scholarly journals The Elusive Mechanistic Link between Exclusive Breast‐Feeding and Lower Risk of Postnatal Mother‐to‐Child HIV Transmission

2010 ◽  
Vol 51 (4) ◽  
pp. 474-475 ◽  
Author(s):  
Suzanne Filteau
Keyword(s):  
Breast Feeding ◽  
Lower Risk ◽  
Hiv Transmission ◽  
Exclusive Breast Feeding ◽  
Mother To Child

scholarly journals Relationship of exclusive breast-feeding to infections and growth of Tanzanian children born to HIV-infected women

2011 ◽  
Vol 14 (7) ◽  
pp. 1251-1258 ◽  
Author(s):  
Ramadhani S Mwiru ◽  
Donna Spiegelman ◽  
Christopher Duggan ◽  
Karen Peterson ◽  
Enju Liu ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Lower Risk ◽  
Proportional Hazards ◽  
Acute Diarrhoea ◽  
Cox Proportional Hazards ◽  
Watery Diarrhoea ◽  
Exclusive Breast Feeding ◽  
Relative Risks ◽  
Outpatient Visits ◽  
Cox Proportional Hazards Models

AbstractObjectiveWe examined the relationships between exclusive breast-feeding and the risks of respiratory, diarrhoea and nutritional morbidities during the first 2 years of life among children born to women infected with HIV-1.DesignWe prospectively determined the incidence of respiratory illnesses, diarrhoea, fever, hospitalizations, outpatient visits and nutritional morbidities. Generalized estimating equations were used to estimate the relative risks for morbidity episodes and Cox proportional hazards models to estimate the incidence rate ratios of nutritional morbidities.SettingDar es Salaam, Tanzania.SubjectsThe sample consisted of 666 children born to HIV-infected women.ResultsThe 666 children were followed for 2 years. Exclusive breast-feeding was associated with lower risk for cough (rate ratio (RR) = 0·49, 95 % CI 0·41, 0·60, P < 0·0001), cough and fever (RR = 0·44, 95 % CI 0·32, 0·60, P < 0·0001) and cough and difficulty breathing or refusal to feed (RR = 0·31, 95 % CI 0·18, 0·55, P < 0·0001). Exclusive breast-feeding was also associated with lower risk of acute diarrhoea, watery diarrhoea, dysentery, fever and outpatient visits during the first 6 months of life, but showed no effect at 6–24 months of life. Exclusive breast-feeding did not significantly reduce the risks of nutritional morbidities during the first 2 years of life.ConclusionsExclusive breast-feeding is strongly associated with reductions in the risk of respiratory and diarrhoea morbidities during the first 6 months of life among children born to HIV-infected women.

scholarly journals Rapid assessment of infant feeding support to HIV-positive women accessing prevention of mother-to-child transmission services in Kenya, Malawi and Zambia

2009 ◽  
Vol 12 (12) ◽  
pp. 2323-2328 ◽  
Author(s):  
Mickey Chopra ◽  
Tanya Doherty ◽  
Saba Mehatru ◽  
Mark Tomlinson
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Hiv Transmission ◽  
Rapid Assessment ◽  
National Level ◽  
Sub Saharan Africa ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Key Informants ◽  
Mother To Child

AbstractObjectiveThe possibility of mother-to-child transmission (MTCT) of HIV through breast-feeding has focused attention on how best to support optimal feeding practices especially in low-resource and high-HIV settings, which characterizes most of sub-Saharan Africa. To identify strategic opportunities to minimize late postnatal HIV transmission, we undertook a review of selected country experiences on HIV and infant feeding, with the aims of documenting progress over the last few years and determining the main challenges and constraints.DesignField teams conducted national-level interviews with key informants and visited a total of thirty-six facilities in twenty-one sites across the three countries – eighteen facilities in Malawi, eleven in Kenya and seven in Zambia. During these visits interviews were undertaken with key informants such as the district and facility management teams, programme coordinators and health workers.SettingA rapid assessment of HIV and infant feeding counselling in Kenya, Malawi and Zambia, undertaken from February to May 2007.ResultsInfant feeding counselling has, until now, been given low priority within programmes aimed at prevention of MTCT (PMTCT) of HIV. This is manifest in the lack of resources – human, financial and time – for infant feeding counselling, leading to widespread misunderstanding of the HIV transmission risks from breast-feeding. It has also resulted in lack of space and time for proper counselling, poor support and supervision, and very weak monitoring and evaluation of infant feeding. Finally, there are very few examples of linkages with community-based infant feeding interventions. However, all three countries have started to revise their feeding policies and strategies and there are signs of increased resources.ConclusionsIn order to sustain this momentum it will be necessary to continue the advocacy with the HIV community and stress the importance of child survival – not just minimization of HIV transmission – and hence the need for integrating MTCT prevention.

Exclusive breast-feeding and HIV transmission

AIDS ◽  
2002 ◽  
Vol 16 (3) ◽  
pp. 498-499 ◽  
Author(s):  
Anna Coutsoudis ◽  
Louise Kuhn ◽  
Kubendran Pillay ◽  
Hoosen M. Coovadia
Keyword(s):  
Breast Feeding ◽  
Hiv Transmission ◽  
Exclusive Breast Feeding

scholarly journals Exclusive Breast-feeding Protects against Mother-to-Child Transmission of HIV-1 through 12 Months of Age in Tanzania

2016 ◽  
Vol 62 (4) ◽  
pp. 301-307 ◽  
Author(s):  
Karim P. Manji ◽  
Christopher Duggan ◽  
Enju Liu ◽  
Ronald Bosch ◽  
Rodrick Kisenge ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Exclusive Breast Feeding ◽  
Mother To Child ◽  
Hiv 1

scholarly journals Pregnant women’s knowledge about Mother-to-Child Transmission (MTCT) of HIV infection through breast feeding

Curationis ◽  
2008 ◽  
Vol 31 (1) ◽  
Author(s):  
MS Maputle
Keyword(s):  
Breast Feeding ◽  
Hiv Transmission ◽  
Significant Risk ◽  
Hiv And Aids ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Aids Epidemic ◽  
Department Of Health ◽  
Transmission Studies ◽  
Mother To Child

The HIV and AIDS epidemic in South Africa has reached serious proportions. Over 5, 5 million South Africans are infected with HIV (Department of Health, 2004:10). Mother to Child Transmission (MTCT) is a well-established mode of HIV transmission and these infections may occur during pregnancy, labour, delivery and breastfeeding. According to the Department of Health (2000:2), breastfeeding constitutes a significant risk of MTCT HIV transmission. Studies in Africa have also shown that breast-feeding increases the risk of MTCT by 12%-43% (Department of Health, 2000:13; Department of Health, 2000:3). Since breastfeeding is a significant and preventable mode of HIV transmission to infants, there is an urgent need to educate, counsel and support women and families to make informed decisions about how best to feed their infants in the context of HTV. To achieve a reduction in MTCT, there is an urgent need to empower women with information on MTCT for informed decision-making. However, cultural factors and the stigma associated with HIV and AIDS might contribute to limited knowledge about MTCT through breastfeeding.

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