Percepção de mães soropositivas sobre a impossibilidade do aleitamento / Hiv-positive mothers' perception about the impossibility of breastfeeding

Abstract Background Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural barriers to the practice. Therefore, to generate evidence for exclusive and continued breastfeeding policies in Kenya, we examined community perspectives on the facilitators and barriers in adherence to EBF for the HIV positive mothers. Methods Qualitative research was conducted in Koibatek, a sub-County in Baringo County Kenya, in August 2014 among 205 respondents. A total of 14 focus group discussions (n = 177), 14 In-depth Interviews and 16 key informant interviews were conducted. Transcribed data was analyzed thematically. NVivo version 10.0 computer qualitative software program was used to manage and facilitate the analysis. Results Facilitators to exclusive breastfeeding were perceived to include counselling at the health facility, desire to have a healthy baby, use of antiretroviral drugs and health benefits associated with breastmilk. Barriers to EBF included poor dissemination of policies, knowledge gap, misinterpretation of EBF, inadequate counselling, attitude of mother and health workers due to fear of vertical HIV transmission, stigma related to misconception and misinformation that EBF is only compulsory for HIV positive mothers, stigma related to HIV and disclosure, social pressure, lack of male involvement, cultural practices and traditions, employment, food insecurity. Conclusions There are multiple facilitators and barriers of optimal breastfeeding that needs a holistic approach to interventions aimed at achieving elimination of mother to child transmission. Extension of infant feeding support in the context of HIV to the community while building on existing interventions such as the Baby Friendly Community Initiative is key to providing confidential support services for the additional needs faced by HIV positive mothers.

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Awareness about feeding optins for infants born to HIV positive mothers and mother to child transmission of HIV in Gurage zone, south Ethiopia

Ethiopian Journal of Health Development ◽

10.4314/ejhd.v21i1.10030 ◽

2007 ◽

Vol 21 (1) ◽

Author(s):

T Belachew ◽

C Jira

Keyword(s):

Hiv Positive ◽

Mother To Child Transmission ◽

Child Transmission ◽

South Ethiopia ◽

Hiv Positive Mothers ◽

Mother To Child

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Simultaneous determination of HIV antibodies, hepatitis C antibodies, and hepatitis B antigens in dried blood spots –a feasibility study using a multi-analyte immunoassay

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm.2005.023 ◽

2005 ◽

Vol 43 (2) ◽

Cited By ~ 28

Author(s):

Zoltan Lukacs ◽

Alexandra Dietrich ◽

Rainer Ganschow ◽

Alfried Kohlschütter ◽

Rudolf Kruithof

Keyword(s):

Hepatitis C ◽

Hepatitis B ◽

Simultaneous Detection ◽

Dried Blood Spots ◽

Hiv Positive ◽

Blood Spots ◽

Hiv Positive Mothers ◽

Hiv Antibodies ◽

Hepatitis B Antigens ◽

Antibody Levels

AbstractHIV in particular, as well as hepatitis B and C, present a burden on healthcare systems worldwide. Early detection of these diseases may prevent further infections and improve the outcome for patients. In particular, transmission of HIV from mother to child can be significantly reduced when preventive measures are taken before birth. We have developed and optimized a method for the simultaneous detection of HIV 1 and hepatitis B and C from dried blood specimensusing the Luminex multi-analyte profiling technology (LabMap). Dried blood spots provide a convenient method for mailing, analysis and storage of samples. Specimens from known HIV-positive children (n=46) as well as hepatitis B- (n=8) and hepatitis C-positive patients (n=7) tested positive in our assay. Storage for up to 10years did not interfere with the test in the case of HIV-positive patients. Results for five different antibodies and one antigen were obtained in approximately 80seconds. Furthermore, antibody levels in infants of HIV-positive mothers were monitored over a period of 1year. Antibodies were no longer detectable after 260–360days, which compared well with results independently obtained by ELISA and Western blot analysis. We demonstrated the feasibility of the simultaneous detection of infectious diseases from dried blood. Our novel method also provides a convenient tool for monitoring children from HIV-positive mothers and for possible screening efforts.

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Inappropriate infant feeding practices of HIV-positive mothers attending PMTCT services in Oromia regional state, Ethiopia: a cross-sectional study

International Breastfeeding Journal ◽

10.1186/s13006-018-0181-x ◽

2018 ◽

Vol 13 (1) ◽

Cited By ~ 4

Author(s):

Daba Ejara ◽

Demelash Mulualem ◽

Samson Gebremedhin

Keyword(s):

Infant Feeding ◽

Feeding Practices ◽

Cross Sectional Study ◽

Hiv Positive ◽

Infant Feeding Practices ◽

Sectional Study ◽

Cross Sectional ◽

Regional State ◽

Hiv Positive Mothers

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Knowledge, attitude and practice of infant feeding in the first 6 months among HIV-positive mothers at the Queen Mamohato Memorial hospital clinics, Maseru, Lesotho

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v10i1.1438 ◽

2018 ◽

Vol 10 (1) ◽

Cited By ~ 5

Author(s):

Stephen O. Olorunfemi ◽

Lilian Dudley

Keyword(s):

Infant Feeding ◽

Hiv Positive ◽

Child Transmission ◽

Pmtct Programme ◽

Attitudes And Practices ◽

Attitude And Practice ◽

Hiv Positive Mothers ◽

Mother To Child ◽

Knowledge Attitude And Practice ◽

Knowledge Attitudes And Practices

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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HIV positive mothers' beliefs about mother-to-child transmission

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692006000500021 ◽

2006 ◽

Vol 14 (5) ◽

pp. 781-788 ◽

Cited By ~ 5

Author(s):

Lis Aparecida de Souza Neves ◽

Elucir Gir

Keyword(s):

Health Belief ◽

Hiv Positive ◽

Mother To Child Transmission ◽

Child Transmission ◽

Aids Epidemic ◽

Change Behavior ◽

Hiv Positive Mothers ◽

Belief Model ◽

Prevention Methods ◽

Mother To Child

Beliefs can influence health behavior. This qualitative study aimed to understand the beliefs that influence HIV positive mothers' behaviors towards prevention methods against mother-to-child transmission. Fourteen women were interviewed. Our research was based on the theoretical Health Belief Model, formed by the following dimensions: perceived susceptibility, perceived severity, perceived benefits and perceived obstacles. Data analysis showed reflections that evidence the paradox in the AIDS epidemic: knowledge does not change behavior; gender relations; fear of death; fear of stigma; financial problems; disbelief in the virus' existence. Identifying beliefs and understanding how to influence the conduction of the health problem can help services to promote patients' adherence.

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