What influences feeding decisions for HIV-exposed infants in rural Kenya?
What influences feeding decisions for HIV-exposed infants in rural Kenya?
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DOI：
10.1186/s13006-017-0125-x
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发表时间：
2017
影响因子：
3.5
通讯作者：
Mwangome MK
中科院分区：
文献类型：
--
作者：
Nabwera HM;Jepkosgei J;Muraya KW;Hassan AS;Molyneux CS;Ali R;Prentice AM;Berkley JA;Mwangome MK
Infant 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. We used a qualitative study design. Between March and August 2011, we conducted in-depth interviews (n = 9) and focus group discussions (n = 10) with purposively selected hospital and community respondents at Kilifi County Hospital, Kenya. These respondents had all experienced of infant feeding in the context of HIV. These interviews were informed by prior structured observations of health care worker interactions with carers during infant feeding counselling sessions. Overall, 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. Infant 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. The online version of this article (doi:10.1186/s13006-017-0125-x) contains supplementary material, which is available to authorized users.
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影响因子：
3.5
作者：
Engebretsen IM;Moland KM;Nankunda J;Karamagi CA;Tylleskär T;Tumwine JK
通讯作者：
Tumwine JK
DOI：
10.1080/09540120701336400
发表时间：
2007-10-01
影响因子：
1.7
作者：
Busekens, I.;Jaffe, A.;Mkhatshwa, H.
通讯作者：
Mkhatshwa, H.
影响因子：
6
作者：
Granato, S. Adam;Gloyd, Stephen;Kone, Ahoua
通讯作者：
Kone, Ahoua
DOI：
10.2471/blt.04.019448
发表时间：
2006-02-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Doherty, Tanya;Chopra, Mickey;Greiner, Ted
通讯作者：
Greiner, Ted
影响因子：
3.6
作者：
Cournil, Amandine;Van de Perre, Philippe;Bork, Kirsten
通讯作者：
Bork, Kirsten