Adherence to infant-feeding choices by HIV-infected mothers at a Nigerian tertiary hospital: the pre-“rapid advice” experience

Onubogu, Chinyere Ukamaka; Ugochukwu, EF; Egbuonu, Ifeoma; Onyeka, Ifeoma N.

doi:10.1080/16070658.2015.11734558

Cited by 9 publications

(29 citation statements)

References 8 publications

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“…The total MTCT of HIV rate was 1% at six months. In conclusion, the Adherence to either EFF or EBF in this study was low, owing to early breastfeeding cessation and the inability to sustain EFF (Onubogu et al, 2014) [2].…”

Section: Introductionmentioning

confidence: 76%

The Influence of Individual Determinants on Adherence to Feeding Guidelines for Infants Born to HIV Positive Mothers in Rakai District

Kevin¹

2019

WJA

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Introduction: In Uganda, Human Immunodeficiency Virus (HIV) was first reported at Kasensero landing site in Rakai district, in the South Western region in 1982. The district has continued to experience high HIV rates at 12% compared to the national average of 7.3% with relatively higher vertical transmission rates. Objective: The purpose of this study was to determine the individual determinants of adherence to feeding guidelines for infants born to HIV positive mothers in Rakai District, Uganda. Methodology: A descriptive cross-sectional study design was used with a sample size of 138 respondents and employing quantitative method of enquiry. A non-probability sampling strategy called consecutive sampling was used to sample the mothers with HIV. Data were analyzed using SPSS to generate descriptive and bivariate analysis data. Results: Individual determinants found to have a statistically significant influence to feeding guidelines for infants born to mothers living with HIV were: Age (X 2 = 45.967, P-value = 0.000), Number of children (X 2 = 93.069, P-value = 0.000), Number of children given birth to since diagnosis (X 2 = 18.604, P-value = 0.000), income per month (X 2 = 50.477, P-value = 0.000), ever had breast complication (X 2 = 15.039, P-value = 0.000), disclosure of HIV status (X 2 = 10.740, P-value = 0.001), quantity of breast milk produced (X 2 = 10.637, P-value = 0.0005) and whether mothers attended antenatal care services (X 2 = 38.613, P-value = 0.000). Conclusion: Age, Number of Children, Number of Children given birth to since diagnosis, breast complications, disclosure of HIV status, quantity of breast milk produced and utilization of antenatal care services were found to have an association with the adherence to feeding guidelines among HIV positive mother and this was statistically significant. Recommendation: General improvement of socio-economic status of the mothers should be done and be given priority so that in turn it will enable the women to adequately focus on maintaining optimum and the health

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Section: Introductionmentioning

confidence: 76%

The Influence of Individual Determinants on Adherence to Feeding Guidelines for Infants Born to HIV Positive Mothers in Rakai District

Kevin¹

2019

WJA

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“…The studies indicated that depriving an infant of breast milk was a trigger for feelings of guilt, pain, and sorrow (10-14). Reasons cited were a mother’s inherent desire to breastfeed, family and social pressure, cultural and religious issues, including rejection of a mother who does not breastfeed and withdrawal of family support (11-25). Out of fear, some use rea-sons deemed more socially acceptable to justify their decision to not breastfeed—e.g., insufficient breast milk, anemia, or using antibiotics (10, 12-17, 22, 23, 26-29).…”

Section: Discussionmentioning

confidence: 99%

“…Out of fear, some use rea-sons deemed more socially acceptable to justify their decision to not breastfeed—e.g., insufficient breast milk, anemia, or using antibiotics (10, 12-17, 22, 23, 26-29). However, the desire to protect the child from HIV, according to these studies, was a factor that facilitated the acceptance of replacement of breastfeeding (13-15, 17, 20, 21, 25, 27-31). Related to this, maintaining and strengthening the mother-child bond can be fostered by other forms of physical contact, often provided with greater care and attention (11, 15, 32).…”

Section: Discussionmentioning

confidence: 99%

“…The studies also indicated that the success of strategies for avoiding vertical transmission depended the mother’s understanding of the importance of not breastfeeding and the effects of HIV transmission (13, 15, 19, 25, 28, 30-34). Mothers who adhered to antiretroviral treatment and who were receiving follow-up health care were more likely to comply with the infant feeding recommendations and more likely to prevent vertical transmission (25).…”

