Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes.

Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes. Research Abstract Details 

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Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes. Abstract Text:

OBJECTIVE: To assess the infant feeding components of prevention of mother to child HIV transmission (PMTCT) programmes. METHODS: Assessments were performed across Botswana, Kenya, Malawi and Uganda. 29 districts offering PMTCT were selected by stratified random sampling with rural and urban strata. All health facilities in the selected PMTCT district were assessed. The facility level manager and the senior nurse in charge of maternal care were interviewed. 334 randomly selected health workers involved in the PMTCT programme completed self-administered questionnaires. 640 PMTCT counselling observations were carried out and 34 focus groups were conducted amongst men and women. RESULTS: Most health workers (234/334, 70%) were unable to correctly estimate the transmission risks of breastfeeding irrespective of exposure to PMTCT training. Infant feeding options were mentioned in 307 of 640 (48%) observations of PMTCT counselling sessions, and in only 35 (5.5%) were infant feeding issues discussed in any depth; of these 19 (54.3%) were rated as poor. Several health workers also reported receiving free samples of infant formula in contravention of the International Code on Breastmilk Substitutes. National HIV managers stated they were unsure about infant feeding policy in the context of HIV. Finally, there was an almost universal belief that an HIV positive mother who breastfeeds her child will always infect the child and intentional avoidance of breastfeeding by the mother indicates that she is HIV positive. CONCLUSION: These findings underline the need to implement and support systematic infant feeding policies and programme responses in the context of HIV programmes.

Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes. Publishing Authors By Initials

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Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Archives of disease in childhood

VOLUME: 93

Page Numbers: 288-91

Journal Abbreviation: Arch. Dis. Child.

ISSN: 1468-2044

DAY: 8

MONTH: 08

YEAR: 2007

Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Infant feeding in the time of HIV: rapid assessment of infant feeding policy and programmes in four African countries scaling up prevention of mother to child transmission programmes.

AFFILIATION: Health Systems Research Unit, Medical Research Council, Tygerberg, 7535, Western Cape, South Africa. mickey.chopra@mrc.ac.za

Country: England

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MEDLINETA: Arch Dis Child

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