigham & Women's Hospital, 75 Francis St., Boston, MA 02115 USA ; Partners In Health, Boston, MA USA ; Division of Global Health Equity, Brigham & Women's Hospital, 641 Huntington Avenue, Boston, MA 02115 USA ; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA USA.
authors.forename: Louise C
authors.initials: LC
authors.lastname: Ivers
mesh_terms: D000328:Adult; D019587:Dietary Supplements / Q000706:statistics & numerical data; D017144:Focus Groups; D005518:Food Preferences / Q000523:psychology; D005523:Food Supply / Q000379:methods; D015658:HIV Infections / Q000178:diet therapy*; D006205:Haiti; D006801:Humans; D036301:Qualitative Research; D013025:Glycine max; D003313:Zea mays
keywords: HIV; Nutrition; Ready-to-use supplementary food