Tags

Type your tag names separated by a space and hit enter

Acceptability and feasibility of infant-feeding options: experiences of HIV-infected mothers in the World Health Organization Kesho Bora mother-to-child transmission prevention (PMTCT) trial in Burkina Faso.
Matern Child Nutr 2010; 6(3):253-65MC

Abstract

In Burkina Faso, prolonged breastfeeding with introduction of ritual fluids from birth is a deep-seated norm. We explored HIV-infected mothers' views and experiences of the acceptability and feasibility of the World Health Organization's recommended infant-feeding options within a mother-to-child-transmission prevention trial. A qualitative study was conducted on 17 formula-feeding and 19 breastfeeding mothers, from a larger cohort of 51 eligible HIV-infected women, consenting to participate in separate focus group discussions in early post-partum. Mothers opted for breastfeeding essentially out of fear of family rejection. Most of them were afraid of denigration for disrespecting tradition if they formula-fed or being suspected of HIV infection. Achieving exclusive breastfeeding remained a difficult challenge as they engaged in a continuous struggle with close elders to avoid fluid feeding. Additional stress and fatigue were fed by their perception of a high transmission risk through breast milk. Exclusive formula-feeding seemed easier to implement, especially as formula was provided free of charge. Formula-feeding mothers more frequently had a supportive partner, a strong personality and lived in better socio-economic conditions than breastfeeding mothers (76% had education and electricity supply vs. 42%, respectively). Exclusive breastfeeding for the first 6 months remains the most appropriate option for many HIV-infected mothers in sub-Saharan Africa. Its acceptability and feasibility urgently need to be improved by promoting it as the best feeding option for all infants. Other crucial interventions are the promotion of voluntary counselling and testing for couples, and greater partner involvement in infant-feeding counselling.

Authors+Show Affiliations

IRD, Montpellier, France. cecile.cames@ird.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

20929497

Citation

Cames, Cécile, et al. "Acceptability and Feasibility of Infant-feeding Options: Experiences of HIV-infected Mothers in the World Health Organization Kesho Bora Mother-to-child Transmission Prevention (PMTCT) Trial in Burkina Faso." Maternal & Child Nutrition, vol. 6, no. 3, 2010, pp. 253-65.
Cames C, Saher A, Ayassou KA, et al. Acceptability and feasibility of infant-feeding options: experiences of HIV-infected mothers in the World Health Organization Kesho Bora mother-to-child transmission prevention (PMTCT) trial in Burkina Faso. Matern Child Nutr. 2010;6(3):253-65.
Cames, C., Saher, A., Ayassou, K. A., Cournil, A., Meda, N., & Simondon, K. B. (2010). Acceptability and feasibility of infant-feeding options: experiences of HIV-infected mothers in the World Health Organization Kesho Bora mother-to-child transmission prevention (PMTCT) trial in Burkina Faso. Maternal & Child Nutrition, 6(3), pp. 253-65. doi:10.1111/j.1740-8709.2009.00201.x.
Cames C, et al. Acceptability and Feasibility of Infant-feeding Options: Experiences of HIV-infected Mothers in the World Health Organization Kesho Bora Mother-to-child Transmission Prevention (PMTCT) Trial in Burkina Faso. Matern Child Nutr. 2010 Jul 1;6(3):253-65. PubMed PMID: 20929497.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acceptability and feasibility of infant-feeding options: experiences of HIV-infected mothers in the World Health Organization Kesho Bora mother-to-child transmission prevention (PMTCT) trial in Burkina Faso. AU - Cames,Cécile, AU - Saher,Aisha, AU - Ayassou,Kossiwavi A, AU - Cournil,Amandine, AU - Meda,Nicolas, AU - Simondon,Kirsten Bork, PY - 2010/10/9/entrez PY - 2010/10/12/pubmed PY - 2010/12/14/medline SP - 253 EP - 65 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 6 IS - 3 N2 - In Burkina Faso, prolonged breastfeeding with introduction of ritual fluids from birth is a deep-seated norm. We explored HIV-infected mothers' views and experiences of the acceptability and feasibility of the World Health Organization's recommended infant-feeding options within a mother-to-child-transmission prevention trial. A qualitative study was conducted on 17 formula-feeding and 19 breastfeeding mothers, from a larger cohort of 51 eligible HIV-infected women, consenting to participate in separate focus group discussions in early post-partum. Mothers opted for breastfeeding essentially out of fear of family rejection. Most of them were afraid of denigration for disrespecting tradition if they formula-fed or being suspected of HIV infection. Achieving exclusive breastfeeding remained a difficult challenge as they engaged in a continuous struggle with close elders to avoid fluid feeding. Additional stress and fatigue were fed by their perception of a high transmission risk through breast milk. Exclusive formula-feeding seemed easier to implement, especially as formula was provided free of charge. Formula-feeding mothers more frequently had a supportive partner, a strong personality and lived in better socio-economic conditions than breastfeeding mothers (76% had education and electricity supply vs. 42%, respectively). Exclusive breastfeeding for the first 6 months remains the most appropriate option for many HIV-infected mothers in sub-Saharan Africa. Its acceptability and feasibility urgently need to be improved by promoting it as the best feeding option for all infants. Other crucial interventions are the promotion of voluntary counselling and testing for couples, and greater partner involvement in infant-feeding counselling. SN - 1740-8709 UR - https://www.unboundmedicine.com/medline/citation/20929497/Acceptability_and_feasibility_of_infant_feeding_options:_experiences_of_HIV_infected_mothers_in_the_World_Health_Organization_Kesho_Bora_mother_to_child_transmission_prevention__PMTCT__trial_in_Burkina_Faso_ L2 - https://doi.org/10.1111/j.1740-8709.2009.00201.x DB - PRIME DP - Unbound Medicine ER -