ArticleBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine2016
The Stigma of Exclusive Breastfeeding Among Both HIV-Positive and HIV-Negative Women in Nairobi, Kenya.
Article in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed, 37 citations in OpenAlex.
- A randomized controlled, trial on effects of mobile phone text messaging in combination with motivational interviewing versus standard infant feeding counselling on breastfeeding and child health outcomes, among women living with HIV.International breastfeeding journal · 2025Trial
- Feasibility, acceptability and lessons learned from an infant feeding intervention trial among women living with HIV in western Kenya.BMC public health · 2023Trial
- Effectiveness of the baby-friendly community initiative in promoting exclusive breastfeeding among HIV negative and positive mothers: a randomized controlled trial in Koibatek Sub-County, Baringo, Kenya.International breastfeeding journal · 2020Trial
- A Cluster Randomised Trial to Determine the Efficacy of the "Feeding Buddies" Programme in Improving Exclusive Breastfeeding Rates Among HIV-Infected Women in Rural KwaZulu-Natal, South Africa.AIDS and behavior · 2018Trial
- Slipping through the net: a qualitative study exploring women's experiences of maternity in the UK during the COVID-19 pandemic.BMC pregnancy and childbirth · 2026Article
- "Breastfeeding is difficult": a qualitative exploration of exclusive breastfeeding among HIV-positive mothers in Eldoret, Kenya.International breastfeeding journal · 2025Article
- "My body my baby": a qualitative study examining drivers of infant-feeding choices among women living with HIV in Philadelphia, United States.AIDS care · 2025Article
- Financial and Food Insecurity are Primary Challenges to Breastfeeding for Women Living with HIV in Western Kenya: A Longitudinal Qualitative Investigation.AIDS and behavior · 2023Article
- Male Partners' Roles in Infant Feeding Practices: Perspectives of Black Mothers Living with HIV in Three Countries.Healthcare (Basel, Switzerland) · 2022Article
- Exclusive breastfeeding practice among HIV infected mothers in the southern highlands of Tanzania; assessing the prevalence and factors associated with the practice, an analytical cross-sectional survey.AIDS research and therapy · 2022Article
- Maternal and health care workers' perspectives on exclusive breastfeeding in the context of maternal HIV infection, in Busia county, western Kenya: a mixed methods cross-sectional survey.International breastfeeding journal · 2022Article
- Realities and challenges of breastfeeding policy in the context of HIV: a qualitative study on community perspectives on facilitators and barriers related to breastfeeding among HIV positive mothers in Baringo County, Kenya.International breastfeeding journal · 2021Article
- Social Determinants of Breastfeeding Preferences among Black Mothers Living with HIV in Two North American Cities.International journal of environmental research and public health · 2020Article
- Greater household food insecurity is associated with lower breast milk intake among infants in western Kenya.Maternal & child nutrition · 2019Article
- Male partner antenatal clinic attendance is associated with increased uptake of maternal health services and infant BCG immunization: a national survey in Kenya.BMC pregnancy and childbirth · 2019Article
- Local variations in exclusive breastfeeding rates in Africa.Nature medicine · 2019Article
- A realist review of infant feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa: what works for whom and in what contexts.BMC public health · 2019Review
- Beyond health care providers' recommendations: understanding influences on infant feeding choices of women with HIV in the Eastern Cape, South Africa.International breastfeeding journal · 2019Article
- Social representations of mother-to-child transmission of HIV and its prevention in narratives by young Africans from five countries, 1997-2014: Implications for communication.Social science & medicine (1982) · 2018Article
- Male partner involvement on initiation and sustainment of exclusive breastfeeding among HIV-infected post-partum women: Study protocol for a randomized controlled trial.Maternal & child nutrition · 2018Article
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundExclusive breastfeeding (EBF) means giving only breast milk to an infant. Although it is the optimal mode of feeding for infants younger than 6 months, its prevalence is low in HIV-endemic regions. Extensive promotion of EBF for 6 months in prevention of mother-to-child HIV transmission (PMTCT) programs could inadvertently result in stigma due to women's perceived association of EBF with HIV infection. In this qualitative study, we describe how stigma impacts the uptake of EBF among HIV-positive and -negative women.
methodsPregnant and postpartum women and their male partners were recruited to participate in a total of 22 focus group discussions (FGDs). Transcripts were analyzed using ATLAS.ti. Codes were identified both a priori and inductively using the open coding approach. Major themes and subthemes were identified.
resultsThere was a broad and strong consensus among some FGD participants that HIV-related stigma was a barrier to EBF. EBF was perceived as a practice for HIV-positive women. Thus, fear of discrimination deterred both HIV-positive and -negative women from EBF. However, with health education, peer counselor, and male partner support, some women were able to breastfeed exclusively regardless of opposing social norms.
conclusionStigma related to HIV poses a formidable barrier to EBF in HIV-endemic regions. There is an urgent need to widely target all women with EBF information and support EBF practices regardless of maternal HIV infection status. The lessons learned from this study indicate that vertical programs can hinder promotion of infant health interventions and therefore negatively affect child survival.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.