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Breastfeeding practices of HIV-positive and HIV-negative women in Kabarole district, Uganda.
Matern Child Nutr 2011; 7(4):378-88MC

Abstract

Ugandan policy regarding infant feeding for HIV-positive mothers is replacement feeding (RF), if feasible; otherwise, exclusive breastfeeding (EBF) for 3 months is advised (or EBF for 6 months, if RF is still not feasible). HIV-negative mothers should practise EBF for 6 months. The study objective was to explore the association between maternal HIV status and breastfeeding practices in Kabarole, Uganda. Data were collected from questionnaires administered at home to 182 women (44 HIV-positive and 138 HIV-negative) 3 months post-partum and from medical charts. The HIV-negative women were matched on delivery date to HIV-positive women at a ratio of 3:1. Interviewers were blinded to HIV status. There was no statistically significant association between adherence to Ugandan national feeding guidelines and maternal HIV status in bivariate analysis [odds ratio (OR) = 1.52; confidence interval (CI): 0.76-3.04]. Multivariate analyses showed a significant association between adherence to feeding guidelines and child illness (OR = 0.40; CI: 0.21-0.79) and between adherence to feeding guidelines and rural residence in Burahya county (OR = 2.43; CI: 1.15-5.13). Many mothers do not follow the feeding guidelines for HIV infection. This region-specific information on breastfeeding practice determinants will be used to inform local Prevention of Mother-to-Child Transmission (PMTCT) programmes. The nature of the association between child illness and EBF should be further explored.

Authors+Show Affiliations

University of Alberta, School of Public Health, 3-50 University Terrace, 8303-112 Street, Edmonton, Alberta, Canada. esmelanktree@yahoo.caNo 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

21108737

Citation

Lanktree, Esmé, et al. "Breastfeeding Practices of HIV-positive and HIV-negative Women in Kabarole District, Uganda." Maternal & Child Nutrition, vol. 7, no. 4, 2011, pp. 378-88.
Lanktree E, Ssebuko A, Alibhai A, et al. Breastfeeding practices of HIV-positive and HIV-negative women in Kabarole district, Uganda. Matern Child Nutr. 2011;7(4):378-88.
Lanktree, E., Ssebuko, A., Alibhai, A., Jhangri, G., Kipp, W., & Saunders, L. D. (2011). Breastfeeding practices of HIV-positive and HIV-negative women in Kabarole district, Uganda. Maternal & Child Nutrition, 7(4), pp. 378-88. doi:10.1111/j.1740-8709.2010.00245.x.
Lanktree E, et al. Breastfeeding Practices of HIV-positive and HIV-negative Women in Kabarole District, Uganda. Matern Child Nutr. 2011;7(4):378-88. PubMed PMID: 21108737.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breastfeeding practices of HIV-positive and HIV-negative women in Kabarole district, Uganda. AU - Lanktree,Esmé, AU - Ssebuko,Arthur, AU - Alibhai,Arif, AU - Jhangri,Gian, AU - Kipp,Walter, AU - Saunders,L Duncan, Y1 - 2010/05/07/ PY - 2010/11/27/entrez PY - 2010/11/27/pubmed PY - 2012/1/13/medline SP - 378 EP - 88 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 7 IS - 4 N2 - Ugandan policy regarding infant feeding for HIV-positive mothers is replacement feeding (RF), if feasible; otherwise, exclusive breastfeeding (EBF) for 3 months is advised (or EBF for 6 months, if RF is still not feasible). HIV-negative mothers should practise EBF for 6 months. The study objective was to explore the association between maternal HIV status and breastfeeding practices in Kabarole, Uganda. Data were collected from questionnaires administered at home to 182 women (44 HIV-positive and 138 HIV-negative) 3 months post-partum and from medical charts. The HIV-negative women were matched on delivery date to HIV-positive women at a ratio of 3:1. Interviewers were blinded to HIV status. There was no statistically significant association between adherence to Ugandan national feeding guidelines and maternal HIV status in bivariate analysis [odds ratio (OR) = 1.52; confidence interval (CI): 0.76-3.04]. Multivariate analyses showed a significant association between adherence to feeding guidelines and child illness (OR = 0.40; CI: 0.21-0.79) and between adherence to feeding guidelines and rural residence in Burahya county (OR = 2.43; CI: 1.15-5.13). Many mothers do not follow the feeding guidelines for HIV infection. This region-specific information on breastfeeding practice determinants will be used to inform local Prevention of Mother-to-Child Transmission (PMTCT) programmes. The nature of the association between child illness and EBF should be further explored. SN - 1740-8709 UR - https://www.unboundmedicine.com/medline/citation/21108737/Breastfeeding_practices_of_HIV_positive_and_HIV_negative_women_in_Kabarole_district_Uganda_ L2 - https://doi.org/10.1111/j.1740-8709.2010.00245.x DB - PRIME DP - Unbound Medicine ER -