The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study

Details

• Alternative Title:
  AIDS Educ Prev
• Personal Author:
  Parker, Megan E. ; Bentley, Margaret E. ; Chasela, Charles ; Adair, Linda ; Piwoz, Ellen G. ; Jamieson, Denise J. ; Ellington, Sascha ; Kayira, Dumbani ; Soko, Alice ; Mkhomawanthu, Chimwemwe ; Tembo, Martin ; Martinson, Francis ; van der Horst, Charles M.
• Description:
  International guidelines recommend EBF to age 6 months among HIV-infected mothers choosing to breast-feed and cessation thereafter if replacement feeding is acceptable, feasible, affordable, sustainable, and safe. When mothers wean, they are challenged to provide an adequate replacement diet. This study investigates the use and acceptability of a lipid-based nutrient supplement (LNS) as a breast-milk substitute when provided to infants (6-12 mo) of HIV-positive mothers, as part of the Breast-feeding, Antiretroviral, and Nutrition (BAN) Study. A sub-sample of mothers (n = 45) participated in interviews that explored EBF, weaning, and strategies to feed LNS. Mothers reported several weaning strategies, including gradual reduction of breast-feeding, expressing breast-milk into a cup, and separation of mother and child. LNS, a peanut-based micronutrient fortified paste, was highly accepted and incorporated into the traditional diet. Weaning is a feasible HIV prevention method among this population in Malawi when supported by the provision of LNS as a breast-milk substitute.
• Subjects:
  Adult Antiviral Agents Breast Feeding Feasibility Studies Female HIV Infections Humans Infant Infectious Disease Transmission, Vertical Malawi Milk, Human Mothers Patient Acceptance Of Health Care Pregnancy Pregnancy Complications, Infectious Weaning

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• Keywords:
  Breastfeeding HIV Infant Feeding LNS Weaning
• Source:
  AIDS Educ Prev. 23(3):281-295
• Pubmed ID:
  21696245
• Pubmed Central ID:
  PMC3197736
• Document Type:
  Journal Article
• Funding:
  26-04 U48-DP000059-01/DP/NCCDPHP CDC HHSUnited States/ ; R03 HD057775/HD/NICHD NIH HHSUnited States/ ; 1R03HD057775-01/HD/NICHD NIH HHSUnited States/ ; R24 TW007988/TW/FIC NIH HHSUnited States/ ; P30-AI50410/AI/NIAID NIH HHSUnited States/ ; 13-01 U48-CCU409660-09/PHS HHSUnited States/ ; R24 HD050924/HD/NICHD NIH HHSUnited States/ ; R03 HD057775-01/HD/NICHD NIH HHSUnited States/ ; U48 DP000059/DP/NCCDPHP CDC HHSUnited States/ ; 2-D43 TW01039-06/TW/FIC NIH HHSUnited States/ ; P30 AI050410/AI/NIAID NIH HHSUnited States/
• Volume:
  23
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2360954b8ee493672a34481dcfd1d1e2d25b83698c8b81c2242fe6fc7221e39a
• Download URL:
  https://stacks.cdc.gov/view/cdc/33265/cdc_33265_DS1.pdf
• File Type:
  [PDF - 64.10 KB ]