Differences between international recommendations on breastfeeding in the presence of HIV and the attitudes and counselling messages of health workers in Lilongwe, Malawi Public Deposited

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Creator
  • Bentley, Margaret
  • Corneli, Amy L
  • Ahmed, Yusuf
    • Other Affiliation: US Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, Georgia, 30333, USA
  • Piwoz, Ellen G
    • Other Affiliation: Academy for Educational Development, 1875 Connecticut Ave, NW, Washington, DC, 20009, USA
  • Tohill, Beth
    • Other Affiliation: US Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, Georgia, 30333, USA
  • Kazembe, Peter
    • Other Affiliation: Kamuzu Central Hospital, Lilongwe, Malawi
  • Moses, Agnes
    • Other Affiliation: UNC Project, Private Bag A-106, Lilongwe, Malawi
  • Jamieson, Denise J
    • Other Affiliation: US Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, Georgia, 30333, USA
  • Mtimuni, Beatrice
    • Other Affiliation: Bunda College of Agriculture, Bunda, Malawi
  • van der Horst, Charles
  • Nkhoma, Jacqueline
    • Other Affiliation: UNC Project, Private Bag A-106, Lilongwe, Malawi
  • Ferguson, Yvonne
Abstract
  • Abstract Background To prevent postnatal transmission of HIV in settings where safe alternatives to breastfeeding are unavailable, the World Health Organization (WHO) recommends exclusive breastfeeding followed by early, rapid cessation of breastfeeding. Only limited data are available on the attitudes of health workers toward this recommendation and the impact of these attitudes on infant feeding counselling messages given to mothers. Methods As part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) clinical trial, we carried out an in-depth qualitative study of the attitudes, beliefs, and counselling messages of 19 health workers in Lilongwe, Malawi. Results Although none of the workers had received formal training, several reported having counseled HIV-positive mothers about infant feeding. Health workers with counselling experience believed that HIV-infected mothers should breastfeed exclusively, rather than infant formula feed, citing poverty as the primary reason. Because of high levels of malnutrition, all the workers had concerns about early cessation of breastfeeding. Conclusion Important differences were observed between the WHO recommendations and the attitudes and practices of the health workers. Understanding these differences is important for designing effective interventions.
Date of publication
Identifier
  • 16722580
  • doi:10.1186/1746-4358-1-2
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Ellen G Piwoz et al.; licensee BioMed Central Ltd.
License
Journal title
  • International Breastfeeding Journal
Journal volume
  • 1
Journal issue
  • 1
Page start
  • 2
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1746-4358
Bibliographic citation
  • International Breastfeeding Journal. 2006 Mar 09;1(1):2
Access
  • Open Access
Publisher
  • BioMed Central Ltd
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