Document Detail


A sustainable food support for non-breastfed infants: implementation and acceptability within a WHO mother-to-child HIV transmission prevention trial in Burkina Faso.
MedLine Citation:
PMID:  20188009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To provide HIV-positive mothers who opted for exclusive breastfeeding or formula feeding from birth to 6 months postpartum as a means of prevention of mother-to-child transmission (PMTCT) of HIV with a sustainable infant food support programme (FSP) from 6 to 12 months postpartum. We describe the implementation and assessment of this pilot initiative. DESIGN: The FSP included a 6-month provision of locally produced infant fortified mix (IFM; 418 kJ/100 g of gruel) for non-breastfed infants coupled with infant-feeding and psychosocial counselling and support. Acceptability and feasibility were assessed in a subsample of sixty-eight mother-infant pairs. SETTING: The FSP was developed in collaboration with local partners to support participants in a PMTCT prevention study. Formula was provided for free from 0 to 6 months postpartum. Cessation by 6 months was recommended for breastfeeding mothers. RESULTS: The FSP was positively received and greatly encouraged breastfeeding mothers to cease by 6 months. As recommended, most infants were given milk as an additional replacement food, mainly formula subsidised by safety networks. Among daily IFM consumers, feeding practices were satisfactory overall; however, the IFM was shared within the family by more than one-third of the mothers. Cessation of IFM consumption was observed among twenty-two infants, seventeen of whom were fed milk and five neither of these. CONCLUSIONS: Without any food support most mothers would have been unable to provide appropriate replacement feeding. The food security of non-breastfed infants urgently needs to be addressed in HIV PMTCT programmes. Our findings on a simple cost-effective pioneer intervention provide an important foundation for this process.
Authors:
C?cile Cames; Claire Mouquet-Rivier; Tahirou Traor?; Kossiwavi A Ayassou; Claire Kabore; Olivier Bruyeron; Kirsten B Simondon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-01
Journal Detail:
Title:  Public health nutrition     Volume:  13     ISSN:  1475-2727     ISO Abbreviation:  Public Health Nutr     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-11     Completed Date:  2010-06-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  779-86     Citation Subset:  IM    
Affiliation:
UMR145, IRD/UM1, Montpellier, France. cecile.cames@ird.fr
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding
Burkina Faso
Cost-Benefit Analysis
Female
Food, Fortified*
HIV Infections / prevention & control*,  transmission*
Humans
Infant
Infant Formula / economics*,  standards*
Infant Nutritional Physiological Phenomena / physiology
Infant, Newborn
Infectious Disease Transmission, Vertical / prevention & control*
Male
Pilot Projects
Time Factors
World Health Organization

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


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