Infant Feeding Intentions and Practices of HIV-Positive Mothers in Southwestern Nigeria

Background: The balance between the risks of transmission of human immunodeficiency virus (HIV) through breastfeeding and its life-saving benefits complicates decisions about infant feeding among HIV-positive mothers in the first 6 months.Objective: The aim of this study was to assess the knowledge, attitude and practice of infant feeding among HIV-positive mothers attending the prevention of mother-to-child transmission services in Maseru, Lesotho.Method and setting: This observational cross-sectional study was done by collecting data from HIV-positive mothers attending the filter clinics of Queen Mamohato Memorial hospital in Maseru, Lesotho. HIV-positive mothers with infants below the age of 6 months attending the clinics at the time of the study were interviewed using a standardised questionnaire. We described the sociodemographic profile of the mothers, the information and education received on prevention of mother-to-child transmission (PMTCT) infant feeding options, the mothers’ knowledge, attitudes and practices of infant feeding, and assessed risk factors for improved knowledge, attitudes and practices. Results: The majority (96%) of the 191 HIV-positive mothers who participated in the survey knew about the PMTCT programme and related breastfeeding services. Most of the participants chose to breastfeed (89%), while only 8% formula-fed their infants. Knowledge received during the PMTCT programme was significantly associated with the decision to exclusively breastfeed their infants. Earlier infant feeding counselling and education was associated with more exclusively breastfeeding as compared to late infant feeding counselling (p < 0.001). Conclusion: The study found that HIV-positive mothers attending health clinics in Maseru, Lesotho, had high knowledge, and appropriate attitudes and practices with respect to infant feeding; and that early counselling and education improved infant feeding methods among these mothers.

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

Maternal and Child Nutrition ◽

10.1111/mcn.12726 ◽

2018 ◽

Vol 15 (2) ◽

pp. e12726 ◽

Cited By ~ 4

Author(s):

Christiane Horwood ◽

Ngcwalisa Amanda Jama ◽

Lyn Haskins ◽

Anna Coutsoudis ◽

Lenore Spies

Keyword(s):

Decision Making ◽

Qualitative Study ◽

Infant Feeding ◽

Hiv Positive ◽

Hiv Positive Mothers ◽

Feeding Decision

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Difficult choices: Infant feeding experiences of HIV-positive mothers in northern Tanzania

SAHARA-J Journal of Social Aspects of HIV/AIDS ◽

10.1080/17290376.2007.9724816 ◽

2007 ◽

Vol 4 (1) ◽

pp. 544-555 ◽

Cited By ~ 69

Author(s):

Sebalda Charles Leshabari ◽

Astrid Blystad ◽

Karen Marie Moland

Keyword(s):

Infant Feeding ◽

Hiv Positive ◽

Northern Tanzania ◽

Hiv Positive Mothers

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Health System Factors as Correlates of Infant Feeding Options among HIV Positive Mothers in Ogoja Local Government Area of Cross River State, Nigeria

International Journal Of Medical Science And Clinical Invention ◽

10.18535/ijmsci/v3i12.02 ◽

2016 ◽

Cited By ~ 1

Author(s):

Eneji, J.E O ◽

◽

Asuquo I ◽

Ngoka, V N. ◽

Eneji, C.V O ◽

...

Keyword(s):

Local Government ◽

Health System ◽

Infant Feeding ◽

Local Government Area ◽

Hiv Positive ◽

Cross River ◽

Cross River State ◽

Hiv Positive Mothers ◽

System Factors

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Infant Feeding Practice and Associated Factors among HIV Positive Mothers Enrolled in Governmental Health Facilities in Mekelle Town, Tigray Region, North Ethiopia

Journal of HIV/AIDS and Infectious Diseases ◽

10.17303/jaid.2014.401 ◽

2013 ◽

Author(s):

Yonas Girma

Keyword(s):

Infant Feeding ◽

Associated Factors ◽

Health Facilities ◽

Infant Feeding Practice ◽

Hiv Positive ◽

Feeding Practice ◽

Tigray Region ◽

Hiv Positive Mothers

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A systematic review and meta-analysis on adoption of WHO-recommended infant feeding practices among HIV positive mothers in Ethiopia

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03662-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Amare Belachew Dagnew ◽

Mulat Dagnew Teferi

Keyword(s):

Infant Feeding ◽

Random Effect ◽

Feeding Practices ◽

Hiv Positive ◽

Infant Feeding Practices ◽

Hiv Exposed Infants ◽

Pooled Prevalence ◽

Hiv Positive Mothers ◽

Hiv Serostatus ◽

Hiv Exposed

Abstract Background The prevalence of the World Health Organization (WHO) recommended infant feeding practices for HIV exposed infants is low in developing countries. There is no nationwide representative study was done in Ethiopia. Therefore, this study aimed to assess the pooled prevalence of WHO-recommended infant feeding practices among HIV-positive mothers in Ethiopia. Methods EMBASE, PubMed, Google Scholar, CINHAL, Web of Science, Cochrane library, and hand searches of references were extensively searched to find out the primary articles. This study was included in all primary articles published in peer review journals regarding the recommended infant feeding practices in Ethiopia. Reviewers were used a standardized Microsoft Excel format to extract the data and analyzed it with Stata 11 version software. The pooled prevalence of recommended infant feeding practices among HIV exposed infants was estimated by a random-effect model. The sources of variation between the studies were identified by the I2 statistics test. Furthermore, the source of heterogeneity was checked by subgroup and meta-regression analyses. Sensitivity analysis was also carried out for included articles to identify extreme values that affect the outcome of pooled results. Results A total of twenty-one articles were included in this study. The random effect pooled prevalence of WHO-recommended infant feeding practices in Ethiopia was 82.76% (95% Confidence Interval [CI]: 75.4, 90.11) with the heterogeneity of I2 = 93.7 with a value of p < 0.001. The subgroup analysis result showed that the highest prevalence of WHO-recommended infant feeding practices was observed in the retrospective cohort study design, 89.45%, and the lowest prevalence was found in cross-sectional studies, 80.67%. Mothers who disclosed their HIV serostatus to their spouses OR = 2.88(2.27, 3.66) and attended antenatal care visits OR = 4.62(3.13, 6.83) were more likely to follow the WHO-recommended infant feeding practices than their counterparts. Conclusion Two out of ten HIV exposed infants received mixed feeding in Ethiopia. Health professionals should support and counsel HIV positive mothers to disclose their HIV serostatus to their spouses and advertisements in general or community health workers can get this message out to encourage using antenatal care services during the pregnancy period were recommended to increase the adoption of WHO recommended infant feeding practices and decrease their infant’s risk of morbidity, including HIV infection.

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