View in EDS HTML Full Text PDF Full Text

The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo.

Saved in:
Bibliographic Details
Title: The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo.
Authors: Maman, Suzanne (AUTHOR), Cathcart, Rebecca (AUTHOR), Burkhardt, Gillian (AUTHOR), Omba, Serge (AUTHOR), Thompson, Deidre (AUTHOR), Behets, Frieda (AUTHOR)
Source: AIDS Care. Feb2012, Vol. 24 Issue 2, p259-265. 7p. 2 Charts.
Subjects: HIV infection transmission, Antiviral agents, Attitude (Psychology), Breastfeeding, Infectious disease transmission, Infant nutrition, Interviewing, Public health, Research funding, Sample size (Statistics), Judgment sampling, Health literacy, Descriptive statistics, Pregnancy
Geographic Terms: Congo (Brazzaville)
Abstract: HIV transmission through breastfeeding is a significant public health challenge. While breastfeeding provides important nutrition, and results in reduced morbidity and mortality, there is a risk of HIV transmission through breastfeeding. International prevention of mother-to-child transmission (PMTCT) guidelines recommend exclusive breastfeeding for six months among HIV-infected women on antiretroviral therapy. Promoting exclusive feeding has proved difficult in settings where mixed feeding is a cultural norm. Understanding the factors that influence HIV infected women's infant feeding choices and practices is critical to promoting adherence to PMTCT guidelines. We conducted in-depth interviews with 40 HIV+ pregnant and post-partum women in Kinshasa, Democratic Republic of Congo to understand their infant feeding experiences. Interviews were conducted in Lingala, and transcribed and translated into French for analysis. Deductive and inductive codes were applied, and matrices were created to facilitate cross-case analysis. Women had limited understanding of the specific mechanisms through which their infant feeding practices influenced HIV transmission risk. Clinical staff was the primary source of women's knowledge of HIV mother-to-child-transmission. Among the 24 post-partum women in the sample, seven women adhered to exclusive breastfeeding and two women to exclusive formula feeding for at least six months. Women's beliefs and awareness about HIV transmission through breastfeeding, as well as the information and support from clinical staff and other members of their support networks positively influenced their exclusive feeding. Common barriers to exclusive feeding included financial constraints, breast health problems, misinformation about HIV transmission, local norms, and prior feeding experiences. Health care workers play a key role in providing correct information on PMTCT and supporting women's infant feeding choices to adhere to guidelines of exclusive infant feeding. Optimizing provider-patient communication and creating a supportive environment surrounding infant feeding is critical. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 70354204
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Maman%2C+Suzanne%22">Maman, Suzanne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cathcart%2C+Rebecca%22">Cathcart, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burkhardt%2C+Gillian%22">Burkhardt, Gillian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Omba%2C+Serge%22">Omba, Serge</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thompson%2C+Deidre%22">Thompson, Deidre</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Behets%2C+Frieda%22">Behets, Frieda</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Feb2012, Vol. 24 Issue 2, p259-265. 7p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HIV+infection+transmission%22">HIV infection transmission</searchLink><br /><searchLink fieldCode="DE" term="%22Antiviral+agents%22">Antiviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Breastfeeding%22">Breastfeeding</searchLink><br /><searchLink fieldCode="DE" term="%22Infectious+disease+transmission%22">Infectious disease transmission</searchLink><br /><searchLink fieldCode="DE" term="%22Infant+nutrition%22">Infant nutrition</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sample+size+%28Statistics%29%22">Sample size (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Congo+%28Brazzaville%29%22">Congo (Brazzaville)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: HIV transmission through breastfeeding is a significant public health challenge. While breastfeeding provides important nutrition, and results in reduced morbidity and mortality, there is a risk of HIV transmission through breastfeeding. International prevention of mother-to-child transmission (PMTCT) guidelines recommend exclusive breastfeeding for six months among HIV-infected women on antiretroviral therapy. Promoting exclusive feeding has proved difficult in settings where mixed feeding is a cultural norm. Understanding the factors that influence HIV infected women's infant feeding choices and practices is critical to promoting adherence to PMTCT guidelines. We conducted in-depth interviews with 40 HIV+ pregnant and post-partum women in Kinshasa, Democratic Republic of Congo to understand their infant feeding experiences. Interviews were conducted in Lingala, and transcribed and translated into French for analysis. Deductive and inductive codes were applied, and matrices were created to facilitate cross-case analysis. Women had limited understanding of the specific mechanisms through which their infant feeding practices influenced HIV transmission risk. Clinical staff was the primary source of women's knowledge of HIV mother-to-child-transmission. Among the 24 post-partum women in the sample, seven women adhered to exclusive breastfeeding and two women to exclusive formula feeding for at least six months. Women's beliefs and awareness about HIV transmission through breastfeeding, as well as the information and support from clinical staff and other members of their support networks positively influenced their exclusive feeding. Common barriers to exclusive feeding included financial constraints, breast health problems, misinformation about HIV transmission, local norms, and prior feeding experiences. Health care workers play a key role in providing correct information on PMTCT and supporting women's infant feeding choices to adhere to guidelines of exclusive infant feeding. Optimizing provider-patient communication and creating a supportive environment surrounding infant feeding is critical. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=70354204
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2011.597708
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 259
    Subjects:
      – SubjectFull: HIV infection transmission
        Type: general
      – SubjectFull: Antiviral agents
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Breastfeeding
        Type: general
      – SubjectFull: Infectious disease transmission
        Type: general
      – SubjectFull: Infant nutrition
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sample size (Statistics)
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Pregnancy
        Type: general
      – SubjectFull: Congo (Brazzaville)
        Type: general
    Titles:
      – TitleFull: The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Maman, Suzanne
      – PersonEntity:
          Name:
            NameFull: Cathcart, Rebecca
      – PersonEntity:
          Name:
            NameFull: Burkhardt, Gillian
      – PersonEntity:
          Name:
            NameFull: Omba, Serge
      – PersonEntity:
          Name:
            NameFull: Thompson, Deidre
      – PersonEntity:
          Name:
            NameFull: Behets, Frieda
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2012
              Type: published
              Y: 2012
          Identifiers:
            – Type: issn-print
              Value: 09540121
          Numbering:
            – Type: volume
              Value: 24
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: AIDS Care
              Type: main
ResultId 1