Healthcare Workers’ Knowledge of HIV-Exposed Infant Feeding Options and Infant Feeding Counseling Practice in Northern Nigeria

Details

• Personal Author:
  Abdulrahman, Zainab ; Aliyu, Muktar H. ; Galadanci, Hadiza S. ; Hassan-Hanga, Fatima ; Iliyasu, Zubairu ; Marryshow, Salisha E. ; Tsiga, Fatima I.
• Description:
  Background: Despite the existence of evidence-based HIV-exposed infant feeding guidelines, infants in Africa still acquire HIV through inappropriate feeding practices. Objective: To identify predictors of HIV-exposed infant feeding knowledge and counseling practice among health care workers (HCW) in Nigeria. Methods: Structured, pretested questionnaires were administered to HCW (n=262) in a tertiary health facility in Kano, Nigeria. Multivariate logistic regression was used to determine predictors of HIV-exposed infant feeding knowledge and counseling practice. Results: Of 262 respondents, (58.0%, n=152) had good knowledge of recommended feeding options. Respondents listed exclusive breastfeeding (57.6%, n=151), human milk substitutes (45.4%, n=119), HIV-negative wet-nursing (37.0%, n=97), heated expressed human milk (20.6%, n=54) and mixed feeding (13.4%, n=35) as appropriate feeding choices. Over half (57.3%, n=150) of the respondents have ever counseled a HIV-positive mother on infant feeding. Knowledge was predicted by female sex (Adjusted Odds Ratio (AOR)=2.47, 95% Confidence Interval (CI):1.35-4.52), profession (physician vs. laboratory scientist, AOR=4.00, 95%CI:1.25-12.87; nurse/midwife vs. laboratory scientist, AOR=2.75, 95%CI:1.17-9.28), infant feeding counseling training (AOR=3.27, 95%CI:1.87-5.71), and number of children (2-4 vs. 0, AOR=1.75, 95%CI:1.23-3.92). Infant feeding counseling was predicted by female sex (AOR=2.85, 95%CI:1.39-5.85), age (>40 vs. <30 years, AOR=3.87, 95%CI:1.27-15.65), knowledge of infant feeding options (good vs. fair/poor, AOR=3.96, 95%CI:2.07-7.59), training (AOR=2.60, 95%CI:1.42-5.32), and profession (physician vs. laboratory scientist, AOR=10.7, 95%CI:2.85-40.54; nurse/midwife vs. laboratory scientist, AOR=4.8, 95%CI:1.26-18.02). [Description provided by NIOSH]
• Subjects:
  Health Personnel HIV Occupational Health Safety Women
• Keywords:
  Author Keywords: HIV Breastfeeding Counseling Cross-sectional Study Cross Sectional Studies Health Care Workers Human Immunodeficiency Virus Human Milk Infant Feeding
• ISSN:
  1570-162X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Nigeria
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  12 pdf pages
• Volume:
  18
• NIOSHTIC Number:
  nn:20066986
• Citation:
  Curr HIV Res 2020 Jan; 18(1):29-40
• Contact Point Address:
  Zubairu Iliyasu, Centre for Infectious Diseases Research, College of Health Sciences, Bayero University, Kano, Nigeria
• Email:
  ed@buk.edu.ng
• Federal Fiscal Year:
  2020
• Performing Organization:
  Meharry Medical College, Nashville, Tennessee
• Peer Reviewed:
  True
• Start Date:
  20080701
• Source Full Name:
  Current HIV Research
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3fcfe368e4b2b0c92f70e62e7e0fb17b7479e19fdcc25642f8643907b8fd20de0c76e47c85decebeaada84be641accbce03459809120f345b04ae81572219116
• Download URL:
  https://stacks.cdc.gov/view/cdc/230752/cdc_230752_DS1.pdf
• File Type:
  [PDF - 1.28 MB ]