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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV-positive poor women may stop breast-feeding early to protect their infants from HIV infection although available replacement diets are grossly inadequate
Journal of Nutrition, Volume 138, No. 2, Year 2008
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Description
Little is known about mothers' perspectives and experiences of early breast-feeding cessation as a strategy to reduce postnatal HIV transmission in rural, resource-constrained settings. We conducted in-depth interviews (IDI) with 15 HIV-positive breast-feeding mothers of infants aged 3-5 mo about their plans for feeding their infants after age 6 mo. We also conducted IDI with 12 HIV-positive mothers who intended to stop breast-feeding after receiving their infant's HIV-PCR negative test result at age 6 mo. Twenty-four-hour dietary recalls were conducted with the same 12 mothers and 16 HIV-negative or status unknown mothers who were breast-feeding their 6- to 9-mo-old infants. Of the 12 mothers who intended to stop breast-feeding, 11 did so by 9 mo. Median energy intake (percent requirement) was 1382 kJ (54%) among weaned infants compared with 2234 kJ (87%) among breast-feeding infants. Median intakes were <67% of the recommended levels for 9 and 7 of the 12 micronutrients assessed for weaned and breast-feeding infants, respectively. Factors facilitating early breast-feeding cessation were mothers' knowledge about HIV transmission, family support, and disclosure of their HIV status; food unavailability was the primary barrier. HIV-positive mothers in resource-constrained settings may be so motivated to protect their child from HIV that they stop breast-feeding early even when they cannot provide an adequate replacement diet. As reflected in the new World Health Organization guidance, HIV-positive mothers should continue breastfeeding their infants beyond 6 mo if replacement feeding is still not acceptable, feasible, affordable, sustainable, and safe. © 2008 American Society for Nutrition.
Authors & Co-Authors
Lunney, Kevin M.
Unknown Affiliation
Jenkins, Alison
Unknown Affiliation
Tavengwa, Naume V.
Unknown Affiliation
Majo, Florence D.
Unknown Affiliation
Chidhanguro, Dzivaidzo
Unknown Affiliation
Iliff, Peter J.
Unknown Affiliation
Strickland, George Thomas
Unknown Affiliation
Piwoz, Ellen G.
Unknown Affiliation
Iannotti, Lora L.
Unknown Affiliation
Humphrey, Jean H.
Unknown Affiliation
Statistics
Citations: 41
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1093/jn/138.2.351
ISSN:
00223166
Research Areas
Food Security
Infectious Diseases
Maternal And Child Health
Study Approach
Qualitative
Participants Gender
Female