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:10.4102/hsag.v21i0.943

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Health professionals must try to understand each woman's needs, and do their utmost to help each mother feel safe and empowered to care for her infant in a, risk-free and nutritionally appropriate way. Thus, with the professional's support, it is possible to keep the HIV status confidential and allow the healthy development of any child in a family living with HIV (41).…”

Section: Social Factorsmentioning

confidence: 99%

“…This particular relationship requires acceptance, empathy, respect, cordiality, and patience, so that the health guidelines are effectively adopted (11,15,19,20,29,30,40). Proper counseling and support can empower mothers, turning recommendations into actions through their decisive and conscious attitudes toward the health of their children, including adequate nutrition (24,39,41).…”

Section: Political Factorsmentioning

confidence: 99%

“…There was also evidence for the need to improve the knowledge of health professionals regarding guidelines for feeding children vertically-exposed to HIV. One study showed that only 14% of professionals felt their knowledge on the subject was adequate (41): they were aware that formula feeding increases the risk of infant morbidity and mortality; however, the guidance on safe nutrition for those exposed to HIV is at odds with WHO recommendations (25,41).…”

Section: Political Factorsmentioning

confidence: 99%

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Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

Bick¹,

Ribeiro²,

Ferreira³

et al. 2017

Rev Panam Salud Publica

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Objective. To evaluate the available scientific literature on factors that may intervene in the adequate feeding of infants vertically-exposed to HIV. Methods. This was an integrative review of the literature, performed on the LILACS, PubMed and Scopus databases in February 2017. The search was guided by the question "What are the factors involved in feeding infants vertically-exposed to HIV." Selected studies met the inclusion criteria of being research articles published in English, Portuguese, or Spanish. Articles excluded were those on exclusive breastfeeding. There was no need to perform a temporal cut off of the studies. Results. In all, the 32 primary studies selected showed that intervening factors were of three types: individual, such as maternal feelings and desires, beliefs, and practical difficulties; social, such as socioeconomic conditions, social support, and stigma; and political, such as health services structure and organization, supplies, health care guidance, and the knowledge and attitudes of health care professionals. Conclusions. The factors that interfere with feeding infants vertically-exposed to HIV may be independent or associated with each other. To reduce the risk of inadequate nutrition and its associated diseases, actions must be taken to identify and minimize these factors, guaranteeing a better quality of life and reduction of infant morbidity and mortality.

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Section: Social Factorsmentioning

confidence: 99%

Section: Political Factorsmentioning

confidence: 99%

Section: Political Factorsmentioning

confidence: 99%

See 1 more Smart Citation

Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

Bick¹,

Ribeiro²,

Ferreira³

et al. 2017

Rev Panam Salud Publica

View full text Add to dashboard Cite

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A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers

Horwood

Jama

Haskins

et al. 2018

Maternal & Child Nutrition

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Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa.HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal cohort design was employed, with monthly in-depth interviews conducted over 6 months postdelivery. Data were analysed using framework analysis. We report findings from 11 HIV-positive women within a larger cohort. Participants were aged between 15 and 41 years and were all on antiretroviral therapy. Before delivery, nine mothers intended to exclusively breastfeed (EBF) for 6 months, and two intended to exclusively formula feed (EFF). Three mothers successfully EBF for 6 months, whereas four had stopped breastfeeding, and two were mixed breastfeeding by 6 months. Mothers reported receiving strong advice from health workers (HWs) to EBF and made decisions based primarily on HWs advice, resisting contrary pressure from family or friends. The main motivation for EBF was to protect the child from HIV acquisition, but sometimes fear of mixed feeding led to mothers stopping breastfeeding entirely. Infant feeding messages from HWs advice were frequently inadequate and out of date, and failed to address mothers' challenges. Minimal support was provided for EFF. In conclusion, HWs play a pivotal role in providing infant feeding support to HIV infected mothers, but need regular updates to ensure if advice is correct and appropriate.

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Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

Doherty

Horwood

Haskins

et al. 2019

Maternal & Child Nutrition

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Breastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health worker confidence to support breastfeeding. This qualitative study presents findings from focus group discussions with mothers of young infants, exploring their experiences of health worker breastfeeding counselling and support. Analysis followed the thematic framework approach. Six researchers reviewed the transcripts, coded them independently, then jointly reviewed the codes, and agreed on a working analytical framework. Although mothers received antenatal breastfeeding messages, these appeared to focus rigidly on the importance of exclusivity. Mothers described receiving some practical support ---This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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

Cited by 4 publications

References 11 publications

Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers

Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

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