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There were 69 referrals among 64 (17%) children in the basal diet group and 81 referrals among 65 177%) children in the richly fortified diet group (Table 6).
The richly fortified porridge contained micronutrients to meet the World Health Organization (WHO) estimated needs [9] for infants aged 9 11 months with low breast milk intake, assuming an intake of 50g flour/day.
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Among children of HIV-infected mothers, there was a non-significant trend towards increased referrals in the richly-fortified arm.
Therefore, an effect of the richly-fortified porridge on iron status is important.
In the richly-fortified porridge group, there were no mortalities among infants of HIV-negative mothers.
Adherence was associated with these improvements in iron status in the richly-fortified porridge group (data not shown).
Three of those in the basal group and all 5 in the richly-fortified group had HIV-infected mothers.
Provision of the richly-fortified porridge improved linear growth among non-breastfed infants of HIV-infected mothers.
Twelve children died, all in hospital: 7 in the basal porridge group and 5 in the richly-fortified porridge group.
There was a trend towards increased referrals among children of HIV-infected mothers in the richly-fortified group, although this did not reach statistical significance.
Among HIV-exposed children, there was a non-significant trend toward increased referrals in the richly-fortified group, with only pneumonia referrals increased.
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