Re: [pronut-hiv] KEEP THE PROMISE TO HIV-POSITIVE MOTHERS AND THEIR BABIES (3)

["martha nyagaya" <martha_nyagaya@yahoo.com>]

Yes Rachel,But not in all cases:

While mixed feeding presents a higher cumulative risk
of transmission (0.26) than EBF and EFF (0.194), the
longer the duration of breastfeeding the higher the
risk of transmission (Coutsadis, 2001). Further more,
not breastfeeding after six months may even be more
difficult for mothers given individual circumstances
related to AFASS.  
Before 2005, the WHO recommendation was to wean before
6 months ?early? and ?rapidly?, Since 2005 early
weaning has been shown to increase diarrhea,
gastro-intestinal infections and mortality (Kourtis,
2007 and Onyango, 2007) even with HAART (Homsy, 2007).
In the Zambia EBF study, (Sinkala, 2007), a number of
children with increased mortality rates in HIV-free
survival was high for early weaning compared to
continued breastfeeding. In 2007, WHO recommends that
HIV infected children benefit more from continued BF
rather than complete cessation depending on AFASS
factors while HIV negative children may stop
breastfeeding as soon as the AFASS factors are
ascertained (WHO consensus, 2007).

Thus they recommend that HIV infected children
continue BF into the second here of life.

Martha.


Martha Nyagaya, M.Sc.
Nutrition Specialist,
CIAT-Africa.

Email: m.nyagaya@cgiar.org
Tel: 256 782003616 or 250 08308385
www.ciat.cgiar.org/africa

      
--- Rachel Stern <sternworks@verizon.net> wrote:

> 
> I've read the WABA statement. Maybe someone
> connected to WABA could clarify. 
> 
> Are they advocating that breastfeeding by
> HIV-positive mothers be continued into the second
> year or the infant's life?
> 
> Thanks.
> 
> ----- "ProNut-HIV" wrote:
> 
> 
> > Cross-posted from: [wabapenang]
> >
> > A decade of uncertainty has fuelled an agonizing
> dilemma about the least
> > risky way to feed HIV-exposed babies. Research
> presented in 2007 finally
> > points conclusively to the need for renewed
> protection, promotion and
> > support of breastfeeding.
> >
> > For the World AIDS Day 2007 Statement from WABA,
> please right-click your
> > mouse on this link: 
> www.waba.org.my/pdf/worldAIDSday2007.pdf
> > 
> 
>