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Quality of infant feeding counselling for HIV+ mothers in Brazil: challenges and achievements.
Acta Paediatr 2007; 96(1):94-9AP

Abstract

AIM

This project aimed to assess the information and counselling on infant feeding in HIV+ mothers.

METHODS

A cross-sectional study, based on 118 structured observations of mothers' visits to health professionals (5-8/professional)-in 15 purposively selected HIV/Aids healthcare units in Sao Paulo.

RESULTS

The general quality of communication and counselling skills was good: for example, professionals responded to all mothers' questions (98%); kept eye-to-eye contact (82%); encouraged the mother to talk (77.1%). However, the information provided to mothers aimed to help their choices concerning infant feeding was of very poor quality. No mother, for example, was informed about alternatives to formula feeding and the danger of mixed feeding. None was offered the option of using banked breast milk. Only around 20% of mothers were informed about the safe preparation of formula feeding. When counselled by a nutritionist (compared with a paediatrician) more mothers were informed about the correct way to prepare bottle-feeds. No mention was made of cup feeding.

CONCLUSION

Although health workers have good communication skills, the information provided to HIV+ mothers is insufficient. Recommending against breast-feeding and providing infant formula may not be enough to achieve safer infant-feeding practices.

Authors+Show Affiliations

Instituto de Saude, São Paulo, Rua Santo Antonio, 590 01314-000 - São Paulo, Brazil. marifrea@isaude.sp.gov.brNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17187612

Citation

Rea, Marina Ferreira, et al. "Quality of Infant Feeding Counselling for HIV+ Mothers in Brazil: Challenges and Achievements." Acta Paediatrica (Oslo, Norway : 1992), vol. 96, no. 1, 2007, pp. 94-9.
Rea MF, dos Santos RG, Sanchez-Moreno CC. Quality of infant feeding counselling for HIV+ mothers in Brazil: challenges and achievements. Acta Paediatr. 2007;96(1):94-9.
Rea, M. F., dos Santos, R. G., & Sanchez-Moreno, C. C. (2007). Quality of infant feeding counselling for HIV+ mothers in Brazil: challenges and achievements. Acta Paediatrica (Oslo, Norway : 1992), 96(1), pp. 94-9.
Rea MF, dos Santos RG, Sanchez-Moreno CC. Quality of Infant Feeding Counselling for HIV+ Mothers in Brazil: Challenges and Achievements. Acta Paediatr. 2007;96(1):94-9. PubMed PMID: 17187612.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of infant feeding counselling for HIV+ mothers in Brazil: challenges and achievements. AU - Rea,Marina Ferreira, AU - dos Santos,Rosangela Gomes, AU - Sanchez-Moreno,Cirlei Celia, PY - 2006/12/26/pubmed PY - 2007/4/14/medline PY - 2006/12/26/entrez SP - 94 EP - 9 JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr. VL - 96 IS - 1 N2 - AIM: This project aimed to assess the information and counselling on infant feeding in HIV+ mothers. METHODS: A cross-sectional study, based on 118 structured observations of mothers' visits to health professionals (5-8/professional)-in 15 purposively selected HIV/Aids healthcare units in Sao Paulo. RESULTS: The general quality of communication and counselling skills was good: for example, professionals responded to all mothers' questions (98%); kept eye-to-eye contact (82%); encouraged the mother to talk (77.1%). However, the information provided to mothers aimed to help their choices concerning infant feeding was of very poor quality. No mother, for example, was informed about alternatives to formula feeding and the danger of mixed feeding. None was offered the option of using banked breast milk. Only around 20% of mothers were informed about the safe preparation of formula feeding. When counselled by a nutritionist (compared with a paediatrician) more mothers were informed about the correct way to prepare bottle-feeds. No mention was made of cup feeding. CONCLUSION: Although health workers have good communication skills, the information provided to HIV+ mothers is insufficient. Recommending against breast-feeding and providing infant formula may not be enough to achieve safer infant-feeding practices. SN - 0803-5253 UR - https://www.unboundmedicine.com/medline/citation/17187612/Quality_of_infant_feeding_counselling_for_HIV+_mothers_in_Brazil:_challenges_and_achievements_ L2 - https://doi.org/10.1111/j.1651-2227.2007.00017.x DB - PRIME DP - Unbound Medicine ER -