[pronut-hiv] Thesis documents levels of contamination and over-dilution in SA bottle feeds

[Judy Canahuati <jcanahuati@care.org>]

Bottle feeding in a developing country setting

You may be interested in reading this thesis.

>The following thesis, successfully defended at Uppsala University's
>Department of Women's and Children's Health, is available online. It
>is one of the first studies ever to examine bacterial contamination
>and levels of dilution in bottles as they are fed to infants in a
>developing country setting. Note that despite all the problems
>documented, it is an unusually well-off setting in which 93% of the
>mothers have at least some secondary school education and 72% have
>electric refrigerators.
>
>Bacterial Contamination and Nutrient Concentration of Infant Milk in
>South Africa: A Sub-study of the National PMTCT Cohort Study
>
>Author: Erika Bergström
>
>Published by: Health Systems Trust
>
>http://www.hst.org.za/research/infant_milk.htm 
>ftp://ftp.hst.org.za/pubs/pmtct/infant_milk.pdf [262kb]
>
>South Africa provides HIV+ mothers with free commercial infant milk
>for six months of the infant's life in 18 pilot sites for the
>prevention of mother-to-child-transmission (PMTCT). Many mothers in
>the PMTCT-programme choose to accept this formula, but few studies of
>actual feeding patterns have been conducted. Studies in some PMTCT
>pilot sites have shown that mothers have difficulties in formula
>feeding their children. The risks of replacement feeding are well
>known in general, but very few detailed studies of the issues
>involved have been in any African setting.
>
>This study to looks at how mothers in an urban/peri-urban area of
>South Africa prepare and feed commercial infant milk to their infants
>and assesses the safety of these feeds. It describe the methods of
>preparation of commercial infant milk and measures the extent of
>bacterial contamination and protein concentration in these feeds.
>
>Ted Greiner
>Associate Professor, International Child Health
>Research Advisor

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