The Acceptance and Feasibility of Replacement Feeding at 6 Months as an HIV Prevention Method in Lilongwe, Malawi: Results from the BAN Study
Journal Article
Parker, Megan E.
Bentley, Margaret E.
Chasela, Charles S.
Adair, Linda S.
Piwoz, Ellen G.
Jamieson, Denise J.
Ellington, Sascha
Kayira, Dumbani
Soko, Alice
Mkomawanthu, Chimwemwe
Tembo, Martin
Martinson, Francis
van der Horst, Charles M.
2011
AIDS Education and Prevention
23
3
281-95
10.1521/aeap.2011.23.3.281
PMC3197736
5007
International guidelines recommend EBF to age 6 months among HIV-infected mothers choosing to breast-feed and cessation thereafter if replacement feeding is acceptable, feasible, affordable, sustainable, and safe. When mothers wean, they are challenged to provide an adequate replacement diet. This study investigates the use and acceptability of a lipid-based nutrient supplement (LNS) as a breast-milk substitute when provided to infants (6-12mo) of HIV-positive mothers, as part of the Breast-feeding, Antiretroviral, and Nutrition (BAN) Study. A sub-sample of mothers (n = 45) participated in interviews that explored EBF, weaning, and strategies to feed LNS. Mothers reported several weaning strategies, including gradual reduction of breast-feeding, expressing breast-milk into a cup, and separation of mother and child. LNS, a peanut-based micronutrient fortified paste, was highly accepted and incorporated into the traditional diet. Weaning is a feasible HIV prevention method among this population in Malawi when supported by the provision of LNS as a breast-milk substitute.
Sexual Behavior, Contraceptive Use, and Reproductive Health
5007.ris
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