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Exclusive breastfeeding and HIV/AIDS: a crossectional survey of mothers attending prevention of mother-to-child transmission of HIV clinics in southwestern Nigeria.
Pan Afr Med J 2015; 21:309PA

Abstract

INTRODUCTION

Prevention of Mother-To-Child-Transmission (PMTCT) of Human Immunodeficiency Virus (HIV) guideline recommends replacement feeding where it is acceptable, feasible, affordable, sustainable and safe. Where this is un-achievable, exclusive breastfeeding (EBF) is recommended during the first six months of life.

METHODS

A hospital-based cross-sectional study was conducted among 600 HIV-positive using a two-stage sampling technique. Data on socio-demographics, infant feeding choice and factors influencing these choices were collected using semi-structured questionnaires.

RESULTS

Majority of the mothers (86.0%) were married and aged 31.0 ± 5.7 years. Slightly above half (53.0%) had ≤2 children and more than two-third had disclosed their HIV status to their spouses. About two-third (61.0%) were traders with 75.0% earning monthly income ≤N5,000.00k. Half of the mothers had ≥4 antenatal care visits and 85.0% had infant feeding counselling. Infant feeding choices among the mothers were EBF (61.0%), ERF (26.0%) and MF (13.0%). The choice of EBF was influenced by spouse influence (84.0%), family influence (81.0%) and fear of stigmatisation (53.0%). Predictors of EBF were; monthly income (AOR = 2.6, C.I. =1.4-4.5), infant feeding counselling (AOR = 2.7, C.I. = 1.6-6.9) and fear of stigmatisation (AOR = 7. 2, C.I. = 2.1-23.6).

CONCLUSION

HIV positive mothers are faced with multiple challenges as they strive to practice exclusive breastfeeding. More extensive and comprehensive approach of infant feeding counseling with emphasis on behavioural change programmes in the context of HIV/AIDS within communities is advocated.

Authors+Show Affiliations

Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria ; Department of Community Medicine, LAUTECH Teaching Hospital, Osogbo, Osun State, Nigeria.Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria ; Department of Epidemiology and Medical statistics, University of Ibadan, Oyo State, Nigeria.Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria ; Department of Epidemiology and Medical statistics, University of Ibadan, Oyo State, Nigeria.

Pub Type(s)

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

Language

eng

PubMed ID

26587157

Citation

Aishat, Usman, et al. "Exclusive Breastfeeding and HIV/AIDS: a Crossectional Survey of Mothers Attending Prevention of Mother-to-child Transmission of HIV Clinics in Southwestern Nigeria." The Pan African Medical Journal, vol. 21, 2015, p. 309.
Aishat U, David D, Olufunmilayo F. Exclusive breastfeeding and HIV/AIDS: a crossectional survey of mothers attending prevention of mother-to-child transmission of HIV clinics in southwestern Nigeria. Pan Afr Med J. 2015;21:309.
Aishat, U., David, D., & Olufunmilayo, F. (2015). Exclusive breastfeeding and HIV/AIDS: a crossectional survey of mothers attending prevention of mother-to-child transmission of HIV clinics in southwestern Nigeria. The Pan African Medical Journal, 21, p. 309. doi:10.11604/pamj.2015.21.309.6498.
Aishat U, David D, Olufunmilayo F. Exclusive Breastfeeding and HIV/AIDS: a Crossectional Survey of Mothers Attending Prevention of Mother-to-child Transmission of HIV Clinics in Southwestern Nigeria. Pan Afr Med J. 2015;21:309. PubMed PMID: 26587157.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exclusive breastfeeding and HIV/AIDS: a crossectional survey of mothers attending prevention of mother-to-child transmission of HIV clinics in southwestern Nigeria. AU - Aishat,Usman, AU - David,Dairo, AU - Olufunmilayo,Fawole, Y1 - 2015/08/27/ PY - 2015/03/06/received PY - 2015/07/29/accepted PY - 2015/11/21/entrez PY - 2015/11/21/pubmed PY - 2016/6/18/medline KW - HIV clinics KW - Mother-to-child transmission KW - exclusive breastfeeding SP - 309 EP - 309 JF - The Pan African medical journal JO - Pan Afr Med J VL - 21 N2 - INTRODUCTION: Prevention of Mother-To-Child-Transmission (PMTCT) of Human Immunodeficiency Virus (HIV) guideline recommends replacement feeding where it is acceptable, feasible, affordable, sustainable and safe. Where this is un-achievable, exclusive breastfeeding (EBF) is recommended during the first six months of life. METHODS: A hospital-based cross-sectional study was conducted among 600 HIV-positive using a two-stage sampling technique. Data on socio-demographics, infant feeding choice and factors influencing these choices were collected using semi-structured questionnaires. RESULTS: Majority of the mothers (86.0%) were married and aged 31.0 ± 5.7 years. Slightly above half (53.0%) had ≤2 children and more than two-third had disclosed their HIV status to their spouses. About two-third (61.0%) were traders with 75.0% earning monthly income ≤N5,000.00k. Half of the mothers had ≥4 antenatal care visits and 85.0% had infant feeding counselling. Infant feeding choices among the mothers were EBF (61.0%), ERF (26.0%) and MF (13.0%). The choice of EBF was influenced by spouse influence (84.0%), family influence (81.0%) and fear of stigmatisation (53.0%). Predictors of EBF were; monthly income (AOR = 2.6, C.I. =1.4-4.5), infant feeding counselling (AOR = 2.7, C.I. = 1.6-6.9) and fear of stigmatisation (AOR = 7. 2, C.I. = 2.1-23.6). CONCLUSION: HIV positive mothers are faced with multiple challenges as they strive to practice exclusive breastfeeding. More extensive and comprehensive approach of infant feeding counseling with emphasis on behavioural change programmes in the context of HIV/AIDS within communities is advocated. SN - 1937-8688 UR - https://www.unboundmedicine.com/medline/citation/26587157/Exclusive_breastfeeding_and_HIV/AIDS:_a_crossectional_survey_of_mothers_attending_prevention_of_mother_to_child_transmission_of_HIV_clinics_in_southwestern_Nigeria_ DB - PRIME DP - Unbound Medicine ER -