Evidence map›Paper›PMID 40571099›Full record

ArticleAdvances in nutrition (Bethesda, Md.)2026

Perspective: Infant Feeding Policies among Women Living with HIV in Latin America and the Caribbean: Should They Be Updated?

Rafael Pérez-Escamilla, Sonia Hernández-Cordero, Tarini Gupta

Abstract read
In one paragraph

Article in Advances in nutrition (Bethesda, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

3 authors.

Rafael Pérez-EscamillaDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States. Electronic address: rafael.perez-escamilla@yale.edu.
Sonia Hernández-CorderoResearch Center for Equitable Development EQUIDE, Universidad Iberoamericana, Mexico City, Mexico.
Tarini GuptaDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Among women living with HIV (WLHIV), adherence to highly active antiretroviral treatment (HAART) combined with undetectable maternal viral loads and exclusive breastfeeding during the first 6 mo of life dramatically reduces the risk of mother-to-child transmission of HIV. This knowledge has led to updated World Health Organization infant feeding guidelines for WLHIV, calling for governments to support safe breastfeeding practices among WLHIV who want to breastfeed their infants by providing universal access to HAART, viral load tracking, and high-quality breastfeeding counseling and other needed support across settings. These guidelines eventually led several high-income countries, including the United States and Canada, to revise their infant feeding guidelines that previously contraindicated breastfeeding among WLHIV to incorporate safe, evidence-based breastfeeding recommendations for WLHIV. However, in most of the rest of the Americas, breastfeeding contraindication remains in place. We strongly recommend that all countries in Latin America and the Caribbean consider updating their breastfeeding guidance for WLHIV to allow for safe breastfeeding. Implementing the updated evidence-based recommendations poses major implementation challenges as there is no room for error. Systems-driven implementation science research will be needed to understand how best to codesign, implement, scale up, and sustain intersectoral and equitable person and family-centered policies and programs to empower WLHIV to breastfeed safely if they have the choice to do so.

Indexed as

Breast FeedingHIV InfectionsInfectious Disease Transmission, VerticalNutrition PolicyAntiretroviral Therapy, Highly ActiveCaribbean RegionFemaleHumansInfantInfant, NewbornLatin AmericaPregnancyAIDSbreastfeedinghighly active antiretroviral treatment (HAART)HIVinfant feeding policyLatin America and the Caribbeanmother-to-child-transmissionwomen living with HIV

Identifiers

PMID40571099
PMCPMC12919343

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Registered trials

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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.