PMID: 22338292Feb 18, 2012Paper

Breast or bottle? HIV-positive women's responses to global health policy on infant feeding in India

Medical Anthropology Quarterly
Cecilia Van Hollen

Abstract

This article describes how local responses to global health initiatives on infant feeding for HIV-positive mothers reflect and transform sociocultural values in Tamil Nadu, India. Drawing from ethnographic research conducted from 2002 to 2008, the article compares guidelines for counseling HIV-positive mothers established by UNICEF and WHO with decision-making processes and perceptions of HIV-positive mothers. In addition to the financial considerations, three factors are identified as impinging on this decision: (1) a strong sociocultural value in favor of breastfeeding linked to historical traditions and contemporary state and international development discourses, (2) constructions of class identity, (3) the influence of a rights-based discourse in HIV/AIDS advocacy. This wide range of factors points to the difficulty of implementing the international protocols. This is the first study of its kind to closely examine the complex determinants in HIV-positive women's decisions and evaluations of infant feeding methods in India.

References

Apr 4, 2002·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·R J Cook, B M Dickens
Apr 22, 2003·Medical Anthropology Quarterly·Cecilia Van Hollen
Mar 28, 2008·Bulletin of the World Health Organization·Anna CoutsoudisCatherine M Wilfert
Jan 1, 2001·Cultural Anthropology : Journal of the Society for Cultural Anthropology·S L Pigg
Jul 10, 2009·Social Science & Medicine·Annick Tijou TraoréAnnabel Desgrées-du-Loû
Sep 16, 2010·Culture, Medicine and Psychiatry·Cecilia Van Hollen
Aug 1, 2009·Anthropology & Medicine·Astrid Blystad, Karen Marie Moland

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Citations

Mar 2, 2019·Medical Anthropology Quarterly·Jenna Murray de López
Aug 8, 2020·American Journal of Human Biology : the Official Journal of the Human Biology Council·Aunchalee E L PalmquistElizabeth A Quinn

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