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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Infant and young child feeding counseling, decision-making, and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study</title><author><name sortKey="Flax, Valerie L" sort="Flax, Valerie L" uniqKey="Flax V" first="Valerie L." last="Flax">Valerie L. Flax</name><affiliation><nlm:aff id="A1">Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Carolina Population Center, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation></author><author><name sortKey="Hamela, Gloria" sort="Hamela, Gloria" uniqKey="Hamela G" first="Gloria" last="Hamela">Gloria Hamela</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Mofolo, Innocent" sort="Mofolo, Innocent" uniqKey="Mofolo I" first="Innocent" last="Mofolo">Innocent Mofolo</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C." last="Hosseinipour">Mina C. Hosseinipour</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation></author><author><name sortKey="Hoffman, Irving" sort="Hoffman, Irving" uniqKey="Hoffman I" first="Irving" last="Hoffman">Irving Hoffman</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation></author><author><name sortKey="Maman, Suzanne" sort="Maman, Suzanne" uniqKey="Maman S" first="Suzanne" last="Maman">Suzanne Maman</name><affiliation><nlm:aff id="A5">Department of Health Behavior, Gillings School of Global Public Health, University of North, Chapel Hill, NC</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27022939</idno><idno type="pmc">5361406</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5361406</idno><idno type="RBID">PMC:5361406</idno><idno type="doi">10.1007/s10461-016-1378-x</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002025</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002025</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Infant and young child feeding counseling, decision-making, and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study</title><author><name sortKey="Flax, Valerie L" sort="Flax, Valerie L" uniqKey="Flax V" first="Valerie L." last="Flax">Valerie L. Flax</name><affiliation><nlm:aff id="A1">Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Carolina Population Center, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation></author><author><name sortKey="Hamela, Gloria" sort="Hamela, Gloria" uniqKey="Hamela G" first="Gloria" last="Hamela">Gloria Hamela</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Mofolo, Innocent" sort="Mofolo, Innocent" uniqKey="Mofolo I" first="Innocent" last="Mofolo">Innocent Mofolo</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C." last="Hosseinipour">Mina C. Hosseinipour</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation></author><author><name sortKey="Hoffman, Irving" sort="Hoffman, Irving" uniqKey="Hoffman I" first="Irving" last="Hoffman">Irving Hoffman</name><affiliation><nlm:aff id="A3">UNC Project – Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, NC</nlm:aff></affiliation></author><author><name sortKey="Maman, Suzanne" sort="Maman, Suzanne" uniqKey="Maman S" first="Suzanne" last="Maman">Suzanne Maman</name><affiliation><nlm:aff id="A5">Department of Health Behavior, Gillings School of Global Public Health, University of North, Chapel Hill, NC</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">This study examined infant and young child feeding (IYCF) counseling, decision-making, and practices among HIV-infected women with children 0–23 months participating in Malawi’s Option B+ prevention of mother-to-child transmission (PMTCT) program. We conducted 160 survey interviews, 32 in-depth interviews, and 32 observations of PMTCT visits. Surveys indicated that exclusive breastfeeding was common (75%) among children < 6 months, while minimum dietary diversity (41%) and minimum acceptable diet (40%) for children 6–23 months occurred less often. In-depth interviews supported these findings. Most women felt comfortable with current breastfeeding recommendations, but chronic food insecurity made it difficult for them to follow complementary feeding guidelines. Women trusted IYCF advice from health workers, but mainly received it during pregnancy. During observations of postnatal PMTCT visits, health workers infrequently advised on breastfeeding (41% of visits) or complementary feeding (29% of visits). This represents a missed opportunity for health workers to support optimal IYCF practices within Option B+.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">27022939</article-id><article-id pub-id-type="pmc">5361406</article-id><article-id pub-id-type="doi">10.1007/s10461-016-1378-x</article-id><article-id pub-id-type="manuscript">NIHMS773602</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Infant and young child feeding counseling, decision-making, and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Flax</surname><given-names>Valerie L.</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Hamela</surname><given-names>Gloria</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Mofolo</surname><given-names>Innocent</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Hosseinipour</surname><given-names>Mina C.</given-names></name><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Hoffman</surname><given-names>Irving</given-names></name><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Maman</surname><given-names>Suzanne</given-names></name><xref ref-type="aff" rid="A5">5</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC</aff><aff id="A2"><label>2</label>Carolina Population Center, University of North Carolina, Chapel Hill, NC</aff><aff id="A3"><label>3</label>UNC Project – Malawi, Lilongwe, Malawi</aff><aff id="A4"><label>4</label>Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, NC</aff><aff id="A5"><label>5</label>Department of Health Behavior, Gillings School of Global Public Health, University of North, Chapel Hill, NC</aff><author-notes><corresp id="FN1">Corresponding author: Valerie Flax, University of North Carolina, Department of Nutrition, 2200 McGavran-Greenberg Hall, CB#7461, Chapel Hill, NC 27599-7461, Phone: 919-962-6108, <email>flax@unc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>28</day><month>4</month><year>2016</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>11</month><year>2017</year></pub-date><volume>20</volume><issue>11</issue><fpage>2612</fpage><lpage>2623</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s10461-016-1378-x</pmc-comment>
<abstract><p id="P1">This study examined infant and young child feeding (IYCF) counseling, decision-making, and practices among HIV-infected women with children 0–23 months participating in Malawi’s Option B+ prevention of mother-to-child transmission (PMTCT) program. We conducted 160 survey interviews, 32 in-depth interviews, and 32 observations of PMTCT visits. Surveys indicated that exclusive breastfeeding was common (75%) among children < 6 months, while minimum dietary diversity (41%) and minimum acceptable diet (40%) for children 6–23 months occurred less often. In-depth interviews supported these findings. Most women felt comfortable with current breastfeeding recommendations, but chronic food insecurity made it difficult for them to follow complementary feeding guidelines. Women trusted IYCF advice from health workers, but mainly received it during pregnancy. During observations of postnatal PMTCT visits, health workers infrequently advised on breastfeeding (41% of visits) or complementary feeding (29% of visits). This represents a missed opportunity for health workers to support optimal IYCF practices within Option B+.</p></abstract><kwd-group><kwd>breast feeding</kwd><kwd>complementary feeding</kwd><kwd>HIV</kwd><kwd>prevention of mother-to-child transmission</kwd><kwd>Option B+</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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