Factors influencing the infant feeding choices of HIV-positive mothers at a level two hospital in Cape Town

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Date

2015

Journal Title

Journal ISSN

Volume Title

Publisher

Mark Allen Healthcare

Abstract

BACKGROUND/AIMS: Following the decision by the South African Department of Health in 2012 to withdraw the provision of free infant formula milk to HIV-exposed infants, policy makers have grappled with the need to develop guidelines to help HIV-positive mothers decide whether they should breastfeed their babies. The objectives of this study were to assess the infant feeding choices of HIV-positive mothers and to determine factors influencing their behaviours prior to the process of withdrawing the provision of free infant formula milk. METHODS: A quantitative approach was employed in this study, including the use of a survey to collect descriptive data on a consecutive sample (n=100). Data analysis was carried out using the IBM SPSS Version 20. RESULTS: More than half (54%) of the participants indicated that their infants were exclusively breastfed, and 46% of the participants reported exclusively formula feeding. There was no statistical difference between both groups with regards to: race; employment status; obstetric history; HIV disclosure status; knowledge and awareness of infant feeding recommendations or policies regarding breastfeeding promotion. CONCLUSIONS: The findings of this study show that health-care workers are the main providers of counselling on infant feeding. Inconsistent messages from health professionals, health facility practices and government policies were also observed.

Description

Keywords

HIV, South Africa, Infant feeding, Breastfeeding, Formula

Citation

Morgan J.J. & Jeggels J.D. (2015). Factors influencing the infant feeding choices of HIV-positive mothers at a level two hospital in Cape Town, African Journal of Midwifery and Women’s Health, 9/2:66-70