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Promising
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Postpartum
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counseling
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breastfeeding
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formula feeding
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South Africa
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Gray II
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Postpartum
HIV-positive mothers, fathers, grandmothers and the larger community need clear, consistent, non-contradictory and nonjudgmental counseling on infant feeding practices. Health care providers need training based on accurate information. Studies found that health care providers gave HIV-positive women conflicting information and that simplified structured counseling tools are needed. Studies found that women reported that providers accused them of killing their infants if they breastfed. Women lack access to infant formula but have been told by providers that it is the only way for their infant to survive. Women were told that breastfeeding is a mode of HIV transmission and exclusive breastfeeding is a mode of prevention. Women fear HIV more than diarrheal disease, even though more deaths occur from diarrheal disease. Women were not given choices. Women did not give providers accurate information on how they were feeding their infant for fear of being denied health care. Women were told to feed their infants formula yet did not have adequate food support, most mothers could not do so with few having an income and most with no access to safe drinking water. Women lacked autonomy to decide infant feeding, which was decided by male partners or grandmothers. "Despite the current WHO recommendations to use extended infant prophylaxis as long as the infant is breastfed, no data are yet available from a clinical trial to confirm effectiveness and safety of this regimen beyond the first six months postpartum" (Taha, 2011: 919).
Postpartum
1 study
Postnatal home visits by trained lay counselors may reduce mixed feeding.
Postpartum
1 study
Gray II
breastfeeding, counseling, formula feeding
South Africa
Prevention for Women
Male and Female Condom Use
Partner Reduction
Voluntary Medical Male Circumcision
Treating Sexually Transmitted Infections (STIs)
Treatment as Prevention
Prevention for Key Affected Populations
Female Sex Workers
Women Who Use Drugs and Female Partners of Men Who Use Drugs
Women Prisoners and Female Partners of Male Prisoners
Women and Girls in Complex Emergencies
Migrant Women and Female Partners of Male Migrants
Transgender Women and Men
Women Who Have Sex With Women (WSW)
Prevention and Services for Adolescents and Young People
Mitigating Risk
Increasing Access to Services
HIV Testing and Counseling for Women
Treatment
Provision and Access
Adherence and Support
Staying Healthy and Reducing Transmission
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
Safe Motherhood and Prevention of Vertical Transmission
Preventing Unintended Pregnancies
Pre-Conception
Antenatal Care - Testing and Counseling
Antenatal Care - Treatment
Delivery
Postpartum
Preventing, Detecting and Treating Critical Co-Infections
Tuberculosis
Malaria
Hepatitis
Strengthening the Enabling Environment
Transforming Gender Norms
Addressing Violence Against Women
Advancing Human Rights and Access to Justice for Women and Girls
Promoting Women’s Employment, Income and Livelihood Opportunities
Advancing Education
Reducing Stigma and Discrimination
Promoting Women’s Leadership
Care and Support
Women and Girls
Orphans and Vulnerable Children
Structuring Health Services to Meet Women’s Needs