Barcelona 2013
Barcelona 2013
Abstract book - Abstract - 18
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Abstract #18  -  E-Posters English
Session:
  50.83: E-Posters English (Poster) on Sunday   in  Chaired by
Authors:
  Presenting Author:   Mrs Emily Tuthill - University of Connecticut, United States
 
  Additional Authors:  Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna  Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS,  
Aim:
Exclusive breastfeeding (EBF) has been identified as a key intervention to promote infant health and to reduce the vertical transmission of HIV. Despite this knowledge and increased resources to promote EBF, the practice in sub-Saharan Africa (SSA) remains low among HIV+ women. Although a number of qualitative studies have been conducted throughout SSA, the influences on and consequences of infant feeding choices of HIV+ mothers findings have not been regarded systematically. Therefore, our objective was to identify overarching themes, commonalities, and differences in infant feeding choices among qualitative studies with HIV+ mothers in SSA.
 
Method / Issue:
Noblit and Hare?s (1988) 7-step metasynthesis methodology was used to analyze the experiences of HIV+ women and those who provide infant feeding services/counseling. Sixteen qualitative studies of infant feeding practices in the context of HIV were identified. Data were available from approximately 920 participants (i.e., 750 HIV+ mothers, 109 healthcare providers, and 62 family members) across 13 SSA countries from 2000 to 2011.
 
Results / Comments:
The reciprocal translation of key metaphors resulted in five themes surrounding infant feeding choices and behaviors. The themes include, 1) (influence on) EBF, 2) (influence on) EFF, 3) (role of) healthcare providers, 4) (role of the) family and, 5) identity as wife and mother in the context of infant feeding.
 
Discussion:
A collective picture of infant feeding as experienced by HIV+ mothers emerged through analysis of data from 13 SSA countries. More similarities than differences were evident throughout each theme. Exclusive breastfeeding campaigns in SSA are more likely to successfully support optimal health for infants and a safe supportive environment for their mothers when the impact of infant feeding decisions are evaluated across these themes.
 
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