Document Detail

Mothers' infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa.
MedLine Citation:
PMID:  19323863     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To better understand the enabling and challenging factors impacting on infant feeding practices in communities with a high HIV prevalence. DESIGN: Qualitative study, with data collected through in-depth interviews and observations of mothers, in addition to discussions with health-service providers. SETTING: Urban settlement in the province of KwaZulu-Natal, South Africa. SUBJECTS: Mothers recruited from an HIV clinic and from within the community. RESULTS: Emerging from discussions with mothers on the acceptability of alternative feeding methods were the challenges they encountered in feeding their infants. Mothers readily identified feeding in the context of HIV infection as an issue of great concern, encompassing three central themes: (i) stigma and disclosure of HIV; (ii) confusion and coercion; and (iii) diarrhoea, sickness and free formula. It became evident that mothers rarely received quality infant feeding counselling and consequently mixed feeding, a widespread practice but one that is highly risky for HIV transmission, remained a common feeding practice. Exclusive breast-feeding (EBF) was best practised with support, following disclosure of HIV status. Availability of free formula did not guarantee exclusive formula feeding but instead led to inappropriate feeding practices. CONCLUSIONS: In addition to providing accurate information, health-care workers must be empowered to counsel mothers effectively, addressing issues of disclosure and thereby facilitating mobilization of maternal support networks. These findings illustrate the challenges that exist in policy translation within the context of quality of training for health-care workers on optimizing maternal infant feeding practices, particularly in HIV-prevalent, resource-poor settings.
Lindiwe Sibeko; Anna Coutsoudis; S'phindile Nzuza; Katherine Gray-Donald
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-03-27
Journal Detail:
Title:  Public health nutrition     Volume:  12     ISSN:  1475-2727     ISO Abbreviation:  Public Health Nutr     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-09     Completed Date:  2010-02-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  1983-90     Citation Subset:  IM    
School of Dietetics and Human Nutrition, McGill University, 21,111 Lakeshore Road, Ste. Anne de Bellevue, Quebec, Canada, H9X 3V9.
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MeSH Terms
Bottle Feeding / psychology*,  utilization
Breast Feeding* / psychology
HIV Infections / epidemiology,  transmission*
Health Education / standards*
Health Knowledge, Attitudes, Practice
Infant Formula / economics
Infectious Disease Transmission, Vertical / prevention & control*
Mothers* / psychology
Risk Factors
Self Disclosure
South Africa / epidemiology
Urban Population

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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