Haile , Abebe (PhD)Adamu, Habil2019-10-012023-11-182019-10-012023-11-182019-06http://etd.aau.edu.et/handle/12345678/19274Nutrition is an important component of comprehensive care for people living with HIV specially adolescents, since it is a period of rapid growth and maturation in human development that demands extra nutrients and energy to support growth. Focusing on adolescents’ nutrition, provides a unique opportunity to break the intergenerational cycles of malnutrition. This study was aimed to assess determinants of nutritional status among Adolescents (10-19 years) living with HIV/AIDS and attending Anti- Retroviral Therapy (ART) clinic at Zewditu Memorial hospital (ZMH), Addis Ababa. Institutional based Cross-sectional survey design was employed among randomly selected 226 adolescents (10-19 years) attending the ART clinic. Structured questionnaire was used to gather necessary information from the respondents and Key informant interviews was also held for the purpose of the study. Whereas, anthropometric measurement was used to collect height and weight following the standard measurement tools and procedures. Data was entered into SPSS version 22 and anthropometric measurements were converted into Z-score by WHO Anthroplus version 1.0.4 software. Then exported to STATA 14 and was analyzed using descriptive and inferential statistics. Ordered logit model was employed to analyze factors determining nutritional status of adolescents living with HIV/AIDS while descriptive statistics was employed using T-test and chi-square. Nutritional status was assessed using Height-for-age (HAZ) and BMI-for-Age (BAZ) as measures of stunting and thinness respectively. The result revealed that the prevalence of stunting was (37.5%) and thinness (49.8%). The result of ologit model indicated that, sex of adolescent, age of adolescent, no of children in the family, mother level of education, place of residence, initial CD4 count, ART duration in moths, previous weight and previous height were found positive and negative significant determinants for adolescent stunting at 1%, 5% and 10% level of significance. While, age of adolescent, parental status, mother employment status, average monthly income of the family, recent viral load, feeding support and nutrition counseling were found to be positive and negative significant determining factors for adolescent thinness at p< 0.01, p<0.05 and p< 0.1. The findings from individual dietary diversity score indicated that 73.89 % of them consume less than the standard (four) food groups within the last 24 hours during the time of research period. Lastly, based on the findings of this study we recommends that, as HIV infected adolescents are at higher risk of malnutrition, need to assess their dietary practices, nutrient intake and nutritional status in different context in order to advocate for interventions promoting a healthy life style as a complement to their treatment. Keywords: Adolescents (10-19years), Nutritional Status, Zewditu Memorial Hospital, ART, determinantenAdolescents (10-19years), Nutritional Status, Zewditu Memorial Hospital, ART, determinantThesis