HIV-Infected Pregnant and Lactating Women have Higher Serum Aflatoxin levels than HIV–Uninfected Women and Aflatoxin Levels are Higher during Early Postpartum than during Pregnancy among HIV-Infected Women

Published: April 2016 Authors: Barnabas Natamba, Shibani Ghosh, Jeffrey Griffiths Publisher: FASEB
Aflatoxins are carcinogenic and may affect linear growth. Prior cross-sectional data from Ghana have shown that aflatoxin levels are ~ 20% higher among HIV-infected than HIV-uninfected post-partum women. It is not known if HIV-infected pregnant women have elevated serum aflatoxin levels during pregnancy, or if aflatoxin levels change during the perinatal period. We therefore studied these relationships among a cohort of 246 women recruited in Gulu, Uganda, and followed through pregnancy and early infant life. All HIV-positive women received HIV antiretroviral therapy for free from Continue reading →

Building Strategic Capacities to Strengthen the Enabling Environment for Nutrition Policies and Programs in Four African Countries

Published: August 2015 Authors: David Pelletier, Barnabas Natamba, Dia Sanou, Jackson Tumwine Publisher: European Journal of Nutrition and Food Safety
Undernutrition has received significant attention at global and national levels in recent years but translating this attention into effective action at the country and district levels poses many challenges. We describe the observed national environments that support and challenge actors in moving national multisectoral nutrition policies and plans forward and how this on-going action research (AR) project seeks to strengthen strategic capacities and leadership in Burkina Faso, Mali, Ethiopia and Uganda.

Alcohol Use Among Pregnant Ugandan Women of Mixed HIV Status is Associated with Social Environment and Food Insecurity

Published: July 2015 Authors: Shalean Collins, Barnabas Natamba, Angela Arbach, Elizabeth Widen, Pooja Desai, Hijab Khan, Jeffrey Griffiths, Sera Young Publisher: FASEB
Antenatal alcohol use (AAU) is associated with poor health outcomes in maternal-infant dyads. However, AAU prevalence and risk factors are poorly understood, particularly in low-income settings. Therefore we studied correlates of any AAU among pregnant women receiving antenatal care in Gulu, Uganda.

Combining public datasets to explore global trends in dietary quality, undernutrition and chronic disease 1980-2009

Published: April 2015 Authors: Rosemary Green, Jenny Sutherland, Alan Dangour, Patrick Webb
Combining public datasets to explore global trends in dietary quality, undernutrition and chronic disease 1980-2009 Agricultural production, commodity marketing and food consumption patterns have changed significantly over the past 30 years the world over, as have national epidemiological profiles.

Maternal HIV Infection, but not Food Insecurity, Predicts the Pattern of Weight Gain in Pregnant Women Attending Antenatal Services in Northern Uganda

Published: April 2015 Authors: Barnabas Natamba, Elizabeth Widen, Patsy Brannon, Sautabh Mehta Publisher: FASEB
In Sub-Saharan Africa, the differential impact of maternal HIV infection and/or food insecurity on the pattern of weight gain among pregnant women is unknown. To fill this gap, data on 402 pregnant women (33% HIV+ & participating in antiretroviral treatment) enrolled in a perinatal cohort study at Gulu Regional Referral Hospital in northern Uganda were analyzed.

Social Support Modifies Bidirectional Linkages Between Food Insecurity and Prenatal Depressive Symptoms while Domestic Violence Alters the Unidirectional Impact of Food Insecurity on Prenatal Depressive Symptoms

Published: April 2015 Authors: Barnabas Natamba, Shibani Ghosh, Sera Young Publisher: FASEB
To inform perinatal nutrition and mental health interventions, we used a cohort study to: 1) examine the directionality of relationships between maternal food insecurity (MFI) and prenatal depressive symptoms (PDS); and 2) see if social support (SS) or domestic violence (DV) modify this relationship. We enrolled 403 Ugandan pregnant women (33% HIV+ on antiretrovirals)) in mid-gestation and assessed them monthly through delivery for MFI (IFIAS) and the PDS (CES-D) using validated scales.