Our study, contributes to a process aimed at identifying
plausible effects of NCS on nutritional status and QoL. The
results in our study indicate that, despite the small bene-
fit observed from the current NCS on HIV-positive adults,
this intervention is unlikely to significantly improve the
nutritional status and QoL of HIV-positive adults in need of
NCS. We believe that programs narrowly focusing BMI and
clinical indicators such as opportunistic infection, disease
staging and ART as the assessment method for inclusion
criteria and monitoring of effectiveness of NCS among HIVpositive
adults is inadequate. Contextual factors such as
socio-economic status, dietary diversity, and household
food security with respect to household composition ought
to be identified when adopting technical aspects of NCS
strategies to specific settings. This will ensure that most
nutritional needs for HIV-positive adults and equitable coverage
are met.