Knowledge, attitudes, and beliefs of health care workers regarding alternatives to prolonged breast-feeding (ANRS 1201/1202, Ditrame Plus, Abidjan, Cote d'Ivoire)
Identifieur interne : 001140 ( Pmc/Corpus ); précédent : 001139; suivant : 001141Knowledge, attitudes, and beliefs of health care workers regarding alternatives to prolonged breast-feeding (ANRS 1201/1202, Ditrame Plus, Abidjan, Cote d'Ivoire)
Auteurs : Renaud Becquet ; Didier K. Ekouevi ; Charlotte Sakarovitch ; Laurence Bequet ; Ida Viho ; Besigin Tonwe-Gold ; François Dabis ; Valériane LeroySource :
- Journal of Acquired Immune Deficiency Syndromes (1999) [ 1525-4135 ] ; 2005.
Abstract
The Ditrame Plus project conducted in Abidjan, Côte d’Ivoire is aimed at the prevention of mother-to-child transmission of HIV in combining perinatal antiretroviral interventions with a systematic proposal of alternatives to prolonged breastfeeding: formula-feeding from birth, or exclusive breastfeeding during three months then early cessation of breastfeeding. We surveyed all health care workers involved in this project in November 2003 using a self-administered anonymous questionnaire to investigate their knowledge, attitudes and beliefs regarding the infant feeding interventions proposed since March 2001. Their knowledge regarding infant practices proposed within the study was consistent and their attitude was in accordance with the study protocol. However, proposing alternatives to prolonged breastfeeding induces difficulties to health-care workers that should be taken into account when tailoring such complex interventions.
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PubMed: 16123690
PubMed Central: 2475525
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Knowledge, attitudes, and beliefs of health care workers regarding alternatives to prolonged breast-feeding (ANRS 1201/1202, Ditrame Plus, Abidjan, Cote d'Ivoire)</title><author><name sortKey="Becquet, Renaud" sort="Becquet, Renaud" uniqKey="Becquet R" first="Renaud" last="Becquet">Renaud Becquet</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
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33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Ekouevi, Didier K" sort="Ekouevi, Didier K" uniqKey="Ekouevi D" first="Didier K." last="Ekouevi">Didier K. Ekouevi</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Sakarovitch, Charlotte" sort="Sakarovitch, Charlotte" uniqKey="Sakarovitch C" first="Charlotte" last="Sakarovitch">Charlotte Sakarovitch</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Bequet, Laurence" sort="Bequet, Laurence" uniqKey="Bequet L" first="Laurence" last="Bequet">Laurence Bequet</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Viho, Ida" sort="Viho, Ida" uniqKey="Viho I" first="Ida" last="Viho">Ida Viho</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Tonwe Gold, Besigin" sort="Tonwe Gold, Besigin" uniqKey="Tonwe Gold B" first="Besigin" last="Tonwe-Gold">Besigin Tonwe-Gold</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="François" last="Dabis">François Dabis</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valériane" last="Leroy">Valériane Leroy</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16123690</idno><idno type="pmc">2475525</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2475525</idno><idno type="RBID">PMC:2475525</idno><date when="2005">2005</date><idno type="wicri:Area/Pmc/Corpus">001140</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001140</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Knowledge, attitudes, and beliefs of health care workers regarding alternatives to prolonged breast-feeding (ANRS 1201/1202, Ditrame Plus, Abidjan, Cote d'Ivoire)</title><author><name sortKey="Becquet, Renaud" sort="Becquet, Renaud" uniqKey="Becquet R" first="Renaud" last="Becquet">Renaud Becquet</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Ekouevi, Didier K" sort="Ekouevi, Didier K" uniqKey="Ekouevi D" first="Didier K." last="Ekouevi">Didier K. Ekouevi</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Sakarovitch, Charlotte" sort="Sakarovitch, Charlotte" uniqKey="Sakarovitch C" first="Charlotte" last="Sakarovitch">Charlotte