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Barriers to implementing WHO's exclusive breastfeeding policy for women living with HIV in sub-Saharan Africa: an exploration of ideas, interests and institutions.
Int J Health Plann Manage 2013 Jul-Sep; 28(3):257-68IJ

Abstract

The vertical transmission of HIV occurs when an HIV-positive woman passes the virus to her baby during pregnancy, delivery or breastfeeding. The World Health Organization's (WHO) Guidelines on HIV and infant feeding 2010 recommends exclusive breastfeeding for HIV-positive mothers in resource-limited settings. Although evidence shows that following this strategy will dramatically reduce vertical transmission of HIV, full implementation of the WHO Guidelines has been severely limited in sub-Saharan Africa. This paper provides an analysis of the role of ideas, interests and institutions in establishing barriers to the effective implementation of these guidelines by reviewing efforts to implement prevention of vertical transmission programs in various sub-Saharan countries. Findings suggest that WHO Guidelines on preventing vertical transmission of HIV through exclusive breastfeeding in resource-limited settings are not being translated into action by governments and front-line workers because of a variety of structural and ideological barriers. Identifying and understanding the role played by ideas, interests and institutions is essential to overcoming barriers to guideline implementation.

Authors+Show Affiliations

Global Health Program, McMaster University, Hamilton, Ontario, Canada.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22945334

Citation

Eamer, Gwendolen G., and Glen E. Randall. "Barriers to Implementing WHO's Exclusive Breastfeeding Policy for Women Living With HIV in sub-Saharan Africa: an Exploration of Ideas, Interests and Institutions." The International Journal of Health Planning and Management, vol. 28, no. 3, 2013, pp. 257-68.
Eamer GG, Randall GE. Barriers to implementing WHO's exclusive breastfeeding policy for women living with HIV in sub-Saharan Africa: an exploration of ideas, interests and institutions. Int J Health Plann Manage. 2013;28(3):257-68.
Eamer, G. G., & Randall, G. E. (2013). Barriers to implementing WHO's exclusive breastfeeding policy for women living with HIV in sub-Saharan Africa: an exploration of ideas, interests and institutions. The International Journal of Health Planning and Management, 28(3), pp. 257-68. doi:10.1002/hpm.2139.
Eamer GG, Randall GE. Barriers to Implementing WHO's Exclusive Breastfeeding Policy for Women Living With HIV in sub-Saharan Africa: an Exploration of Ideas, Interests and Institutions. Int J Health Plann Manage. 2013;28(3):257-68. PubMed PMID: 22945334.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Barriers to implementing WHO's exclusive breastfeeding policy for women living with HIV in sub-Saharan Africa: an exploration of ideas, interests and institutions. AU - Eamer,Gwendolen G, AU - Randall,Glen E, Y1 - 2012/09/03/ PY - 2011/09/12/received PY - 2012/04/11/revised PY - 2012/08/10/accepted PY - 2012/9/5/entrez PY - 2012/9/5/pubmed PY - 2014/6/7/medline KW - breastfeeding KW - health policy KW - sub-Saharan Africa KW - vertical HIV transmission SP - 257 EP - 68 JF - The International journal of health planning and management JO - Int J Health Plann Manage VL - 28 IS - 3 N2 - The vertical transmission of HIV occurs when an HIV-positive woman passes the virus to her baby during pregnancy, delivery or breastfeeding. The World Health Organization's (WHO) Guidelines on HIV and infant feeding 2010 recommends exclusive breastfeeding for HIV-positive mothers in resource-limited settings. Although evidence shows that following this strategy will dramatically reduce vertical transmission of HIV, full implementation of the WHO Guidelines has been severely limited in sub-Saharan Africa. This paper provides an analysis of the role of ideas, interests and institutions in establishing barriers to the effective implementation of these guidelines by reviewing efforts to implement prevention of vertical transmission programs in various sub-Saharan countries. Findings suggest that WHO Guidelines on preventing vertical transmission of HIV through exclusive breastfeeding in resource-limited settings are not being translated into action by governments and front-line workers because of a variety of structural and ideological barriers. Identifying and understanding the role played by ideas, interests and institutions is essential to overcoming barriers to guideline implementation. SN - 1099-1751 UR - https://www.unboundmedicine.com/medline/citation/22945334/Barriers_to_implementing_WHO's_exclusive_breastfeeding_policy_for_women_living_with_HIV_in_sub_Saharan_Africa:_an_exploration_of_ideas_interests_and_institutions_ L2 - https://doi.org/10.1002/hpm.2139 DB - PRIME DP - Unbound Medicine ER -