Infant feeding by South African mothers living with HIV: implications for future training of health care workers and the need for consistent counseling

International Breastfeeding Journal
Nora S WestAnnelies Van Rie

Abstract

Since 2010, the World Health Organization recommends lifelong antiretroviral treatment for all women living with HIV, and exclusive breastfeeding for six-months followed by breastfeeding until 24-months for all HIV positive mothers. Nevertheless, many mothers living with HIV do not initiate breastfeeding or stop prematurely, and many countries are still in the process of updating their national infant feeding guidelines to align with World Health Organization recommendations. We sought to understand uptake of breastfeeding and factors that influence decision-making regarding infant feeding in women living with and without HIV who receive ante- and postnatal care at a primary healthcare setting. Programmatic data on infant feeding intentions and practices among women attending an ante-and postnatal clinic service at a primary care clinic in Johannesburg, South Africa were summarized using descriptive statistics. Qualitative interviews were conducted with 12 healthcare providers, 12 women living with HIV who were breastfeeding and 10 who were formula feeding. Interviews were analyzed using a content analysis approach. Pregnant women living with HIV were less likely to express an intent to breastfeed (71% vs 99%). During the first...Continue Reading

References

Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs
Jul 1, 2010·Antiviral Therapy·Lynne M Mofenson
Oct 28, 2010·International Breastfeeding Journal·Jacqueline R ChinkondeViva C Thorsen
Oct 25, 2013·Tropical Medicine & International Health : TM & IH·Rose ZulligerLandon Myer
Dec 4, 2016·Global Health Action·Alice Ngoma-Hazemba, Busisiwe Purity Ncama

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Citations

Jul 25, 2019·Maternal & Child Nutrition·Tanya DohertyIngunn M S Engebretsen
Sep 3, 2020·International Breastfeeding Journal·H Manisha YapaTill Bärnighausen
Feb 19, 2021·Health Care for Women International·Josephine EtowaJ Craig Phillips
Apr 1, 2021·Journal of the International AIDS Society·Julianne MeisnerAlison L Drake
May 6, 2021·International Journal for Equity in Health·Debbie VitalisRafael Pérez-Escamilla
Jun 11, 2021·Current HIV Research·Mohammed A AbdullahiMuktar H Aliyu
Dec 23, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Renata EcclesEsedra Krüger

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