Current Knowledge and Future Research on Infant Feeding in the Context of HIV: Basic, Clinical, Behavioral, and Programmatic Perspectives

Young, Sera L.; Mbuya, Mduduzi N N; Chantry, Caroline J; Geubbels, Eveline; Israel‐Ballard, Kiersten; Cohan, Deborah; Vosti, Stephen A.; Latham, Michael C.

doi:10.3945/an.110.000224

Cited by 65 publications

(63 citation statements)

References 168 publications

(176 reference statements)

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“…This has caused the diffusion of research to practice to be quite challenging [3]. Initially, the strategy was to avoid breast milk feeding in all HIV-exposed newborns [22]. Replacement feeding was recommended.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Training on Traditional Birth Attendants' PMTCT Related Knowledge and Care Practices in Nigeria

Sotunsa¹,

Olu-Abiodun²,

Taiwo³

2015

J AIDS Clin Res

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Section: Discussionmentioning

confidence: 99%

The Effect of Training on Traditional Birth Attendants' PMTCT Related Knowledge and Care Practices in Nigeria

Sotunsa¹,

Olu-Abiodun²,

Taiwo³

2015

J AIDS Clin Res

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“…A multilevel intervention that considers the broader social context in which infant feeding decisions are made (i.e., one that addresses barriers to FH at multiple levels) would likely improve uptake. Given the acknowledged importance of safe breastmilk in reducing vertical transmission, 20 future studies of both the implementation and clinical consequences of FH are urgently needed.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Promoters of Home-Based Pasteurization of Breastmilk Among HIV-Infected Mothers in Greater Dar es Salaam, Tanzania

Young

Leshabari

Arkfeld

et al. 2013

Breastfeeding Medicine

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Background: For the past decade, heat-treating breastmilk has been an infant feeding option recommended by the World Health Organization as a strategy to reduce vertical transmission. However, little is known about field experiences with it. Our primary objective was to explore the barriers and promoters of the implementation of breastmilk pasteurization, ''flash-heating'' (FH), in the real-world setting of Dar es Salaam, Tanzania. Subjects and Methods: Nineteen in-depth interviews were conducted with participants in a home-based infant feeding counseling intervention in which FH was promoted after 6 months of exclusive breastfeeding. Additionally, three focus group discussions were conducted with peer counselors. Interviews were transcribed, translated, and coded independently using NVivo 8 software (QSR International). Data were analyzed using the socioecological framework. Results: Information and support provided by peer counselors were the most important promoters of initiation and continuation of FH; this impacted individual-, interpersonal-, and institutional-level promoters of success. Other promoters included perceived successful breastmilk expression, infant health after initiation of FH, and the inability to pay for replacement milks. Stigma was the most important barrier and cut across all levels of the framework. Other barriers included doubt about the safety or importance of pasteurized breastmilk, difficulties with expressing milk (often attributed to poor diet), and competing responsibilities. The most common suggestion for improving the uptake and duration of FH was community education. Conclusions: Given the acknowledged role of breastmilk pasteurization in the prevention of vertical transmission, further implementation research is needed. A multilevel intervention addressing barriers to FH would likely improve uptake.

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“…This can occur during pregnancy, childbirth or while breastfeeding. In 2008, approximately 390,000 children were infected with HIV via maternal transmission [20]. In South Africa in the absence of treatment, transmission rates from mothers to children ranged from 19 per cent to 36 per cent [21].…”

Section: Preventing Mother-to-child Transmissionmentioning

confidence: 99%

Prevention, treatment and future challenges of HIV/AIDS: A decade of INDEPTH research

Sankoh

Arthur

Nyide³

et al. 2015

HIV & AIDS Review

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a b s t r a c tAim: To present a systematic review that evaluates the contributions of the INDEPTH Network of health and demographic surveillance systems (HDSSs) to research efforts on prevention and treatment of HIV/AIDS in low-and middle-income countries. Methods: Publication titles were sent to INDEPTH by member centres. These were uploaded onto the Zotero research tool from different databases (most from PubMed). We searched for publications using the keyword "HIV" and the publication date. The 540 relevant papers were all published in peer-reviewed English language journals between 1999 and 2012. For a paper to be included in this study it must have extensively tackled the issue of HIV (1), prevention (2) and challenges associated with the treatment. After a thorough review, 89 papers were finally selected. Results: Consistent condom use has been found to be highly protective against HIV infection. Although women feel at risk of contracting HIV from their partners and many women knew about condoms, they were unable to use them due to the partner's refusal. Infection with STDs is associated with HIV infection, populations with high rates of STDs and high-risk sexual behaviour, interventions to treat STDs can help prevent HIV transmission. The study also found that mother-to-child transmission was 2.7 times higher in infants breastfed for more than six months than in those breastfed for less than six months. The study found that the most promising prevention intervention discovered so far is male circumcision. Conclusion: INDEPTH member centres have tracked the course of the HIV/AIDS epidemic in sub-Saharan Africa. They have analysed how the virus is transmitted and how it impacts families, communities and economies. Prevention and treatment policies and technologies have also come under scrutiny, including prevention of mother-to-child transmission of HIV, male circumcision, behaviour change polices, antiretroviral treatment and other key interventions. The robust and extensive data HDSSs have generated provide critical insights to policy-makers as the epidemic moves into its fourth decade.

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Current Knowledge and Future Research on Infant Feeding in the Context of HIV: Basic, Clinical, Behavioral, and Programmatic Perspectives

Cited by 65 publications

References 168 publications

The Effect of Training on Traditional Birth Attendants' PMTCT Related Knowledge and Care Practices in Nigeria

The Effect of Training on Traditional Birth Attendants' PMTCT Related Knowledge and Care Practices in Nigeria

Barriers and Promoters of Home-Based Pasteurization of Breastmilk Among HIV-Infected Mothers in Greater Dar es Salaam, Tanzania

Prevention, treatment and future challenges of HIV/AIDS: A decade of INDEPTH research

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