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

2020 ◽  
Vol 18 (1) ◽  
pp. 29-40
Author(s):  
Zubairu Iliyasu ◽  
Hadiza S. Galadanci ◽  
Fatima Hassan-Hanga ◽  
Zainab Abdulrahman ◽  
Fatima Ismail Tsiga ◽  
...  
Keyword(s):  
Human Milk ◽  
Infant Feeding ◽  
Number Of Children ◽  
Counseling Practice ◽  
Female Sex ◽  
Nurse Midwife ◽  
Exposed Infant ◽  
Hiv Exposed ◽  
Fair Poor ◽  
Laboratory Scientist

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). Conclusion: The practice of infant feeding counseling among HCW in Nigeria is associated with sex, knowledge, and profession. Our findings may inform the development of targeted training programs for HCW in similar settings.

scholarly journals Infants and young children feeding practice and associated factors among HIV positive mothers of children 0–23 months in health centers of Gulele sub-city, Addis Ababa, Ethiopia

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Samuel Negash ◽  
Firehiwot Mesfin ◽  
Gudina Egata
Keyword(s):  
Infant Feeding ◽  
Associated Factors ◽  
Addis Ababa ◽  
Health Centers ◽  
Infant Feeding Practice ◽  
Hiv Positive ◽  
Feeding Practice ◽  
Hiv Positive Mothers ◽  
Exposed Infant ◽  
Hiv Exposed

Abstract Objective A health facility based cross sectional study design was conducted among 358 randomly selected HIV positive mothers attending at four health centers from February 1 to 28, 2018. Magnitude of HIV positive mothers’ child feeding practice and associated factors was assessed according to WHO recommendation. Data were collected using structured pretested questionnaire and entered into EPI data version 3.1 and exported to SPSS version 20 computer software for analysis. Result The magnitude of recommended way of infant feeding practice among HIV positive mothers attending public health centers in Gulele sub-city is 37.4%, 95% CI (32.26–42.67). Statistically significant correlates of HIV exposed infant feeding practice of mothers in this study were knowledge of mother on HIV exposed infant feeding practice (AOR = 1.80 (95% CI 1.04–3.01)), head of family being father (AOR = 0.17 (95% CI 0.03–0.87)), having family (relatives) support (AOR = 2.05 (95% CI 1.00–4.18)) and information on HIV exposed infant feeding, practice (AOR = 1.77 (95% CI 1.07–2.93)).

scholarly journals Efficacy of Mobile phone use on adherence to Nevirapine prophylaxis and retention in care among the HIV-exposed infants in prevention of mother to child transmission of HIV: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lilian M. N. Kebaya ◽  
Dalton Wamalwa ◽  
Nyambura Kariuki ◽  
Bashir Admani ◽  
Philip Ayieko ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Infant Feeding ◽  
Retention In Care ◽  
Control Group ◽  
Hiv Exposed Infants ◽  
Randomized Controlled ◽  
Phone Calls ◽  
Hiv Exposed ◽  
To Receive

Abstract Background HIV is a major contributor to infant mortality. A significant gap remains between the uptake of infant and maternal antiretroviral regimens and only a minority of HIV-exposed infants receives prophylaxis and safe infant feeding. Losses to follow-up of HIV-exposed infants are associated with shortcomings of facility-based PMTCT models with weak community support of linkages. Use of mobile phones offers an opportunity for improving care and promoting retention assessed by timely attendance of scheduled appointments for the mother-baby pairs and achievement of an HIV-free generation. The objective of this study was to compare self-reported adherence to infant Nevirapine (NVP) prophylaxis and retention in care assessed by timely attendance of scheduled appointments over 10 weeks in HIV exposed infants randomized to 2-weekly mobile phone calls (intervention) versus no phone calls (control). Methods In this open label randomized controlled study, one hundred and fifty HIV infected women drawn from 3 health facilities in Western Kenya and their infants were randomly assigned to receive either phone-based reminders on PMTCT messages or standard health care messages (no calls) within 24 h of delivery. Women in the intervention arm continued to receive fortnightly phone calls. At 6- and 10-weeks following randomization we collected data on infant adherence to Nevirapine, mode of infant feeding, early HIV testing and retention in care in both study arms. All analyses were intention to treat. Results At 6 weeks follow-up, 90.7% (n = 68) of participants receiving phone calls reported adherence to infant NVP prophylaxis, compared with 72% (n = 54) of participants in the control group (p = 0.005). Participants in the intervention arm were also significantly more likely to remain in care than participants in the control group [78.7% (n = 59) vs. 58.7% (n = 44), p = 0.009 at 6 weeks and 69.3% (n = 52) vs. 37.3% (n = 28), p < 0.001 at 10 weeks]. Conclusions These results suggest that phone calls are potentially an important tool to improve adherence to infant NVP prophylaxis and retention in care for HIV-exposed infants. Trial registration PACTR202007654729602. Registered 6 June 2018 - Retrospectively registered, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3449

