Knowledge, perceptions and practices of HIV-infected mothers regarding HIV and infant feeding

Robb, Liska; Walsh, Corinna M.; Nel, Mariëtte

doi:10.1080/16070658.2018.1503810

Cited by 4 publications

(12 citation statements)

References 19 publications

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“…Although women on the PMTCT programme attempt to breastfeed, exclusive breastfeeding seems insurmountable and difficult to sustain (Horwood et al 2019 ). A recent study has shown that lack of knowledge contributes to poor infant feeding practices by HIV-infected mothers (Robb, Walsh & Nel 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of grandmothers and HIV-infected mothers on infant feeding practices in a rural South African district

Mlambo

Peltzer

2020

Health SA Gesondheid

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Background: Despite enormous interventions aimed at preventing mother-to-child transmission (MTCT) of HIV, cultural practices on mixed infant feeding remain prevalent. Complementary food provision to infants seems to be the most common and acceptable form of infant feeding highly endorsed by grandmothers.Aim: This study aimed to explore the perceptions of grandmothers and HIV-infected mothers on infant feeding practices in the context of prevention of mother-to-child transmission.Setting: This study was undertaken in two primary healthcare facilities in the Mpumalanga province, South Africa.Methods: A qualitative exploratory narrative design was used to conduct four focus group discussions with 32 purposefully selected grandmothers and 21 in-depth interviews with postnatal HIV-infected women in the two identified health facilities. Data were analysed using an interthematic inductive analysis approach, resulting in major themes and subthemes supported by participants’ excerpts.Results: Four themes emerged showing (1) high mixed feeding endorsement because of the need to adhere to conventional practices, strengthen the umbilicus and have fuller, fat and calmer babies; (2) infant feeding fallacies and stigma reflected by exclusive breastfeeding period confusion, breastfeeding scepticism and infant feeding stigma; (3) breastfeeding endorsement for other disease prevention and family support for breastfeeding and (4) conflict between traditional and western infant feeding approaches.Conclusion: Total elimination of MTCT of HIV in a rural context calls for targeted education for grandmothers addressing their perceptions and practices of infant feeding. The knowledge of the identified factors encouraging mixed infant feeding can assist in designing programmes to change community beliefs on infant feeding. Cultural, social and psychosocial factors should be addressed when making recommendations for exclusive breastfeeding for HIV-positive mothers.

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Section: Introductionmentioning

confidence: 99%

Perceptions of grandmothers and HIV-infected mothers on infant feeding practices in a rural South African district

Mlambo

Peltzer

2020

Health SA Gesondheid

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“…Conforme apresentado no Quadro 2, foram incluídos na revisão cinco artigos (Lemly et al, 2007;Lumbantoruan et al, 2020;Medina-Marino et al, 2020;Robb et al, 2018;Sarnquist et al, 2014), todos publicados em inglês, produzidos no período de 2007 a 2020. A maioria dos estudos foi produzida na África do Sul (60%), sendo um deles em parceria com os Estados Unidos (20%), um na França (20%) e um na Indonésia (20%).…”

Section: Resultsunclassified

Eixos temáticos na comunicação entre profissionais da saúde e gestantes com HIV: revisão integrativa

