In order to ensure more access care, the fundamental elements of any effective response to HIV care should be embedded in a ‘code of conduct for HIV/AIDS care’, which must be humane in its approach, universal in its application, adaptable in every circumstance and affordable to the patient community. About 90 percent of people living with the disease do not have access to anti-retroviral therapies. This writer is particularly advocating that provisions be made for ensuring ‘technical and system capacity, differential pricing and alternatives’ provide the functional fulcrum for a most sincere and effective approach to AIDS care and cure. In broad terms therefore, it could be said that nutritional care for HIV/AIDS should necessarily include considerations for such factors like HIV disease progression and implications for immunity and nutritional status, HIV related complications like diarrhoea, weight loss, loss of appetite, etc. It includes the role of anti-oxidants and other micronutrients in HIV; support for children with HIV, food security, food safety and hygiene. It would also include nutrition education, communication and counselling for PLWAs, implementation and integration of well-thought-out nutritional care and support in programmes/ policies, which must take into consideration all necessary practical work on translation and dissemination of guidelines into culturally specific recommendations, preparation of recipes and nutrition education. Care for PLWAs must go far beyond just access to ARVs. -poor settings.