Sakarovitch</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Bequet, Laurence" sort="Bequet, Laurence" uniqKey="Bequet L" first="Laurence" last="Bequet">Laurence Bequet</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Viho, Ida" sort="Viho, Ida" uniqKey="Viho I" first="Ida" last="Viho">Ida Viho</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Tonwe Gold, Besigin" sort="Tonwe Gold, Besigin" uniqKey="Tonwe Gold B" first="Besigin" last="Tonwe-Gold">Besigin Tonwe-Gold</name><affiliation><nlm:aff id="A2"> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></nlm:aff></affiliation></author><author><name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="François" last="Dabis">François Dabis</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valériane" last="Leroy">Valériane Leroy</name><affiliation><nlm:aff id="A1"> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Acquired Immune Deficiency Syndromes (1999)</title><idno type="ISSN">1525-4135</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The Ditrame Plus project conducted in Abidjan, Côte d’Ivoire is aimed at the prevention of mother-to-child transmission of HIV in combining perinatal antiretroviral interventions with a systematic proposal of alternatives to prolonged breastfeeding: formula-feeding from birth, or exclusive breastfeeding during three months then early cessation of breastfeeding. We surveyed all health care workers involved in this project in November 2003 using a self-administered anonymous questionnaire to investigate their knowledge, attitudes and beliefs regarding the infant feeding interventions proposed since March 2001. Their knowledge regarding infant practices proposed within the study was consistent and their attitude was in accordance with the study protocol. However, proposing alternatives to prolonged breastfeeding induces difficulties to health-care workers that should be taken into account when tailoring such complex interventions.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><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-ta">J Acquir Immune Defic Syndr</journal-id><journal-title>Journal of Acquired Immune Deficiency Syndromes (1999)</journal-title><issn pub-type="ppub">1525-4135</issn><publisher><publisher-name>Lippincott Williams & Wilkins, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16123690</article-id><article-id pub-id-type="pmc">2475525</article-id><article-id pub-id-type="manuscript">HALMS189805</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject><subj-group subj-group-type="subrepository"><subject>INSERM Subrepository</subject></subj-group></subj-group></article-categories><title-group><article-title>Knowledge, attitudes, and beliefs of health care workers regarding alternatives to prolonged breast-feeding (ANRS 1201/1202, Ditrame Plus, Abidjan, Cote d'Ivoire)</article-title><alt-title>Health providers attitude toward alternatives to prolonged breastfeeding</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Becquet</surname><given-names>Renaud</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref rid="FN1" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Ekouevi</surname><given-names>Didier K.</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Sakarovitch</surname><given-names>Charlotte</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Bequet</surname><given-names>Laurence</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Viho</surname><given-names>Ida</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Tonwe-Gold</surname><given-names>Besigin</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Dabis</surname><given-names>François</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Leroy</surname><given-names>Valériane</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label> Epidémiologie, santé publique et développement<institution>INSERM : U593</institution><institution>IFR99</institution><institution>Université Victor Segalen - Bordeaux II</institution><institution>ISPED</institution><addr-line>Universite Victor Segalen
146, Rue Leo Saignat
