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"I did not feel like a mother": the success and remaining challenges to exclusive formula feeding among HIV-positive women in Brazil.
AIDS Care. 2013; 25(6):726-31.AC

Abstract

Exclusive and safe formula feeding can eliminate the risk of vertical HIV transmission due to breastfeeding. Therefore, many countries advise all HIV-positive women to avoid breastfeeding their infants. However, little research explores the experiences of women attempting to exclusively formula feed in countries with free and universal access to highly active antiretroviral therapy (HAART). This article examines the success of Brazil in supporting HIV-positive women as engage in exclusive formula feeding (EFF). We conducted in-depth interviews with 30 HIV-positive women receiving care at the primary facility for HIV/AIDS in Salvador, Brazil about their attitudes and practices related to EFF as well as challenges with adhering to EFF. All interviews were recorded, professionally transcribed and translated, and then analyzed. Our results showed that one woman reported both breastfeeding and formula feeding her infant; all others reported EFF. Postpartum counseling regarding the risk of HIV transmission through breastfeeding was the primary motivation for EFF. Challenges included difficulty reconciling their perceptions that breastfeeding is an important maternal responsibility, trouble accepting that breastfeeding can cause potential to harm their infants, confronting HIV-related stigma associated with EFF, and unexpected financial burdens due to EFF. We conclude that HIV-positive women adhered to national guidelines recommending EFF; this phenomenon has likely contributed to declining rates of vertical transmission in Brazil. Despite this success, many women experienced challenges with EFF. Greater support services may enhance Brazil's success in empowering HIV-positive women and eliminating vertical HIV transmission via breastfeeding.

Authors+Show Affiliations

Division of Infectious Diseases, Miriam Hospital, Alpert Medical School of Brown University, Providence, RI, USA. sarah_maccarthy@brown.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23711175

Citation

MacCarthy, Sarah, et al. ""I Did Not Feel Like a Mother": the Success and Remaining Challenges to Exclusive Formula Feeding Among HIV-positive Women in Brazil." AIDS Care, vol. 25, no. 6, 2013, pp. 726-31.
MacCarthy S, Rasanathan JJ, Nunn A, et al. "I did not feel like a mother": the success and remaining challenges to exclusive formula feeding among HIV-positive women in Brazil. AIDS Care. 2013;25(6):726-31.
MacCarthy, S., Rasanathan, J. J., Nunn, A., & Dourado, I. (2013). "I did not feel like a mother": the success and remaining challenges to exclusive formula feeding among HIV-positive women in Brazil. AIDS Care, 25(6), 726-31. https://doi.org/10.1080/09540121.2013.793274
MacCarthy S, et al. "I Did Not Feel Like a Mother": the Success and Remaining Challenges to Exclusive Formula Feeding Among HIV-positive Women in Brazil. AIDS Care. 2013;25(6):726-31. PubMed PMID: 23711175.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - "I did not feel like a mother": the success and remaining challenges to exclusive formula feeding among HIV-positive women in Brazil. AU - MacCarthy,Sarah, AU - Rasanathan,Jennifer J K, AU - Nunn,Amy, AU - Dourado,Ines, PY - 2013/5/29/entrez PY - 2013/5/29/pubmed PY - 2015/4/4/medline SP - 726 EP - 31 JF - AIDS care JO - AIDS Care VL - 25 IS - 6 N2 - Exclusive and safe formula feeding can eliminate the risk of vertical HIV transmission due to breastfeeding. Therefore, many countries advise all HIV-positive women to avoid breastfeeding their infants. However, little research explores the experiences of women attempting to exclusively formula feed in countries with free and universal access to highly active antiretroviral therapy (HAART). This article examines the success of Brazil in supporting HIV-positive women as engage in exclusive formula feeding (EFF). We conducted in-depth interviews with 30 HIV-positive women receiving care at the primary facility for HIV/AIDS in Salvador, Brazil about their attitudes and practices related to EFF as well as challenges with adhering to EFF. All interviews were recorded, professionally transcribed and translated, and then analyzed. Our results showed that one woman reported both breastfeeding and formula feeding her infant; all others reported EFF. Postpartum counseling regarding the risk of HIV transmission through breastfeeding was the primary motivation for EFF. Challenges included difficulty reconciling their perceptions that breastfeeding is an important maternal responsibility, trouble accepting that breastfeeding can cause potential to harm their infants, confronting HIV-related stigma associated with EFF, and unexpected financial burdens due to EFF. We conclude that HIV-positive women adhered to national guidelines recommending EFF; this phenomenon has likely contributed to declining rates of vertical transmission in Brazil. Despite this success, many women experienced challenges with EFF. Greater support services may enhance Brazil's success in empowering HIV-positive women and eliminating vertical HIV transmission via breastfeeding. SN - 1360-0451 UR - https://www.unboundmedicine.com/medline/citation/23711175/"I_did_not_feel_like_a_mother":_the_success_and_remaining_challenges_to_exclusive_formula_feeding_among_HIV_positive_women_in_Brazil_ L2 - http://www.tandfonline.com/doi/full/10.1080/09540121.2013.793274 DB - PRIME DP - Unbound Medicine ER -