Evidence map›Paper›PMID 28717383›Full record

ArticleInternational breastfeeding journal2017

What influences feeding decisions for HIV-exposed infants in rural Kenya?

Helen M Nabwera, Joyline Jepkosgei, Kelly W Muraya, Amin S Hassan, Catherine S Molyneux, Rehema Ali, Andrew M Prentice, James A Berkley, Martha K Mwangome

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Helen M NabweraKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Joyline JepkosgeiKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Kelly W MurayaKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Amin S HassanKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Catherine S MolyneuxKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Rehema AliKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Andrew M PrenticeMRC Unit, The Gambia, PO Box 273, Banjul, The Gambia.
James A BerkleyKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Martha K MwangomeKEMRI Centre for Geographic Medicine Research Coast, P.O. Box 230-80108, Kilifi, Kenya.
Kenya Medical Research Institute · KEMRC Unit the Gambia · GMThe Childhood Acute Illness and Nutrition Network · KE

Funding

Medical Research Council MC_U123292701Medical Research Council MR/N021940/1Wellcome Trust
6 · The paper itself

Abstract

backgroundInfant feeding in the context of human immunodeficiency virus (HIV) poses unique challenges to mothers and healthcare workers in balancing the perceived risks of HIV transmission and nutritional requirements. We aimed to describe the decision-making processes around infant feeding at a rural HIV clinic in Kenya.

methodsWe used a qualitative study design. Between March and August 2011, we conducted in-depth interviews (

resultsOverall, women living with HIV found it difficult to adhere to the HIV infant feeding guidance. There were three dominant factors that influenced decision making processes: 1) Exclusive breastfeeding was not the cultural norm, therefore practising it raised questions within the family and community about a mother's parenting capabilities and HIV status. 2) Women living with HIV lacked autonomy in decision-making on infant feeding due to socio-cultural factors. 3) Non-disclosure of HIV status to close members due to the stigma.

conclusionInfant feeding decision-making by women living with HIV in rural Kenya is constrained by a lack of autonomy, stigma and poverty. There is an urgent need to address these challenges through scaling up psycho-social and gender empowerment strategies for women, and introducing initiatives that promote the integration of HIV infant feeding strategies into other child health services.

Indexed as

Decision makingHIVInfant feedingMalnutrition

Identifiers

PMID28717383
PMCPMC5508793
OpenAlexW2734328333

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.