ArticleInternational breastfeeding journal2019
Infant feeding by South African mothers living with HIV: implications for future training of health care workers and the need for consistent counseling.
Article in International breastfeeding journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Barriers and facilitators for early and exclusive breastfeeding in health facilities in Sub-Saharan Africa: a systematic review.Global health research and policy · 2021Pooled it
- Trial
- Infant feeding knowledge and practice vary by maternal HIV status: a nested cohort study in rural South Africa.International breastfeeding journal · 2020Trial
- Obstetric Nurses' Approach to Evidence-Based Practice in Breastfeeding Within the Context of HIV: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Perspective: Infant Feeding Policies among Women Living with HIV in Latin America and the Caribbean: Should They Be Updated?Advances in nutrition (Bethesda, Md.) · 2026Article
- Early childhood development intervention and timely initiation of complementary feeding among HIV exposed infants in Tanzania: a quasi-experimental study.Frontiers in nutrition · 2026Article
- "Breastfeeding is difficult": a qualitative exploration of exclusive breastfeeding among HIV-positive mothers in Eldoret, Kenya.International breastfeeding journal · 2025Article
- Maternal Phenotype, Infant Size and Breast Milk Composition in Women Living With HIV.Maternal & child nutrition · 2025Article
- Comparison of infant feeding practices by maternal HIV status, and associated factors, in a rural district, South Africa 2019.International breastfeeding journal · 2025Article
- Correlates of adherence to exclusive breastfeeding while on anti-retroviral therapy among mothers living with HIV in Port Harcourt, Nigeria.The Pan African medical journal · 2025Article
- "I Have to Stand Up on My Own and Do the Best I Can for My Kids"AIDS and behavior · 2024Article
- Differences in Breastfeeding Duration by Maternal HIV Status: A Pooled Analysis of Nationally Representative Surveys in Sub-Saharan Africa.Journal of acquired immune deficiency syndromes (1999) · 2024Article
- Influence of peer discussions on trust in recommendations for prevention of mother-to-child transmission (PMTCT) of HIV.PloS one · 2024Article
- Barriers to Exclusive Breastfeeding for Mothers in Tswelopele Municipality, Free State Province, South Africa: A Qualitative Study.Children (Basel, Switzerland) · 2023Article
- Article
- Beliefs and Norms Influencing Initiation and Sustenance of Exclusive Breastfeeding: Experiences of Mothers in Primary Health Care Facilities in Ermelo, South Africa.International journal of environmental research and public health · 2023Article
- Cost-effectiveness of broadly neutralizing antibody prophylaxis for HIV-exposed infants in sub-Saharan African settings.Journal of the International AIDS Society · 2023Article
- Health facility users' knowledge, perceptions, and practices about infant feeding in the context of option B+ in South Africa: a qualitative study.International breastfeeding journal · 2022Article
- Male Partners' Roles in Infant Feeding Practices: Perspectives of Black Mothers Living with HIV in Three Countries.Healthcare (Basel, Switzerland) · 2022Article
- Cognitive and Motor Development in 3- to 6-Year-Old Children Born to Mothers with Hyperglycaemia First Detected in Pregnancy in an Urban African Population.Maternal and child health journal · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Since 2010, the World Health Organization recommends lifelong antiretroviral treatment for all women living with HIV, and exclusive breastfeeding for six-months followed by breastfeeding until 24-months for all HIV positive mothers. Nevertheless, many mothers living with HIV do not initiate breastfeeding or stop prematurely, and many countries are still in the process of updating their national infant feeding guidelines to align with World Health Organization recommendations. We sought to understand uptake of breastfeeding and factors that influence decision-making regarding infant feeding in women living with and without HIV who receive ante- and postnatal care at a primary healthcare setting. Methods: Programmatic data on infant feeding intentions and practices among women attending an ante-and postnatal clinic service at a primary care clinic in Johannesburg, South Africa were summarized using descriptive statistics. Qualitative interviews were conducted with 12 healthcare providers, 12 women living with HIV who were breastfeeding and 10 who were formula feeding. Interviews were analyzed using a content analysis approach. Results: Pregnant women living with HIV were less likely to express an intent to breastfeed (71% vs 99%). During the first 6 months postpartum, mothers living with HIV were also less likely to exclusively breastfeed compared to HIV-negative mothers. Mixed messages during infant feeding counselling, social and economic factors, and fear of HIV transmission influenced women's choices to initiate and continue breastfeeding. Conclusions: As infant feeding guidelines for women living with HIV have evolved rapidly in the past 10 years, uniform messages on the low risk of mother-to-child transmission of HIV associated with breastfeeding while on ART and on introduction of complementary foods after 6 months of age are needed.
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Registered trials
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.