ArticleInternational breastfeeding journal2021
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.
Article in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Breastfeeding knowledge, attitudes and practices of HIV-positive women in Africa: a systematic review.International breastfeeding journal · 2025Pooled it
- Systematic review and meta-analysis of the prevalence and determinants of exclusive breastfeeding in the first six months of life in Ghana.BMC public health · 2023Pooled it
- "It has changed my life": unconditional cash transfers and personalized infant feeding support- a feasibility intervention trial among women living with HIV in western Kenya.International breastfeeding journal · 2023Trial
- Feasibility, acceptability and lessons learned from an infant feeding intervention trial among women living with HIV in western Kenya.BMC public health · 2023Trial
- 'Your baby can take my milk… but my baby won't take yours'; determinants of willingness to donate and utilize human breast milk among pregnant women at a health facility in limited resource settings.International breastfeeding journal · 2026Article
- Article
- "Breastfeeding is difficult": a qualitative exploration of exclusive breastfeeding among HIV-positive mothers in Eldoret, Kenya.International breastfeeding journal · 2025Article
- Growth Patterns of HIV-Exposed and -Unexposed Infants in African Countries: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Perceptions of the mothers on the determinants of undernutrition in Rwanda: a qualitative study.Journal of health, population, and nutrition · 2025Article
- Lactation Support for Breastfeeding and Chestfeeding People with HIV: A Call for Research to Examine Telelactation Experience, HIV Knowledge, and Lactation Consultants' Attitudes Related to Infant Feeding with HIV.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2025Article
- Article
- Correlates of early breastfeeding cessation and breastmilk expression in Uganda: a case-control study.The Journal of international medical research · 2024Article
- "We decided together": a qualitative study about women with HIV navigating infant-feeding decisions with the father of their children.BMC pregnancy and childbirth · 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
- Breastfeeding in women with HIV infection: A qualitative study of barriers and facilitators.PloS one · 2024Article
- Clinical and Biological Risk Factors Associated with Increased Mother-to-Child Transmission of HIV in Two South-East HIV-AIDS Regional Centers in Romania.Medicina (Kaunas, Lithuania) · 2022Article
- Mother-to-Child Transmission of HIV Through Breastfeeding Improving Awareness and Education: A Short Narrative Review.International journal of women's health · 2022Review
- Article
- Opportunities and Constraints to Equitable Implementation of the Revised Infant Feeding Guidelines for Pregnant and Lactating Persons Living With HIV in the United States: A Qualitative Study.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
9 authors at 8 institutions in 8 countries.
Funding
Abstract
backgroundAlthough recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural barriers to the practice. Therefore, to generate evidence for exclusive and continued breastfeeding policies in Kenya, we examined community perspectives on the facilitators and barriers in adherence to EBF for the HIV positive mothers.
methodsQualitative research was conducted in Koibatek, a sub-County in Baringo County Kenya, in August 2014 among 205 respondents. A total of 14 focus group discussions (n = 177), 14 In-depth Interviews and 16 key informant interviews were conducted. Transcribed data was analyzed thematically. NVivo version 10.0 computer qualitative software program was used to manage and facilitate the analysis.
resultsFacilitators to exclusive breastfeeding were perceived to include counselling at the health facility, desire to have a healthy baby, use of antiretroviral drugs and health benefits associated with breastmilk. Barriers to EBF included poor dissemination of policies, knowledge gap, misinterpretation of EBF, inadequate counselling, attitude of mother and health workers due to fear of vertical HIV transmission, stigma related to misconception and misinformation that EBF is only compulsory for HIV positive mothers, stigma related to HIV and disclosure, social pressure, lack of male involvement, cultural practices and traditions, employment, food insecurity.
conclusionsThere are multiple facilitators and barriers of optimal breastfeeding that needs a holistic approach to interventions aimed at achieving elimination of mother to child transmission. Extension of infant feeding support in the context of HIV to the community while building on existing interventions such as the Baby Friendly Community Initiative is key to providing confidential support services for the additional needs faced by HIV positive mothers.
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