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The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo.
AIDS Care 2012; 24(2):259-65AC

Abstract

HIV transmission through breastfeeding is a significant public health challenge. While breastfeeding provides important nutrition, and results in reduced morbidity and mortality, there is a risk of HIV transmission through breastfeeding. International prevention of mother-to-child transmission (PMTCT) guidelines recommend exclusive breastfeeding for six months among HIV-infected women on antiretroviral therapy. Promoting exclusive feeding has proved difficult in settings where mixed feeding is a cultural norm. Understanding the factors that influence HIV infected women's infant feeding choices and practices is critical to promoting adherence to PMTCT guidelines. We conducted in-depth interviews with 40 HIV+ pregnant and post-partum women in Kinshasa, Democratic Republic of Congo to understand their infant feeding experiences. Interviews were conducted in Lingala, and transcribed and translated into French for analysis. Deductive and inductive codes were applied, and matrices were created to facilitate cross-case analysis. Women had limited understanding of the specific mechanisms through which their infant feeding practices influenced HIV transmission risk. Clinical staff was the primary source of women's knowledge of HIV mother-to-child-transmission. Among the 24 post-partum women in the sample, seven women adhered to exclusive breastfeeding and two women to exclusive formula feeding for at least six months. Women's beliefs and awareness about HIV transmission through breastfeeding, as well as the information and support from clinical staff and other members of their support networks positively influenced their exclusive feeding. Common barriers to exclusive feeding included financial constraints, breast health problems, misinformation about HIV transmission, local norms, and prior feeding experiences. Health care workers play a key role in providing correct information on PMTCT and supporting women's infant feeding choices to adhere to guidelines of exclusive infant feeding. Optimizing provider-patient communication and creating a supportive environment surrounding infant feeding is critical.

Authors+Show Affiliations

Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC, USA. smaman@unc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21780955

Citation

Maman, Suzanne, et al. "The Infant Feeding Choices and Experiences of Women Living With HIV in Kinshasa, Democratic Republic of Congo." AIDS Care, vol. 24, no. 2, 2012, pp. 259-65.
Maman S, Cathcart R, Burkhardt G, et al. The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo. AIDS Care. 2012;24(2):259-65.
Maman, S., Cathcart, R., Burkhardt, G., Omba, S., Thompson, D., & Behets, F. (2012). The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo. AIDS Care, 24(2), pp. 259-65. doi:10.1080/09540121.2011.597708.
Maman S, et al. The Infant Feeding Choices and Experiences of Women Living With HIV in Kinshasa, Democratic Republic of Congo. AIDS Care. 2012;24(2):259-65. PubMed PMID: 21780955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo. AU - Maman,Suzanne, AU - Cathcart,Rebecca, AU - Burkhardt,Gillian, AU - Omba,Serge, AU - Thompson,Deidre, AU - Behets,Frieda, Y1 - 2011/07/25/ PY - 2011/7/26/entrez PY - 2011/7/26/pubmed PY - 2012/5/10/medline SP - 259 EP - 65 JF - AIDS care JO - AIDS Care VL - 24 IS - 2 N2 - HIV transmission through breastfeeding is a significant public health challenge. While breastfeeding provides important nutrition, and results in reduced morbidity and mortality, there is a risk of HIV transmission through breastfeeding. International prevention of mother-to-child transmission (PMTCT) guidelines recommend exclusive breastfeeding for six months among HIV-infected women on antiretroviral therapy. Promoting exclusive feeding has proved difficult in settings where mixed feeding is a cultural norm. Understanding the factors that influence HIV infected women's infant feeding choices and practices is critical to promoting adherence to PMTCT guidelines. We conducted in-depth interviews with 40 HIV+ pregnant and post-partum women in Kinshasa, Democratic Republic of Congo to understand their infant feeding experiences. Interviews were conducted in Lingala, and transcribed and translated into French for analysis. Deductive and inductive codes were applied, and matrices were created to facilitate cross-case analysis. Women had limited understanding of the specific mechanisms through which their infant feeding practices influenced HIV transmission risk. Clinical staff was the primary source of women's knowledge of HIV mother-to-child-transmission. Among the 24 post-partum women in the sample, seven women adhered to exclusive breastfeeding and two women to exclusive formula feeding for at least six months. Women's beliefs and awareness about HIV transmission through breastfeeding, as well as the information and support from clinical staff and other members of their support networks positively influenced their exclusive feeding. Common barriers to exclusive feeding included financial constraints, breast health problems, misinformation about HIV transmission, local norms, and prior feeding experiences. Health care workers play a key role in providing correct information on PMTCT and supporting women's infant feeding choices to adhere to guidelines of exclusive infant feeding. Optimizing provider-patient communication and creating a supportive environment surrounding infant feeding is critical. SN - 1360-0451 UR - https://www.unboundmedicine.com/medline/citation/21780955/The_infant_feeding_choices_and_experiences_of_women_living_with_HIV_in_Kinshasa_Democratic_Republic_of_Congo_ L2 - http://www.tandfonline.com/doi/full/10.1080/09540121.2011.597708 DB - PRIME DP - Unbound Medicine ER -