[pronut-hiv] Help with transition to replacement feeding

["Mundi Stella" <smundi2005@yahoo.com>]

Dear colleagues,
   
  I am a midwife in antenatal service in the district hospital and will 
be meeting with a 21 year old young woman (Jane) who delivered three 
months ago in the maternity. Jane is HIV positive and decided to 
exclusively breastfeed her baby. 
  I will be meeting with Jane in two weeks to counsel her on abrupt 
cessation of breastfeeding and how to transition to replacement feeding. 
Jane lives with her parents and does not have any income. Jane?s parents 
do not know about her HIV status. They cannot afford to buy milk. The 
only replacement feeding is available is ?family foods?. I am very 
challenged by Jane?s situation. Jane?s parents may become very suspicious if Jane stops breastfeeding their grand child. Family foods may not be 
well tolerated by Jane?s baby. 
   
  Any idea or suggestion on how to go about this situation will be much 
appreciated
   
  Thanks 
   
  Stella