Why Is Human Milk Donation Absent From the Literature on Philanthropic Giving? The Invisible Female Donor and Her Invisible Gift

2021 ◽  
pp. 089976402110139
Author(s):  
Ayelet Oreg ◽  
Susan Appe
Keyword(s):  
Human Milk ◽  
Infant Feeding ◽  
Research Note ◽  
Care Work ◽  
Future Research ◽  
Female Donor ◽  
Main Factors ◽  
Milk Banks ◽  
The Invisible

In this research note, we call attention to human milk donation being essentially omitted from the philanthropy literature and bodily gifting research. We focus here on human milk donations for infant feeding through nonprofit milk banks. We argue that its omission is due to two main factors: (a) the incoherence of defining human milk donation and the challenges to its regulation and (b) its consideration as care work and the characteristics of the milk donor identity. We end with avenues for future research in this area.

Being There for My Baby: Early Responses of HIV-infected Mothers With an HIV-exposed Infant

2006 ◽  
Vol 20 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Jennifer P. D’Auria ◽  
Becky J. Christian ◽  
Margaret Shandor Miles
Keyword(s):  
Exposed Infant ◽  
Being There ◽  
Hiv Exposed

scholarly journals WEAKENED SOCIAL NETWORK: THE EXPERIENCE OF CAREGIVERS OF THE HIV-EXPOSED INFANT

2015 ◽  
Vol 24 (3) ◽  
pp. 775-783 ◽  
Author(s):  
Willyane de Andrade Alvarenga ◽  
Marli Teresinha Gimeniz Galvão ◽  
Lucila Castanheira Nascimento ◽  
Maria Isabel Ruiz Beretta ◽  
Giselle Dupas
Keyword(s):  
Social Network ◽  
Descriptive Study ◽  
Postnatal Period ◽  
Qualitative Approach ◽  
Emotional Information ◽  
The Social ◽  
The Family ◽  
Exposed Infant ◽  
Specialized Service ◽  
Hiv Exposed

ABSTRACTThis study aimed to know the social network and social support the caregiver had available to take care of children exposed to HIV in the postnatal period. It is a descriptive study with a qualitative approach that used the theoretical framework of Symbolic Interactionism. Data were collected through interviews with 36 caregivers of children born to HIV-infected mothers who were followed up in a specialized service in the Northeast of Brazil and they were analyzed by inductive content analysis. The results revealed three categories that show the family and expert service as the main social networks of the caregiver and little emotional, information, instrumental and appreciation support received both in the family and in the context of health services. Interventions are needed to strengthen the weakened social network of the caregiver and to qualify and include nursing care in the context of children exposed to HIV.

scholarly journals Human milk expression as a sole or ancillary strategy for infant feeding: a qualitative study

2016 ◽  
Vol 13 (3) ◽  
pp. e12332 ◽  
Author(s):  
Elizabeth J. O'Sullivan ◽  
Sheela R. Geraghty ◽  
Kathleen M. Rasmussen
Keyword(s):  
Qualitative Study ◽  
Human Milk ◽  
Infant Feeding

scholarly journals Blunted IL17/IL22 and Pro-Inflammatory Cytokine Responses in the Genital Tract and Blood of HIV-Exposed, Seronegative Female Sex Workers in Kenya

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e43670 ◽  
Author(s):  
Duncan Chege ◽  
Yijie Chai ◽  
Sanja Huibner ◽  
Taylor Kain ◽  
Charles Wachihi ◽  
...  
Keyword(s):  
Sex Workers ◽  
Genital Tract ◽  
Female Sex Workers ◽  
Inflammatory Cytokine ◽  
Female Sex ◽  
Cytokine Responses ◽  
Hiv Exposed

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

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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