Section: Discussionmentioning

confidence: 99%

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Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

Bick,

Ribeiro,

Ferreira

et al. 2017

Revista Panamericana De Salud Pública

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Objective To evaluate the available scientific literature on factors that may intervene in the adequate feeding of infants vertically-exposed to HIV. Methods This was an integrative review of the literature, performed on the LILACS, PubMed and Scopus databases in February 2017. The search was guided by the question “What are the factors involved in feeding infants vertically-exposed to HIV.” Selected studies met the inclusion criteria of being research articles published in English, Portuguese, or Spanish. Articles excluded were those on exclusive breastfeeding. There was no need to perform a temporal cut off of the studies. Results In all, the 32 primary studies selected showed that intervening factors were of three types: individual, such as maternal feelings and desires, beliefs, and practical difficulties; social, such as socioeconomic conditions, social support, and stigma; and political, such as health services structure and organization, supplies, health care guidance, and the knowledge and attitudes of health care professionals. Conclusions The factors that interfere with feeding infants vertically-exposed to HIV may be independent or associated with each other. To reduce the risk of inadequate nutrition and its associated diseases, actions must be taken to identify and minimize these factors, guaranteeing a better quality of life and reduction of infant morbidity and mortality.

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“…J Trop Dis, Vol.7 Iss.5 No:1000327 4 (HIV)-infected mothers at a Nigerian tertiary hospital, the results of the study revealed that 73% of the mothers adhered to breastfeeding guidelines for HIV mothers and 28% did not adhere to breastfeeding guidelines for HIV mothers. Major reasons for non-adherence to their initial choice were fear of the Mother-To-Child Transmission (MTCT) of HIV (65%) and nonaffordability of the formula (97%) in the EBF and EFF groups, respectively [15].…”

Section: Adherence To Breastfeeding Guidelines For Infants Born To Momentioning

confidence: 99%

Level of Adherence to Feeding Guidelines for Infants Born to Mothers Living with HIV in Rakai District, Uganda

Kevin¹

2019

J Trop Dis

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Introduction:There are a number of challenges to both the mother and the healthcare workers due to the risk of Human Immunodeficiency Virus (HIV) transmission as a result of infant feeding which poses a risk of HIV transmission. Proper and sufficient nutrition is crucial for child growth and development, and throughout the lifespan of the child. The focus of the Uganda national health sector is to promote health, disease prevention, early diagnosis and treatment of disease. National minimum health care package consists of Maternal and Child Health;Prevention, management, and control of communicable diseases; Prevention, management, and control of noncommunicable diseases; Health promotion and community health initiatives. Objective: The purpose of this study was to determine the level of adherence to feeding guidelines for infants born to mothers living with HIV in Rakai District, Uganda. Methodology: A descriptive cross-sectional study design was used with a sample size of 138 respondents and employing a quantitative method of inquiry. A non-probability sampling strategy called consecutive sampling was used to sample the mothers with HIV. Data were analyzed using SPSS to generate descriptive analysis data. Results: Out of 135 HIV mothers interviewed, 69 (51.1%) adhered to breastfeeding guidelines for infants born to HIV mothers. Conclusion: 5 in every 10 HIV mothers adhere to breastfeeding guidelines for infants born to HIV mothers. Recommendations:Timely re-orientation of the mothers and family about the infant feeding, proper monitoring by the health workers.From Figure 1 below, out of 135 HIV mothers interviewed 69 (51.1%) adhered to breastfeeding guidelines for infants born to HIV mothers while 66 (48.9%) did not adhere.Kevin NU.

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Adherence to infant-feeding choices by HIV-infected mothers at a Nigerian tertiary hospital: the pre-“rapid advice” experience

Cited by 9 publications

References 8 publications

The Influence of Individual Determinants on Adherence to Feeding Guidelines for Infants Born to HIV Positive Mothers in Rakai District

The Influence of Individual Determinants on Adherence to Feeding Guidelines for Infants Born to HIV Positive Mothers in Rakai District

Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

Level of Adherence to Feeding Guidelines for Infants Born to Mothers Living with HIV in Rakai District, Uganda

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