33076 BORDEAUX CEDEX,FR</addr-line></aff><aff id="A2"><label>2</label> ANRS 1201/1202, Ditrame Plus, Programme PAC-CI<institution>ANRS</institution><institution>CHU Treichville</institution><addr-line>Abidjan,CI</addr-line></aff><author-notes><corresp id="FN1">* Correspondence should be adressed to: Renaud Becquet <email>Renaud.Becquet@isped.u-bordeaux2.fr</email></corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2005</year></pub-date><pub-date pub-type="pmc-release"><day>24</day><month>7</month><year>2008</year></pub-date><volume>40</volume><issue>1</issue><fpage>102</fpage><lpage>105</lpage><abstract><p>The Ditrame Plus project conducted in Abidjan, Côte d’Ivoire is aimed at the prevention of mother-to-child transmission of HIV in combining perinatal antiretroviral interventions with a systematic proposal of alternatives to prolonged breastfeeding: formula-feeding from birth, or exclusive breastfeeding during three months then early cessation of breastfeeding. We surveyed all health care workers involved in this project in November 2003 using a self-administered anonymous questionnaire to investigate their knowledge, attitudes and beliefs regarding the infant feeding interventions proposed since March 2001. Their knowledge regarding infant practices proposed within the study was consistent and their attitude was in accordance with the study protocol. However, proposing alternatives to prolonged breastfeeding induces difficulties to health-care workers that should be taken into account when tailoring such complex interventions.</p></abstract><kwd-group kwd-group-type="MESH"><kwd>Anonymous Testing</kwd><kwd>Bottle Feeding</kwd><kwd>Cote d'Ivoire</kwd><kwd>Cross-Sectional Studies</kwd><kwd>Disease Transmission</kwd><kwd>Vertical</kwd><kwd>prevention & control</kwd><kwd>Female</kwd><kwd>HIV Infections</kwd><kwd>prevention & control</kwd><kwd>Health Care Surveys</kwd><kwd>Health Knowledge</kwd><kwd>Attitudes</kwd><kwd>Practice</kwd><kwd>Humans</kwd><kwd>Infant</kwd><kwd>Infant</kwd><kwd>Newborn</kwd><kwd>Milk</kwd><kwd>Human</kwd><kwd>Pregnancy</kwd><kwd>Pregnancy Complications</kwd><kwd>Infectious</kwd><kwd>prevention & control</kwd><kwd>Questionnaires</kwd></kwd-group><kwd-group kwd-group-type="Author"><kwd>HIV</kwd><kwd>mother-to-child transmission</kwd><kwd>infant feeding</kwd><kwd>health care worker</kwd><kwd>Africa</kwd></kwd-group></article-meta></front><floats-wrap><table-wrap id="T1" position="float"><label>Table 1</label><caption><p>World Health Organization infant feeding definitions</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Infant feeding practice</th><th align="left" rowspan="1" colspan="1">Definition</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Exclusive breastfeeding</td><td align="left" rowspan="1" colspan="1">Giving a child no other food or drink, including no water, in addition to breastfeeding with the exception of medicines, vitamin drops or syrups, and mineral supplements <xref rid="R11" ref-type="bibr">11</xref></td></tr><tr><td align="left" rowspan="1" colspan="1">Predominant breastfeeding</td><td align="left" rowspan="1" colspan="1">Breastfeeding a child but also giving small amounts of water or water based drinks. Neither food-based fluid nor solid food are allowed under this definition <xref rid="R11" ref-type="bibr">11</xref></td></tr><tr><td align="left" rowspan="1" colspan="1">Artificial feeding</td><td align="left" rowspan="1" colspan="1">Feeding a child on artificial feeds (including infant formula and powdered animal milk), and not breastfeeding at all <xref rid="R12" ref-type="bibr">12</xref></td></tr><tr><td align="left" rowspan="1" colspan="1">Mixed feeding</td><td align="left" rowspan="1" colspan="1">Breastfeeding while giving non-human milk such as infant formula or food-based fluid or solid food <xref rid="R13" ref-type="bibr">13</xref></td></tr></tbody></table></table-wrap><table-wrap id="T2" position="float"><label>Table 2</label><caption><p>Beliefs of health care workers and difficulties reported by mothers concerning infant feeding practices proposed within the Ditrame Plus project, Abidjan, Côte d’Ivoire, November 2003.