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Maternal knowledge on mother-to-child transmission of HIV and breastmilk alternatives for HIV positive mothers in Homa Bay District Hospital, Kenya.
East Afr Med J 2006; 83(11):610-8EA

Abstract

BACKGROUND

Mother- to- Child Transmission (MTCT) of HIV is a relatively new concept in rural populations and despite the huge amount of work that has been done on the HIV/AIDS, there still remains a dearth of information in knowledge of mothers on this concept especially in areas related to appropriate feeding methods for infants born to mothers infected with the virus.

OBJECTIVES

To determine maternal knowledge on MTCT of HIV in the rural setting and to examine viable breastmilk alternatives for mothers who would be HIV positive.

DESIGN

A cross- sectional study, supported by an observational study.

SETTING

A rural district community and Homa-Bay District Hospital in South Western Kenya.

SUBJECTS

One hundred and twelve non-tested mothers having infants aged 0-12 months in the community and a sub-group (10%) of HIV positive mothers from the District Hospital.

RESULTS

Maternal knowledge on MTCT of HIV was as low as 8.9% in the study area. The MTCT knowledge was found to influence the alternative feeding choice as mentioned by the non-tested mothers (p = 0.001; OR = 1.41; 95%CI, 1.04-3.86). Those with high MTCT knowledge tended to be more receptive and considered feeding alternatives other than cowmilk like expressed breastmilk (p = 0.1 5), formula (p = 0.036; OR = 2.44; 95%CI, 1.66-6.04) and milk from milk bank (p = 0.015; OR = 1.34; 95%CI, 1.13-5.50) than their counterparts with low MTCT knowledge. Cowmilk, formula and wet-nursing were the three feeding alternatives that were viable with varying socio-cultural, economic and/or nutritional constraints.

CONCLUSION

Maternal MTCT knowledge influences the choice of alternative infant feeding option but not breastfeeding practices. Cowmilk is the most common, socio-culturally acceptable and accessible breastmilk alternative in this community. It is recommended that in order to improve MTCT knowledge, health education and nutrition counselling be intensified in PMTCT programmes, VCT centers and ANC clinics. Concurrently, effort should be made to increase the supply of cowmilk within the community so as to make it more readily available and affordable.

Authors+Show Affiliations

Department of Food Science, Nutrition and Technology, Applied Nutrition Programme, University of Nairobi, P.O. Box 30197-00100, Nairobi, Kenya.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17455450

Citation

Omwega, A M., et al. "Maternal Knowledge On Mother-to-child Transmission of HIV and Breastmilk Alternatives for HIV Positive Mothers in Homa Bay District Hospital, Kenya." East African Medical Journal, vol. 83, no. 11, 2006, pp. 610-8.
Omwega AM, Oguta TJ, Sehmi JK. Maternal knowledge on mother-to-child transmission of HIV and breastmilk alternatives for HIV positive mothers in Homa Bay District Hospital, Kenya. East Afr Med J. 2006;83(11):610-8.
Omwega, A. M., Oguta, T. J., & Sehmi, J. K. (2006). Maternal knowledge on mother-to-child transmission of HIV and breastmilk alternatives for HIV positive mothers in Homa Bay District Hospital, Kenya. East African Medical Journal, 83(11), pp. 610-8.
Omwega AM, Oguta TJ, Sehmi JK. Maternal Knowledge On Mother-to-child Transmission of HIV and Breastmilk Alternatives for HIV Positive Mothers in Homa Bay District Hospital, Kenya. East Afr Med J. 2006;83(11):610-8. PubMed PMID: 17455450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal knowledge on mother-to-child transmission of HIV and breastmilk alternatives for HIV positive mothers in Homa Bay District Hospital, Kenya. AU - Omwega,A M, AU - Oguta,T J, AU - Sehmi,J K, PY - 2007/4/26/pubmed PY - 2007/6/7/medline PY - 2007/4/26/entrez SP - 610 EP - 8 JF - East African medical journal JO - East Afr Med J VL - 83 IS - 11 N2 - BACKGROUND: Mother- to- Child Transmission (MTCT) of HIV is a relatively new concept in rural populations and despite the huge amount of work that has been done on the HIV/AIDS, there still remains a dearth of information in knowledge of mothers on this concept especially in areas related to appropriate feeding methods for infants born to mothers infected with the virus. OBJECTIVES: To determine maternal knowledge on MTCT of HIV in the rural setting and to examine viable breastmilk alternatives for mothers who would be HIV positive. DESIGN: A cross- sectional study, supported by an observational study. SETTING: A rural district community and Homa-Bay District Hospital in South Western Kenya. SUBJECTS: One hundred and twelve non-tested mothers having infants aged 0-12 months in the community and a sub-group (10%) of HIV positive mothers from the District Hospital. RESULTS: Maternal knowledge on MTCT of HIV was as low as 8.9% in the study area. The MTCT knowledge was found to influence the alternative feeding choice as mentioned by the non-tested mothers (p = 0.001; OR = 1.41; 95%CI, 1.04-3.86). Those with high MTCT knowledge tended to be more receptive and considered feeding alternatives other than cowmilk like expressed breastmilk (p = 0.1 5), formula (p = 0.036; OR = 2.44; 95%CI, 1.66-6.04) and milk from milk bank (p = 0.015; OR = 1.34; 95%CI, 1.13-5.50) than their counterparts with low MTCT knowledge. Cowmilk, formula and wet-nursing were the three feeding alternatives that were viable with varying socio-cultural, economic and/or nutritional constraints. CONCLUSION: Maternal MTCT knowledge influences the choice of alternative infant feeding option but not breastfeeding practices. Cowmilk is the most common, socio-culturally acceptable and accessible breastmilk alternative in this community. It is recommended that in order to improve MTCT knowledge, health education and nutrition counselling be intensified in PMTCT programmes, VCT centers and ANC clinics. Concurrently, effort should be made to increase the supply of cowmilk within the community so as to make it more readily available and affordable. SN - 0012-835X UR - https://www.unboundmedicine.com/medline/citation/17455450/Maternal_knowledge_on_mother_to_child_transmission_of_HIV_and_breastmilk_alternatives_for_HIV_positive_mothers_in_Homa_Bay_District_Hospital_Kenya_ L2 - http://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -