Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling

Sera L. Young, Kiersten A. Israel-Ballard, Emily A. Dantzer, Monica M. Ngonyani, Margaret T. Nyambo, Deborah M. Ash, Caroline J Chantry

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective To assess feeding practices of infants born to HIV-positive women in Dar es Salaam, Tanzania. These data then served as a proxy to evaluate the adequacy of current infant feeding counselling.Design A cross-sectional survey of infant feeding behaviours.Setting Four clinics in greater Dar es Salaam in early 2008.Subjects A total of 196 HIV-positive mothers of children aged 6-10 months recruited from HIV clinics.Results Initiation of breast-feeding was reported by 954 % of survey participants. In the entire sample, 801 %, 342 % and 133 % of women reported exclusive breast-feeding (EBF) up to 2, 4 and 6 months, respectively. Median duration of EBF among women who ever breast-fed was 3 (interquartile range (IQR): 21, 40) months. Most non-breast-milk foods fed to infants were low in nutrient density. Complete cessation of breast-feeding occurred within 14 d of the introduction of non-breast-milk foods among 138 of the 187 children (738 %) who had ever received any breast milk. Of the 187 infants in the study who ever received breast milk, 194 % received neither human milk nor any replacement milks for 1 week or more (median duration of no milk was 14 (IQR: 7, 152) d).Conclusions Infant feeding practices among these HIV-positive mothers resulted in infants receiving far less breast milk and more mixed complementary feeds than recommended, thus placing them at greater risk of both malnutrition and HIV infection. An environment that better enables mothers to follow national guidelines is urgently needed. More intensive infant feeding counselling programmes would very likely increase rates of optimal infant feeding.

Original languageEnglish (US)
Pages (from-to)2027-2033
Number of pages7
JournalPublic Health Nutrition
Volume13
Issue number12
DOIs
StatePublished - Dec 2010

Fingerprint

Tanzania
Counseling
HIV
Human Milk
Breast Feeding
Milk
Mothers
Food
Infant Behavior
Proxy
Feeding Behavior
Malnutrition
HIV Infections
Breast
Cross-Sectional Studies
Guidelines

Keywords

  • Africa
  • Exclusive breast-feeding
  • HIV/AIDS
  • Infant nutrition
  • PMTCT

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling. / Young, Sera L.; Israel-Ballard, Kiersten A.; Dantzer, Emily A.; Ngonyani, Monica M.; Nyambo, Margaret T.; Ash, Deborah M.; Chantry, Caroline J.

In: Public Health Nutrition, Vol. 13, No. 12, 12.2010, p. 2027-2033.

Research output: Contribution to journalArticle

Young, Sera L. ; Israel-Ballard, Kiersten A. ; Dantzer, Emily A. ; Ngonyani, Monica M. ; Nyambo, Margaret T. ; Ash, Deborah M. ; Chantry, Caroline J. / Infant feeding practices among HIV-positive women in Dar es Salaam, Tanzania, indicate a need for more intensive infant feeding counselling. In: Public Health Nutrition. 2010 ; Vol. 13, No. 12. pp. 2027-2033.
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abstract = "Objective To assess feeding practices of infants born to HIV-positive women in Dar es Salaam, Tanzania. These data then served as a proxy to evaluate the adequacy of current infant feeding counselling.Design A cross-sectional survey of infant feeding behaviours.Setting Four clinics in greater Dar es Salaam in early 2008.Subjects A total of 196 HIV-positive mothers of children aged 6-10 months recruited from HIV clinics.Results Initiation of breast-feeding was reported by 954 {\%} of survey participants. In the entire sample, 801 {\%}, 342 {\%} and 133 {\%} of women reported exclusive breast-feeding (EBF) up to 2, 4 and 6 months, respectively. Median duration of EBF among women who ever breast-fed was 3 (interquartile range (IQR): 21, 40) months. Most non-breast-milk foods fed to infants were low in nutrient density. Complete cessation of breast-feeding occurred within 14 d of the introduction of non-breast-milk foods among 138 of the 187 children (738 {\%}) who had ever received any breast milk. Of the 187 infants in the study who ever received breast milk, 194 {\%} received neither human milk nor any replacement milks for 1 week or more (median duration of no milk was 14 (IQR: 7, 152) d).Conclusions Infant feeding practices among these HIV-positive mothers resulted in infants receiving far less breast milk and more mixed complementary feeds than recommended, thus placing them at greater risk of both malnutrition and HIV infection. An environment that better enables mothers to follow national guidelines is urgently needed. More intensive infant feeding counselling programmes would very likely increase rates of optimal infant feeding.",
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AU - Dantzer, Emily A.

AU - Ngonyani, Monica M.

AU - Nyambo, Margaret T.

AU - Ash, Deborah M.

AU - Chantry, Caroline J

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N2 - Objective To assess feeding practices of infants born to HIV-positive women in Dar es Salaam, Tanzania. These data then served as a proxy to evaluate the adequacy of current infant feeding counselling.Design A cross-sectional survey of infant feeding behaviours.Setting Four clinics in greater Dar es Salaam in early 2008.Subjects A total of 196 HIV-positive mothers of children aged 6-10 months recruited from HIV clinics.Results Initiation of breast-feeding was reported by 954 % of survey participants. In the entire sample, 801 %, 342 % and 133 % of women reported exclusive breast-feeding (EBF) up to 2, 4 and 6 months, respectively. Median duration of EBF among women who ever breast-fed was 3 (interquartile range (IQR): 21, 40) months. Most non-breast-milk foods fed to infants were low in nutrient density. Complete cessation of breast-feeding occurred within 14 d of the introduction of non-breast-milk foods among 138 of the 187 children (738 %) who had ever received any breast milk. Of the 187 infants in the study who ever received breast milk, 194 % received neither human milk nor any replacement milks for 1 week or more (median duration of no milk was 14 (IQR: 7, 152) d).Conclusions Infant feeding practices among these HIV-positive mothers resulted in infants receiving far less breast milk and more mixed complementary feeds than recommended, thus placing them at greater risk of both malnutrition and HIV infection. An environment that better enables mothers to follow national guidelines is urgently needed. More intensive infant feeding counselling programmes would very likely increase rates of optimal infant feeding.

AB - Objective To assess feeding practices of infants born to HIV-positive women in Dar es Salaam, Tanzania. These data then served as a proxy to evaluate the adequacy of current infant feeding counselling.Design A cross-sectional survey of infant feeding behaviours.Setting Four clinics in greater Dar es Salaam in early 2008.Subjects A total of 196 HIV-positive mothers of children aged 6-10 months recruited from HIV clinics.Results Initiation of breast-feeding was reported by 954 % of survey participants. In the entire sample, 801 %, 342 % and 133 % of women reported exclusive breast-feeding (EBF) up to 2, 4 and 6 months, respectively. Median duration of EBF among women who ever breast-fed was 3 (interquartile range (IQR): 21, 40) months. Most non-breast-milk foods fed to infants were low in nutrient density. Complete cessation of breast-feeding occurred within 14 d of the introduction of non-breast-milk foods among 138 of the 187 children (738 %) who had ever received any breast milk. Of the 187 infants in the study who ever received breast milk, 194 % received neither human milk nor any replacement milks for 1 week or more (median duration of no milk was 14 (IQR: 7, 152) d).Conclusions Infant feeding practices among these HIV-positive mothers resulted in infants receiving far less breast milk and more mixed complementary feeds than recommended, thus placing them at greater risk of both malnutrition and HIV infection. An environment that better enables mothers to follow national guidelines is urgently needed. More intensive infant feeding counselling programmes would very likely increase rates of optimal infant feeding.

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