‘I was told not to do it but…’: Infant feeding practices amongst HIV-positive women in southern Thailand

Suwankhong, Dusanee; Liamputtong, Pranee

doi:10.1016/j.midw.2017.03.007

Cited by 7 publications

(9 citation statements)

References 18 publications

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“…Na escolha entre as opções de alimentação, os fatores que aumentam a vulnerabilidade para a insegurança alimentar foram: o fornecimento instável de FL gratuita [16][17][26][27][28][29] e a falha no compromisso com orientações para boas práticas de alimentação quando os profissionais de saúde ofereciam poucas orientações acerca do custo de compra [15][16]34 , da necessidade de usar suprimento adequado de água 34 e de manter o leite preparado refrigerado 19 . A confiança e o aconselhamento dos profissionais de saúde foram fundamentais para manutenção do aleitamento materno exclusivo (AME) 15,36 ; o baixo nível socioeconômico inviabilizou a alimentação com fórmula láctea (FL) 22,25,33,36 e favoreceu o AME 23 ; o suprimento gratuito e ininterrupto de fórmula, água potável encanada e energia elétrica no domicílio favoreceram a alimentação com FL 16,[24][25] .…”

Section: Discussionunclassified

“…Os conhecimentos, atitudes e práticas dos profissionais de saúde aumentaram a vulnerabilidade quando houve preconceito e estigma, com revelação do diagnóstico a pessoas da comunidade 18,23,30 ; imposição de não amamentação, sem considerar as condições das famílias 16,19,21,23,27,28,32,33,36 ; falta de orientações de introdução de alimentação complementar 32 .…”

Section: Discussionunclassified

“…As evidências mostram a ocorrência de orientações inadequadas e inconsistentes, indicando a necessidade de melhorar a qualidade do aconselhamento em saúde realizado nos serviços [15][16][17]19,20,27,29,33 . Muitas vezes, em um mesmo local, profissionais orientavam as mulheres de maneira contraditória 15,19,25,26,32 .…”

Section: Discussionunclassified

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Vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV: revisão integrativa.

Bick

Paula

2020

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Revisão integrativa, realizada nas bases LILACS, IBECS, PubMed e Scopus, em setembro de 2019, com o objetivo de analisar as evidências da literatura científica os fatores que influenciam a vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV. Foram incluídos 22 artigos primários publicados em português, inglês ou espanhol. A análise das evidências possibilitou a integração dos resultados desses artigos em três fatores que aumentam ou diminuem a vulnerabilidade: opções de alimentação, conhecimentos de atitudes e práticas dos profissionais e estrutura dos serviços. Como fatores de risco: burocracia para acesso gratuito à fórmula láctea, falha nas orientações para boas práticas de alimentação, estigma, mudanças nas diretrizes, acesso a diferentes serviços e insumos insuficientes. Concluímos que há necessidade de qualificar as orientações de opções de alimentação para as famílias dessas crianças, articulando as diretrizes das políticas públicas com as práticas dos profissionais de saúde e a estrutura dos serviços.

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Section: Discussionunclassified

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Vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV: revisão integrativa.

Bick

Paula

2020

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“…Other studies have also been used to explore the perception of infant feeding among children (Angell et al, 2011) and women with HIV in Thailand (Suwankhong & Liamputtong, 2017).…”

Section: Discussion Of Resultsmentioning

confidence: 99%

“…In the Thai (Liamputtong & Naksook, 2001a), Bambara in Mali (Dettwyler, 1987) and sub-Saharan African (Hofmann et al, 2009) communities, these perceptions predominantly arise because of the view that breast milk is made up of the same components as maternal blood. It also leads to the understanding that breast milk has the capacity to transmit disease such as HIV to the infant (Hofmann et al, 2009;Hufton & Raven, 2014;Suwankhong & Liamputtong, 2017). However, there are cases where women from refugee backgrounds perceive breast milk differently, especially when infant formula is only used by women with HIV (White et al, 2012) or in the richer class prior to resettlement (Gallegos et al, 2015) (refer to Chapter 3.6.1).…”

Section: Review Of Literaturementioning

confidence: 99%

Feeding an infant in a foreign land: the experiences of refugee mothers from Vietnam and Myanmar

Joseph¹

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BackgroundPersecution and conflicts in countries like Vietnam and Myanmar force many to flee their countries to those with more resources, such as Australia, in search of a better life. However, maternal integration into the new society is often compounded by the task of nurturing her infant while she navigates unfamiliar and contrasting socio-cultural norms, ideologies and expectations. While global data show that child malnutrition due to sub-optimal feeding practices are high in lower income countries, there is no recent data that showcase the infant feeding experiences of refugee mothers from Vietnam and Myanmar in Australia or globally. Thus, an understanding of the beliefs, practices and experiences related to infant feeding decisions in their new homeland would help healthcare and policy sectors focus attention on aspects of maternal infant feeding negotiations that require attention. Research objectivesThis research was designed to understand infant feeding beliefs, practices and experiences, and the cultural meanings of maternal and infant health in Vietnamese and Myanmarese refugee women in Australia. The objectives were to 1) define the post-birth rituals and its connection with infant feeding; 2) understand the cultural definition and maternal management of optimal infant health in changing contexts; 3) explore infant feeding experiences in relation to societal norms, networks and social structures pre-and post-resettlement; and 4) examine the embodied experiences of nurturing in traditional and modernistic contexts. MethodologyThis study employed qualitative research methods to explore the infant feeding experiences of Vietnamese and Myanmarese mothers who have resettled in Brisbane, Australia.Phenomenological-, feminism-, and postmodern-informed methodological frameworks were used to guide data collection through in-depth interviewing and drawing methods. Most mothers had one follow-up interview and were given the freedom to express their voices through artwork at their preferred phase of the interview. Data surrounding infant feeding beliefs, practices, experiences and negotiations in social spheres were gathered. Verbal and visual data were analysed thematically and ii using the critical visual analytical framework respectively and later juxtaposed with the interview themes. There were thirty-eight participants; 16 from Vietnam and 22 from Myanmar. Half of the Vietnamese mothers were recent arrivals (< 10 years), while the remainder arrived in Australia as children or teenagers (> 20 years). Participants from Myanmar were all recent arrivals (< 10 years), and from four ethnic groups (Karen, Karenni, Chin and Kachin). Results and discussionsThe findings and discussion of this study were situated within four theories: Liminality; Maternalinfant Embodiment and Inter-embodiment; Motherhood Risk and Responsibility; and Bourdieu's Theory of Practice. Four main themes were derived from the data: Infant feeding beliefs; Maternal ways of knowing infant health and growth; Negotiations of infant feeding beli...

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HIV testing of housewives with HIV in Lampung, Indonesia: A qualitative study

2019

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‘I was told not to do it but…’: Infant feeding practices amongst HIV-positive women in southern Thailand

Cited by 7 publications

References 18 publications

Vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV: revisão integrativa.

Vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV: revisão integrativa.

Feeding an infant in a foreign land: the experiences of refugee mothers from Vietnam and Myanmar

HIV testing of housewives with HIV in Lampung, Indonesia: A qualitative study

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