The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study

Megan E. Parker; Margaret E. Bentley; Charles Chasela; Linda Adair; Ellen G. Piwoz; Denise J. Jamieson; Sascha Ellington; Dumbani Kayira; Alice Soko; Chimwemwe Mkhomawanthu; Martin Tembo; Francis Martinson; Charles M. van der Horst

doi:10.1521/aeap.2011.23.3.281

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The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study

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The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study

Megan E. Parker, Margaret E. Bentley, Charles Chasela, Linda Adair, Ellen G. Piwoz, Denise J. Jamieson, Sascha Ellington, Dumbani Kayira, Alice Soko, Chimwemwe Mkhomawanthu, …

AIDS education and prevention, Vol.23(3), pp.281-295

06/01/2011

DOI: 10.1521/aeap.2011.23.3.281

PMCID: PMC3197736

PMID: 21696245

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https://www.ncbi.nlm.nih.gov/pmc/articles/3197736View

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Abstract

International guidelines recommend exclusive breastfeeding to 6 months among HIV-infected mothers choosing to breastfeed 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 breastmilk substitute when provided to infants (6-12mo) of HIV-positive mothers, as part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) Study. A sub-sample of mothers (n=45) participated in interviews that explored exclusive breastfeeding, weaning, and strategies to feed LNS. Mothers reported several weaning strategies, including gradual reduction of breastfeeding, expressing breastmilk 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 breastmilk substitute.

breastfeeding

HIV

infant feeding

LNS

weaning

Details

Title: Subtitle: The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study
Creators: Megan E. Parker - University of North Carolina at Chapel Hill
Margaret E. Bentley - University of North Carolina at Chapel Hill
Charles Chasela - University of North Carolina at Chapel Hill
Linda Adair - University of North Carolina at Chapel Hill
Ellen G. Piwoz - University of North Carolina at Chapel Hill
Denise J. Jamieson - University of North Carolina at Chapel Hill
Sascha Ellington - University of North Carolina at Chapel Hill
Dumbani Kayira - University of North Carolina at Chapel Hill
Alice Soko - University of North Carolina at Chapel Hill
Chimwemwe Mkhomawanthu - University of North Carolina at Chapel Hill
Martin Tembo - University of North Carolina at Chapel Hill
Francis Martinson - University of North Carolina at Chapel Hill
Charles M. van der Horst - University of North Carolina at Chapel Hill
Resource Type: Journal article
Publication Details: AIDS education and prevention, Vol.23(3), pp.281-295
DOI: 10.1521/aeap.2011.23.3.281
PMID: 21696245
PMCID: PMC3197736
NLM abbreviation: AIDS Educ Prev
ISSN: 0899-9546
eISSN: 1943-2755
Language: English
Date published: 06/01/2011
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446448702771

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