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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South Africa
Maternal and Child Nutrition, Volume 1, No. 1, Year 2005
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Description
The promotion of exclusive breastfeeding for 6 months, followed by rapid transition to alternative food sources may be an important public health approach to the reduction of mother-to-child transmission of HIV through breastmilk. The basic ethical principle of 'informed choice' requires that HIV positive women are provided with adequate information about their options. However, information is only one factor that affects their decisions. The objective of this ethnographic study was to identify sociocultural influences on infant feeding decisions in the context of a large cohort study designed to assess the impact of a breastfeeding counselling and support strategy to promote exclusive breastfeeding on postnatal transmission of HIV in African women. Following an initial period of exploratory interviewing, ethnographic techniques were used to interview 22 HIV positive women about their views on infant feeding and health. Interviews were tape-recorded, transcribed and analysed with a text analysis program. Five themes of influences on feeding decisions emerged: (1) social stigma of HIV infection; (2) maternal age and family influences on feeding practices; (3) economic circumstances; (4) beliefs about HIV transmission through breastmilk; and (5) beliefs about the quality of breastmilk compared to formula. The study highlights the role of cultural, social, economic and psychological factors that affect HIV positive women's infant feeding decisions and behaviour. © Blackwell Publishing Ltd 2005.
Authors & Co-Authors
Thairu, Lucy N.
United States, Ithaca
Cornell University
Pelto, Gretel H.
United States, Ithaca
Cornell University
Rollins, Nigel Campbell
South Africa, Durban
University of Kwazulu-natal
South Africa, Durban
Africa Health Research Institute
Bland, Ruth M.
South Africa, Durban
Africa Health Research Institute
Ntshangase, Ncamisile
South Africa, Tygerberg
South African Medical Research Council
Statistics
Citations: 114
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1111/j.1740-8709.2004.00001.x
ISSN:
17408695
e-ISSN:
17408709
Research Areas
Food Security
Infectious Diseases
Maternal And Child Health
Study Design
Cohort Study
Exploratory Study
Ethnographic Study
Study Approach
Qualitative
Quantitative
Study Locations
South Africa
Participants Gender
Female