Improving Immunity Through Very Balanced Nutrition with Antioxidants in ODHA in The Blitar Region
Abstract
The HIV virus progressively weakens the immune system, and causes malnutrition, weight loss and muscle wasting. This is due to increased body metabolism but decreased intake, sometimes accompanied by nausea, vomiting and decreased appetite due to the drugs given, accompanied by with diarrhea for more than two weeks, as well as mouth ulcers due to fungal infections and difficulty swallowing. Based on 2021 data, there are 49 people living with HIV in the city of Blitar and the data available at health facilities is very supportive, namely that the average CD4 cell examination of PLWHA has decreased. This problem needs to be addressed immediately, because it hampers the goals of HIV AIDS management, especially the fast track 95-95-95 program, which means 95% of PLWHA know their HIV status, 95% of PLWHA take ARVs, and 95% of PLWHA have suppressed viral loads. This community service activity aims to increase the immunity of PLWHA in the greater Blitar area through consuming balanced nutrition & high in antioxidants. The target is 25 PLWHA who are actively participating in Peer Support (KDS) groups in Blitar Raya. Normal CD4 test results are 500 to 1,600 cells per mm3 of blood (cells/mm3). Of the 25 PLWHA, 18 people (72%) had a score below (500) and 7 people (28%) had a score above (500), with the lowest score being 81 and the highest result being 959. In general, they had good motivation and were taking ARV medication. routinely. The activity continued with education about how to eat healthy food properly, how to choose food ingredients high in anti-oxidants, how to cook it properly, and also taught how to practice food portioning for PLWHA
References
Dinas Kesehatan Kota Blitar. (Juni, 2021). Penguatan Jejaring Populasi Kunci (Power point slides). Dipresentasikan dalam Rapat Koordinasi Warga Peduli AIDS Kota Blitar.
Martiningsih, W, Winarni, S. dan Mulyadi A. (2020). Pengembangan alat pengakajian Stigma pada ODHA di Masyarakat. Laporan penelitian Poltekkes Kemenkes Malang.
Siagian, A.V., dkk. (2015). Rencana aksi Nasional Kolaborasi TB-HIV. (S. N. Widaningrum,C. & Wiweko, Ed.). Jakarta: Kementerian Kesehatan RI.
UNDP. (2020). Sustainable Development Goals.
Diakses tanggal 28 Juni 2021: https://www.undp.org/sustainable-development-goals?utm_source=EN&utm_medium=GSR&utm_content=US_UNDP_PaidSearch_Brand_English&utm_campaign=CENTRAL&c_src=CENTRAL&c_src2=GSR&gclid=CjwKCAjwoZWHBhBgEiwAiMN66WfvbEfKia8d2cK3pfnykXbrHOMKgFLahN-ZX7qMAA4G9X1Lc7ZruBoCcaMQAvD_BwE#good-health