Re: [pronut-hiv] Infant Feeding Options Recommended for Mothers withHIV/AIDS (2)

["Rachel Stern" <sternworks@verizon.net>]

This is an interesting abstract. Would be interested in full text of the 
article. Does someone have access?

What are the official recommendations for feeding following 6 months of 
exclusive breastfeeding?

Thanks.

Rachel Stern

----- "ProNut-HIV"wrote:


Source: HIV-infantfeeding@yahoogroups.com
-----------------------------------

Are infant feeding options that are recommended for mothers with
HIV acceptable, feasible, affordable, sustainable and safe?
Pregnant women's perspectives

Marina Manuela de Paoli1,*, Rachel Manongi2 and Knut-Inge Klepp1
1Institute for Nutrition Research, University of Oslo, PO Box 1046 Blindern, 
0316 Oslo, Norway: 2Kilimanjaro
Christian Medical College, Community Health Department, PO Box 3010, Moshi, 
Tanzania

Abstract
Objective: To investigate pregnant women's views on infant feeding options 
recommended for HIV-infected women.
Design: A structured interview survey complemented with focus group 
discussions.
Setting: Antenatal clinics in Moshi urban and rural districts of Tanzania.
Subjects: Five hundred pregnant women participated in the interview survey 
and 46 pregnant women participated in six focus group discussions.
Results: Participating women reported that they would change to an 
alternative infant feeding method if they were found to be HIV-infected and 
were advised to do so.
Cow's milk was regarded as the most feasible infant feeding method for local 
HIV infected mothers. Infant feeding formula was regarded as too costly, but 
if recommended by health workers and distributed free of charge, the 
majority of the women (82%) were confident that they would then choose this 
option. In the focus group discussions, women were less optimistic and 
expressed great concern for the social consequences of not breast-feeding. 
The safety of exclusive breast-feeding was questioned. Less common infant 
feeding methods, such as expressed heat-treated
breast milk and wet-nursing, were not regarded as viable options. Several 
social barriers to replacement feeding were identified in the focus group 
discussions, including possible lack of support from partner and potential 
negative reactions from the community.
Conclusion: Future research on infant feeding options should include the 
broader cultural context and the psychological stress that HIV-infected 
women face when choosing infant feeding methods.

Keywords: HIV, Infant feeding options, Mother-to-child transmission, 
Pregnant women, Tanzania

Public Health Nutrition: 7(5), 611*619

*Corresponding author: Email m.m.d.paoli@basalmed.uio.no

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