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Mothers' infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa.
Public Health Nutr 2009; 12(11):1983-90PH

Abstract

OBJECTIVE

To better understand the enabling and challenging factors impacting on infant feeding practices in communities with a high HIV prevalence.

DESIGN

Qualitative study, with data collected through in-depth interviews and observations of mothers, in addition to discussions with health-service providers.

SETTING

Urban settlement in the province of KwaZulu-Natal, South Africa.

SUBJECTS

Mothers recruited from an HIV clinic and from within the community.

RESULTS

Emerging from discussions with mothers on the acceptability of alternative feeding methods were the challenges they encountered in feeding their infants. Mothers readily identified feeding in the context of HIV infection as an issue of great concern, encompassing three central themes: (i) stigma and disclosure of HIV; (ii) confusion and coercion; and (iii) diarrhoea, sickness and free formula. It became evident that mothers rarely received quality infant feeding counselling and consequently mixed feeding, a widespread practice but one that is highly risky for HIV transmission, remained a common feeding practice. Exclusive breast-feeding (EBF) was best practised with support, following disclosure of HIV status. Availability of free formula did not guarantee exclusive formula feeding but instead led to inappropriate feeding practices.

CONCLUSIONS

In addition to providing accurate information, health-care workers must be empowered to counsel mothers effectively, addressing issues of disclosure and thereby facilitating mobilization of maternal support networks. These findings illustrate the challenges that exist in policy translation within the context of quality of training for health-care workers on optimizing maternal infant feeding practices, particularly in HIV-prevalent, resource-poor settings.

Authors+Show Affiliations

School of Dietetics and Human Nutrition, McGill University, 21,111 Lakeshore Road, Ste. Anne de Bellevue, Quebec, Canada, H9X 3V9.

Pub Type(s)

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

Language

eng

PubMed ID

19323863

Citation

Sibeko, Lindiwe, et al. "Mothers' Infant Feeding Experiences: Constraints and Supports for Optimal Feeding in an HIV-impacted Urban Community in South Africa." Public Health Nutrition, vol. 12, no. 11, 2009, pp. 1983-90.
Sibeko L, Coutsoudis A, Nzuza S, et al. Mothers' infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa. Public Health Nutr. 2009;12(11):1983-90.
Sibeko, L., Coutsoudis, A., Nzuza, S., & Gray-Donald, K. (2009). Mothers' infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa. Public Health Nutrition, 12(11), pp. 1983-90. doi:10.1017/S1368980009005199.
Sibeko L, et al. Mothers' Infant Feeding Experiences: Constraints and Supports for Optimal Feeding in an HIV-impacted Urban Community in South Africa. Public Health Nutr. 2009;12(11):1983-90. PubMed PMID: 19323863.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mothers' infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa. AU - Sibeko,Lindiwe, AU - Coutsoudis,Anna, AU - Nzuza,S'phindile, AU - Gray-Donald,Katherine, Y1 - 2009/03/27/ PY - 2009/3/28/entrez PY - 2009/3/28/pubmed PY - 2010/2/17/medline SP - 1983 EP - 90 JF - Public health nutrition JO - Public Health Nutr VL - 12 IS - 11 N2 - OBJECTIVE: To better understand the enabling and challenging factors impacting on infant feeding practices in communities with a high HIV prevalence. DESIGN: Qualitative study, with data collected through in-depth interviews and observations of mothers, in addition to discussions with health-service providers. SETTING: Urban settlement in the province of KwaZulu-Natal, South Africa. SUBJECTS: Mothers recruited from an HIV clinic and from within the community. RESULTS: Emerging from discussions with mothers on the acceptability of alternative feeding methods were the challenges they encountered in feeding their infants. Mothers readily identified feeding in the context of HIV infection as an issue of great concern, encompassing three central themes: (i) stigma and disclosure of HIV; (ii) confusion and coercion; and (iii) diarrhoea, sickness and free formula. It became evident that mothers rarely received quality infant feeding counselling and consequently mixed feeding, a widespread practice but one that is highly risky for HIV transmission, remained a common feeding practice. Exclusive breast-feeding (EBF) was best practised with support, following disclosure of HIV status. Availability of free formula did not guarantee exclusive formula feeding but instead led to inappropriate feeding practices. CONCLUSIONS: In addition to providing accurate information, health-care workers must be empowered to counsel mothers effectively, addressing issues of disclosure and thereby facilitating mobilization of maternal support networks. These findings illustrate the challenges that exist in policy translation within the context of quality of training for health-care workers on optimizing maternal infant feeding practices, particularly in HIV-prevalent, resource-poor settings. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/19323863/Mothers'_infant_feeding_experiences:_constraints_and_supports_for_optimal_feeding_in_an_HIV_impacted_urban_community_in_South_Africa_ L2 - https://www.cambridge.org/core/product/identifier/S1368980009005199/type/journal_article DB - PRIME DP - Unbound Medicine ER -