Ferreira

Kappel

Moreira

et al. 2021

RSD

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Este artigo tem por objetivo identificar e descrever os principais eixos temáticos explorados pelos profissionais da saúde no campo da comunicação envolvendo gestantes com HIV. Trata-se de uma revisão integrativa, com amostra de cinco artigos primários selecionados no portal PubMed/Medline, nas bases eletrônicas LILACS, EMBASE e CINAHL, em 10 de dezembro de 2020, utilizando descritores indexados no Descritores em Ciências da Saúde. A questão norteadora foi: “Quais as evidências disponíveis na literatura a respeito da comunicação entre profissionais de saúde e gestantes com o Vírus da Imunodeficiência Humana, na assistência pré-natal?”. Critérios de inclusão: temática focada na comunicação de profissionais de saúde junto à gestante com o Vírus da Imunodeficiência Humana, durante a assistência pré-natal, nos idiomas português, espanhol ou inglês, sem recorte temporal. Critérios de exclusão: estudos de revisão, editoriais, carta-resposta, comentários e opiniões de especialistas, redigidos em idiomas diferentes de inglês, espanhol e português. Dentre os artigos encontrados em inglês, a maioria foi produzida na África do Sul. Identificaram-se dois estudos transversais, um qualitativo, um coorte observacional e um intervenção prospectiva quase experimental. Resultados são apresentados em quadro sinóptico com as principais informações. Constatou-se que a comunicação entre profissionais de saúde e gestantes com o Vírus da Imunodeficiência Humana possui dimensão complexa, interfere desde a adesão ao tratamento até a aceitação do diagnóstico. Todos os artigos revelaram impacto positivo dessa comunicação, colaborando, inclusive, na comunicação gestante-parceiro. A adequada comunicação viabiliza cuidado integral, possibilita vivenciar a gestação com maior plenitude e segurança, favorecendo para escolhas seguras e para o empoderamento feminino.

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“…In poor settings with limited resources, knowledge, perceptions, and practices of HIV-positive mothers concerning the feeding of their infants are inadequate (66,67). This implies that a sizeable percentage of infants are at increased risk of acquiring HIV through inappropriate feeding.…”

Section: Problems Affecting Feeding Practices Among Hiv-infected Infants and Childrenmentioning

confidence: 99%

“…Oral diseases are also common problems in HIV-positive children (75). Oral candidiasis is the most frequently found HIV-related oral manifestation which can affect infants' feeding practices (67,68). Dental diseases also affect HIVinfected children.…”

Section: Problems Affecting Feeding Practices Among Hiv-infected Infants and Childrenmentioning

confidence: 99%

Nutrition in HIV-Infected Infants and Children: Current Knowledge, Existing Challenges, and New Dietary Management Opportunities

Fabusoro

Mejía

2021

Advances in Nutrition

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HIV infection and undernutrition remain significant public health concerns for infants and children. In infants and children under these conditions, undernutrition is one of the leading causes of death. Proper management of nutrition and related nutrition complications in these groups with increased nutrition needs are prominent challenges, particularly in HIV-prevalent poor-resource environments. Several studies support the complexity of the relation between HIV infection, nutrition, and the immune system. These elements interact and create a vicious circle of poor health outcomes. Recent studies on the use of probiotics as a novel approach to manage microbiome imbalance and gut-mucosal impairment in HIV infection are gaining attention. This new strategy could help to manage dysbiosis and gut-mucosal impairment by reducing immune activation, thereby potentially forestalling unwanted health outcomes in children with HIV. However, existing trials on HIV-infected children are still insufficient. There are also conflicting reports on the dosage and effectiveness of single or multiple micronutrient supplementation in the survival of HIV-infected children with severe acute malnutrition. The WHO has published guidelines that include time of initiation of antiretroviral therapy for HIV-pregnant mothers and their HIV-exposed or HIV-infected children, micronutrient supplementation, dietary formulations, prevention, and management of HIV therapy. However, such guidelines need to be reviewed owing to recent advances in the field of nutrition. There is a need for new intervention studies, practical strategies, and evidence-based guidelines to reduce the disease burden, improve adherence to treatment regimen, and enhance the nutrition, health, and well-being of HIV-infected infants and children. This review provides up-to-date scientific information on current knowledge and existing challenges for nutrition therapy in HIV-infected infants and children. Moreover, it presents new research findings that could be incorporated into current guidelines.

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Knowledge, perceptions and practices of HIV-infected mothers regarding HIV and infant feeding

Cited by 4 publications

References 19 publications

Perceptions of grandmothers and HIV-infected mothers on infant feeding practices in a rural South African district

Perceptions of grandmothers and HIV-infected mothers on infant feeding practices in a rural South African district

Eixos temáticos na comunicação entre profissionais da saúde e gestantes com HIV: revisão integrativa

Nutrition in HIV-Infected Infants and Children: Current Knowledge, Existing Challenges, and New Dietary Management Opportunities

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