Journal article
EVALUATING NURSES' IMPLEMENTATION OF AN INFANT FEEDING COUNSELING PROTOCOL FOR HIV-INFECTED MOTHERS: THE BAN STUDY IN LILONGWE, MALAWI
AIDS education and prevention, Vol.21(2), pp.141-155
04/01/2009
DOI: 10.1521/aeap.2009.21.2.141
PMCID: PMC2903193
PMID: 19397436
Abstract
A process evaluation of nurses' implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study's outcomes.
Details
- Title: Subtitle
- EVALUATING NURSES' IMPLEMENTATION OF AN INFANT FEEDING COUNSELING PROTOCOL FOR HIV-INFECTED MOTHERS: THE BAN STUDY IN LILONGWE, MALAWI
- Creators
- Yvonne Owens Ferguson - Univ N Carolina, Chapel Hill, NC USAEugenia Eng - Univ N Carolina, Chapel Hill, NC USAMargaret Bentley - Univ N Carolina, Chapel Hill, NC USAMargarete Sandelowski - Univ N Carolina, Chapel Hill, NC USAAllan Steckler - Univ N Carolina, Chapel Hill, NC USAElizabeth Randall-David - Univ N Carolina, Chapel Hill, NC USAEllen G. Piwoz - Acad Educ Dev, Washington, DC USACynthia Zulu - UNC Project, Lilongwe, MalawiCharles Chasela - UNC Project, Lilongwe, MalawiAlice Soko - UNC Project, Lilongwe, MalawiMartin Tembo - UNC Project, Lilongwe, MalawiFrancis Martinson - UNC Project, Lilongwe, MalawiBeth Carlton Tohill - US Ctr Dis Control & Prevent, Atlanta, GA 30333 USAYusuf Ahmed - US Ctr Dis Control & Prevent, Atlanta, GA 30333 USAPeter Kazembe - Kamuzu Cent Hosp, Lilongwe, MalawiDenise J. Jamieson - US Ctr Dis Control & Prevent, Atlanta, GA 30333 USACharles van der Horst - Univ N Carolina, Chapel Hill, NC USAUNC Project BAN Study Team
- Resource Type
- Journal article
- Publication Details
- AIDS education and prevention, Vol.21(2), pp.141-155
- DOI
- 10.1521/aeap.2009.21.2.141
- PMID
- 19397436
- PMCID
- PMC2903193
- NLM abbreviation
- AIDS Educ Prev
- ISSN
- 0899-9546
- eISSN
- 1943-2755
- Publisher
- Guilford Publications Inc
- Number of pages
- 15
- Grant note
- U48DP000059 / NATIONAL CENTER FOR CHRONIC DISEASE PREV AND HEALTH PROMO; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA D43TW001039 / FOGARTY INTERNATIONAL CENTER; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Fogarty International Center (FIC) P30AI050410 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID) R24HD050924 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) F31HD043705 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Language
- English
- Date published
- 04/01/2009
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446422702771
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