ArticleMaternal & child nutrition2019
A qualitative study exploring infant feeding decision-making between birth and 6 months among HIV-positive mothers.
Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- A systematic review of qualitative research on barriers and facilitators to exclusive breastfeeding practice in sub-Saharan African countries.International breastfeeding journal · 2021Pooled it
- Infant feeding decisions among people living with human immunodeficiency virus in the United States: a pilot study.Frontiers in reproductive health · 2026Article
- Engaging Family Members to Support Exclusive Breastfeeding, Responsive care, and Antiretroviral Therapy Adherence Among Families with Children who are HIV-Exposed and Uninfected.AIDS and behavior · 2024Article
- How women living with HIV in the UK manage infant-feeding decisions and vertical transmission risk - a qualitative study.BMC public health · 2024Article
- The Mental Health Effects and Experiences of Breastfeeding Decision-Making Among Postpartum Women Living with HIV.AIDS and behavior · 2024Article
- Mothers' Willingness to Use Workplace Lactation Supports: Evidence from Formally Employed Mothers in Central Kenya.Current developments in nutrition · 2023Article
- Article
- Human immunodeficiency virus-positive women's perspectives on breastfeeding with antiretrovirals: A qualitative evidence synthesis.Maternal & child nutrition · 2021Review
- Breastfeeding inequities in South Africa: Can enforcement of the WHO Code help address them? - A systematic scoping review.International journal for equity in health · 2021Article
- Reported infant feeding practices and contextual influences on breastfeeding: qualitative interviews with women registered to MomConnect in three South African provinces.International breastfeeding journal · 2020Article
- Article
- An educational intervention to update health workers about HIV and infant feeding.Maternal & child nutrition · 2020Article
- Perceptions of grandmothers and HIV-infected mothers on infant feeding practices in a rural South African district.Health SA = SA Gesondheid · 2020Article
- Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa.Maternal & child nutrition · 2020Article
- A qualitative study exploring infant feeding decision-making between birth and 6 months among HIV-positive mothers.Maternal & child nutrition · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa. HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal cohort design was employed, with monthly in-depth interviews conducted over 6 months postdelivery. Data were analysed using framework analysis. We report findings from 11 HIV-positive women within a larger cohort. Participants were aged between 15 and 41 years and were all on antiretroviral therapy. Before delivery, nine mothers intended to exclusively breastfeed (EBF) for 6 months, and two intended to exclusively formula feed (EFF). Three mothers successfully EBF for 6 months, whereas four had stopped breastfeeding, and two were mixed breastfeeding by 6 months. Mothers reported receiving strong advice from health workers (HWs) to EBF and made decisions based primarily on HWs advice, resisting contrary pressure from family or friends. The main motivation for EBF was to protect the child from HIV acquisition, but sometimes fear of mixed feeding led to mothers stopping breastfeeding entirely. Infant feeding messages from HWs advice were frequently inadequate and out of date, and failed to address mothers' challenges. Minimal support was provided for EFF. In conclusion, HWs play a pivotal role in providing infant feeding support to HIV infected mothers, but need regular updates to ensure if advice is correct and appropriate.
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