| Implications of the new WHO guidelines on HIV and infant feeding for child survival in South Africa. | |
| | |
MedLine Citation:
|
PMID: 21346892 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The World Health Organization released revised principles and recommendations for HIV and infant feeding in November 2009. The recommendations are based on programmatic evidence and research studies that have accumulated over the past few years within African countries. This document urges national or subnational health authorities to decide whether health services should mainly counsel and support HIV-infected mothers to breastfeed and receive antiretroviral interventions, or to avoid all breastfeeding, based on estimations of which strategy is likely to give infants in those communities the greatest chance of HIV-free survival. South Africa has recently revised its clinical guidelines for prevention of mother-to-child HIV transmission, adopting many of the recommendations in the November 2009 World Health Organization's rapid advice on use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants. However, one aspect of the new South African guidelines gives cause for concern: the continued provision of free formula milk to HIV-infected women through public health facilities. This paper presents the latest evidence regarding mortality and morbidity associated with feeding practices in the context of HIV and suggests a modification of current policy to prioritize child survival for all South African children. |
| | |
Authors:
|
Tanya Doherty; David Sanders; Ameena Goga; Debra Jackson |
Publication Detail:
|
Type: Journal Article Date: 2010-11-22 |
Journal Detail:
|
Title: Bulletin of the World Health Organization Volume: 89 ISSN: 1564-0604 ISO Abbreviation: Bull. World Health Organ. Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-02-24 Completed Date: 2011-06-09 Revised Date: 2011-07-25 |
Medline Journal Info:
|
Nlm Unique ID: 7507052 Medline TA: Bull World Health Organ Country: Switzerland |
Other Details:
|
Languages: eng Pagination: 62-7 Citation Subset: IM |
Affiliation:
|
Medical Research Council, Francie van Zyl Drive, Parrow, Cape Town, South Africa. tanya.doherty@mrc.ac.za |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Age Factors Anti-Retroviral Agents / therapeutic use* Bottle Feeding* Breast Feeding* Female Guidelines as Topic HIV Infections / drug therapy*, prevention & control* Humans Infant, Newborn Infectious Disease Transmission, Vertical / prevention & control Pregnancy Pregnancy Complications, Infectious / drug therapy South Africa World Health Organization* |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Retroviral Agents |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Evidence summaries tailored to health policy-makers in low- and middle-income countries.
Next Document: The movement of patients across borders: challenges and opportunities for public health.