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Prevention of mother to child transmission of HIV/AIDS (PMTCT): client experience with counseling for safe infant feeding (SIF) in Voi Area Development Program, Kenya
Author(s) -
Sellen Daniel,
Wachira Chris,
Gill Zari
Publication year - 2007
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.21.5.a677-d
Subject(s) - breastfeeding , medicine , human immunodeficiency virus (hiv) , pediatrics , family medicine
To evaluate PMTCT client mother (CM) experience and practice we compared indicators for a purposive, service based sample of 30 CM and a randomized, community based sample of 181 mothers (M) with infants. Food insecurity was prevalent (58.6 vs 63.5%). More CM delivered low weight babies (37 vs 17%, p=0.014) in a facility (80 vs 25%, p<0.001) with trained care (77 vs 15%, p<0.001) and knew MTCT is preventable (59.3 vs 26.5%, p=0.001). Fewer CM reported breastfeeding (BF: 33 vs 99.4%) or exclusive BF at 3 mo (EBF: 0 vs 18.6%). Not all mothers knew of exclusive replacement feeding (ERF: 75.9 vs 61.5%) and few thought it good for infants <6 mo (27.6 vs 6.1%, p=0.001). Many thought it made problems for babies (24.1 vs 54.7%, p=0.006) or mothers (48.3 vs 30.4%). Most CM felt treated with respect (96%) and continued counseling (76%). Few received EBF (26%) or ERF (32%) advice or practiced ERF (41%; 26% ERF with commercial formula, 15% ERF with modified cow's milk). Convenience and affordability (31%), safety (24%), efficacy in PMTCT (17%) and stigma avoidance (10%) influenced their SIF choice. Community BF promotion and PMTCT counseling should address constraints on EBF and ERF. Funded by World Vision, CIHR.