Knowledge, opinions and practices of healthcare workers related to infant feeding in the context of HIV

Rensburg, Liska Janse van; Nel, Riëtte; Walsh, Corinna M.

doi:10.1016/j.hsag.2015.12.001

Cited by 14 publications

(18 citation statements)

References 6 publications

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“…Recommendations at the time of the study were based on 2010 WHO guidelines [19], to exclusively breastfeed for 6 months and continue to breastfeed while adding complementary feeds until 12 months, as long as the mother is adherent to antiretroviral treatment (ART) and is virally suppressed [18,20]. However, the legacy of changing messages has led to confusion among health workers and to mothers receiving confused or contradictory messages [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

et al. 2020

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Background: KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support the initiation and sustaining of breastfeeding, implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in infant feeding practices in KZN over this time period. Methods: Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N = 4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N = 900). All caregivers aged ≥15 years attending the clinic with infants aged 13-< 16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points.

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Section: Introductionmentioning

confidence: 99%

Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

et al. 2020

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“…Os profissionais consideraram que a orientação de preparo da FL era dever do nutricionista e parcialmente do enfermeiro 19,34 , sendo que estes últimos demonstraram maior habilidade para orientar as mães quanto à opção de alimentação 31 . As evidências da produção científica indicaram como fatores protetores da insegurança alimentar: o vínculo e o apoio psicossocial dos profissionais de saúde, desde o pré-natal até o acompanhamento em saúde das crianças expostas, foram positivos para as práticas adequadas de alimentação infantil 16,24,25,29 .…”

Section: Discussionunclassified

“…A necessidade de acesso a diferentes serviços de saúde em curto período de tempo, para o acompanhamento clínico, obtenção da fórmula láctea infantil e dos medicamentos antirretrovirais foi destacada de maneira negativa pelas mulheres, em razão da desorganização, despreparo e falta de acolhimento dos serviços 18,[29][30] . A necessidade de revelar o diagnóstico nesses serviços causou constrangimento, em razão da atitude preconceituosa e recriminadora assumida por alguns profissionais de saúde 18,21,31 .…”

Section: Discussionunclassified

“…Destaca-se a conexão entre organização dos serviços e capacitação dos profissionais para uma prática ética baseada em evidência Quanto ao fornecimento insuficiente de insumos, em locais em que não há fornecimento gratuito da fórmula láctea infantil, as mães que não possuíam condições financeiras de arcar com o custo dessa escolha de alimentação, não tinham outra opção, a não ser optar pela amamentação mista 15,[22][23][25][26][31][32]35 .…”

Section: Discussionunclassified

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

Bick

Paula

2020

REFACS

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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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“…Recommendations at the time of the study were based on 2010 WHO guidelines [19], to exclusively breastfeed for six months and continue to breastfeed while adding complementary feeds until 12 months, as long as the mother is adherent to antiretroviral treatment (ART) and is virally suppressed [18,20]. However, the legacy of changing messages has led to confusion among health workers and to mothers receiving confused or contradictory messages [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

Horwood

Haskins

Engebretsen

et al. 2020

Preprint

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Background KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding initiation and sustained breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in feeding practices in KZN over this time period.Methods Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N=4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N=900). All caregivers aged ≥ 15 years attending the clinic with infants aged 13-<16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points.Results At KIBS1 (May2014-March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion of EBF was 44.6% and 50.5% (p= 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p=0.02). There were reductions in mixed feeding among all infants (23.2% vs 16.3%; p=0.016). Although there was no change in the proportion of carers reporting not breastfeeding (31.9% vs 32.8%; p= 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p=0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (AOR 3.76; 95% CI 3.1-4.6), this was similar among HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6).Conclusion Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV

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Knowledge, opinions and practices of healthcare workers related to infant feeding in the context of HIV

Cited by 14 publications

References 6 publications

Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

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

Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

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