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1"></th><th align="center" rowspan="1" colspan="1">Complete avoidance of breastfeeding N (%)</th><th align="center" rowspan="1" colspan="1">Exclusive breastfeeding with early cessation N (%)</th><th align="center" rowspan="1" colspan="1">p-value</th></tr></thead><tbody><tr><td colspan="4" align="left" rowspan="1"><bold><underline>Beliefs of health care workers</underline></bold></td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Infant feeding difficult to practice</bold></td><td align="center" rowspan="1" colspan="1"><bold>40 (77)</bold></td><td align="center" rowspan="1" colspan="1"><bold>41 (79)</bold></td><td align="center" rowspan="1" colspan="1">0.84</td></tr><tr><td align="left" rowspan="1" colspan="1"> the child is more often sick</td><td align="center" rowspan="1" colspan="1">7 (15)</td><td align="center" rowspan="1" colspan="1">17 (35)</td><td align="center" rowspan="1" colspan="1">0.02</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces child growth problems</td><td align="center" rowspan="1" colspan="1">4 (8)</td><td align="center" rowspan="1" colspan="1">8 (16)</td><td align="center" rowspan="1" colspan="1">0.22</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces malnutrition problems</td><td align="center" rowspan="1" colspan="1">1 (2)</td><td align="center" rowspan="1" colspan="1">20 (40)</td><td align="center" rowspan="1" colspan="1">< 0.01</td></tr><tr><td align="left" rowspan="1" colspan="1"> it makes the child “silly”</td><td align="center" rowspan="1" colspan="1">3 (7)</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0.09</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces stigmatisation problems with the partner</td><td align="center" rowspan="1" colspan="1">31 (67)</td><td align="center" rowspan="1" colspan="1">36 (72)</td><td align="center" rowspan="1" colspan="1">0.22</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces stigmatisation problems with the family</td><td align="center" rowspan="1" colspan="1">32 (68)</td><td align="center" rowspan="1" colspan="1">34 (68)</td><td align="center" rowspan="1" colspan="1">0.74</td></tr><tr><td colspan="4" align="left" rowspan="1"><bold><underline>Difficulties reported to health care workers by the mothers</underline></bold></td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>No difficulty reported ever</bold></td><td align="center" rowspan="1" colspan="1"><bold>7 (17)</bold></td><td align="center" rowspan="1" colspan="1"><bold>7 (17)</bold></td><td align="center" rowspan="1" colspan="1">1.00</td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Difficulty reported at least once</bold></td><td align="center" rowspan="1" colspan="1"><bold>50 (83)</bold></td><td align="center" rowspan="1" colspan="1"><bold>50 (83)</bold></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1"> the child is more often sick</td><td align="center" rowspan="1" colspan="1">10 (20)</td><td align="center" rowspan="1" colspan="1">27 (55)</td><td align="center" rowspan="1" colspan="1">< 0.01</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces child growth problems</td><td align="center" rowspan="1" colspan="1">3 (6)</td><td align="center" rowspan="1" colspan="1">8 (16)</td><td align="center" rowspan="1" colspan="1">0.11</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces malnutrition problems</td><td align="center" rowspan="1" colspan="1">9 (18)</td><td align="center" rowspan="1" colspan="1">15 (30)</td><td align="center" rowspan="1" colspan="1">0.17</td></tr><tr><td align="left" rowspan="1" colspan="1"> it makes the child “silly”</td><td align="center" rowspan="1" colspan="1">15 (30)</td><td align="center" rowspan="1" colspan="1">5 (10)</td><td align="center" rowspan="1" colspan="1">0.01</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces stigmatisation problems with the partner</td><td align="center" rowspan="1" colspan="1">34 (68)</td><td align="center" rowspan="1" colspan="1">34 (68)</td><td align="center" rowspan="1" colspan="1">1.00</td></tr><tr><td align="left" rowspan="1" colspan="1"> it induces stigmatisation problems with the family</td><td align="center" rowspan="1" colspan="1">35 (69)</td><td align="center" rowspan="1" colspan="1">30 (60)</td><td align="center" rowspan="1" colspan="1">0.34</td></tr></tbody></table></table-wrap></floats-wrap></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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