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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study</title>
<author><name sortKey="Parker, Megan E" sort="Parker, Megan E" uniqKey="Parker M" first="Megan E." last="Parker">Megan E. Parker</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bentley, Margaret E" sort="Bentley, Margaret E" uniqKey="Bentley M" first="Margaret E." last="Bentley">Margaret E. Bentley</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chasela, Charles" sort="Chasela, Charles" uniqKey="Chasela C" first="Charles" last="Chasela">Charles Chasela</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Adair, Linda" sort="Adair, Linda" uniqKey="Adair L" first="Linda" last="Adair">Linda Adair</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Piwoz, Ellen G" sort="Piwoz, Ellen G" uniqKey="Piwoz E" first="Ellen G." last="Piwoz">Ellen G. Piwoz</name>
<affiliation><nlm:aff id="A3">Bill and Melinda Gates Foundation, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jamieson, Denise J" sort="Jamieson, Denise J" uniqKey="Jamieson D" first="Denise J." last="Jamieson">Denise J. Jamieson</name>
<affiliation><nlm:aff id="A4">Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ellington, Sascha" sort="Ellington, Sascha" uniqKey="Ellington S" first="Sascha" last="Ellington">Sascha Ellington</name>
<affiliation><nlm:aff id="A4">Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kayira, Dumbani" sort="Kayira, Dumbani" uniqKey="Kayira D" first="Dumbani" last="Kayira">Dumbani Kayira</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soko, Alice" sort="Soko, Alice" uniqKey="Soko A" first="Alice" last="Soko">Alice Soko</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mkhomawanthu, Chimwemwe" sort="Mkhomawanthu, Chimwemwe" uniqKey="Mkhomawanthu C" first="Chimwemwe" last="Mkhomawanthu">Chimwemwe Mkhomawanthu</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tembo, Martin" sort="Tembo, Martin" uniqKey="Tembo M" first="Martin" last="Tembo">Martin Tembo</name>
<affiliation><nlm:aff id="A5">Wageningen University, Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martinson, Francis" sort="Martinson, Francis" uniqKey="Martinson F" first="Francis" last="Martinson">Francis Martinson</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Van Der Horst, Charles M" sort="Van Der Horst, Charles M" uniqKey="Van Der Horst C" first="Charles M." last="Van Der Horst">Charles M. Van Der Horst</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">21696245</idno>
<idno type="pmc">3197736</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197736</idno>
<idno type="RBID">PMC:3197736</idno>
<idno type="doi">10.1521/aeap.2011.23.3.281</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">001208</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001208</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study</title>
<author><name sortKey="Parker, Megan E" sort="Parker, Megan E" uniqKey="Parker M" first="Megan E." last="Parker">Megan E. Parker</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bentley, Margaret E" sort="Bentley, Margaret E" uniqKey="Bentley M" first="Margaret E." last="Bentley">Margaret E. Bentley</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chasela, Charles" sort="Chasela, Charles" uniqKey="Chasela C" first="Charles" last="Chasela">Charles Chasela</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Adair, Linda" sort="Adair, Linda" uniqKey="Adair L" first="Linda" last="Adair">Linda Adair</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Piwoz, Ellen G" sort="Piwoz, Ellen G" uniqKey="Piwoz E" first="Ellen G." last="Piwoz">Ellen G. Piwoz</name>
<affiliation><nlm:aff id="A3">Bill and Melinda Gates Foundation, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jamieson, Denise J" sort="Jamieson, Denise J" uniqKey="Jamieson D" first="Denise J." last="Jamieson">Denise J. Jamieson</name>
<affiliation><nlm:aff id="A4">Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ellington, Sascha" sort="Ellington, Sascha" uniqKey="Ellington S" first="Sascha" last="Ellington">Sascha Ellington</name>
<affiliation><nlm:aff id="A4">Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kayira, Dumbani" sort="Kayira, Dumbani" uniqKey="Kayira D" first="Dumbani" last="Kayira">Dumbani Kayira</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soko, Alice" sort="Soko, Alice" uniqKey="Soko A" first="Alice" last="Soko">Alice Soko</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mkhomawanthu, Chimwemwe" sort="Mkhomawanthu, Chimwemwe" uniqKey="Mkhomawanthu C" first="Chimwemwe" last="Mkhomawanthu">Chimwemwe Mkhomawanthu</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tembo, Martin" sort="Tembo, Martin" uniqKey="Tembo M" first="Martin" last="Tembo">Martin Tembo</name>
<affiliation><nlm:aff id="A5">Wageningen University, Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Martinson, Francis" sort="Martinson, Francis" uniqKey="Martinson F" first="Francis" last="Martinson">Francis Martinson</name>
<affiliation><nlm:aff id="A2">UNC Project, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Van Der Horst, Charles M" sort="Van Der Horst, Charles M" uniqKey="Van Der Horst C" first="Charles M." last="Van Der Horst">Charles M. Van Der Horst</name>
<affiliation><nlm:aff id="A1">School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">AIDS education and prevention : official publication of the International Society for AIDS Education</title>
<idno type="ISSN">0899-9546</idno>
<idno type="eISSN">1943-2755</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p id="P1">International guidelines recommend exclusive breastfeeding to 6 months among HIV-infected mothers choosing to breastfeed and cessation thereafter if replacement feeding is acceptable, feasible, affordable, sustainable and safe. When mothers wean they are challenged to provide an adequate replacement diet. This study investigates the use and acceptability of a lipid-based nutrient supplement (LNS) as a breastmilk substitute when provided to infants (6-12mo) of HIV-positive mothers, as part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) Study. A sub-sample of mothers (n=45) participated in interviews that explored exclusive breastfeeding, weaning, and strategies to feed LNS. Mothers reported several weaning strategies, including gradual reduction of breastfeeding, expressing breastmilk into a cup, and separation of mother and child. LNS, a peanut-based micronutrient fortified paste, was highly accepted and incorporated into the traditional diet. Weaning is a feasible HIV prevention method among this population in Malawi when supported by the provision of LNS as a breastmilk substitute.</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-journal-id">9002873</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1762</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Educ Prev</journal-id>
<journal-title-group><journal-title>AIDS education and prevention : official publication of the International Society for AIDS Education</journal-title>
</journal-title-group>
<issn pub-type="ppub">0899-9546</issn>
<issn pub-type="epub">1943-2755</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21696245</article-id>
<article-id pub-id-type="pmc">3197736</article-id>
<article-id pub-id-type="doi">10.1521/aeap.2011.23.3.281</article-id>
<article-id pub-id-type="manuscript">NIHMS324232</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The acceptance and feasibility of replacement feeding at 6 months as an HIV prevention method in Lilongwe, Malawi: Results from the BAN Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Parker</surname>
<given-names>Megan E.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bentley</surname>
<given-names>Margaret E.</given-names>
</name>
<degrees>PhD</degrees>
<role>Professor of Nutrition</role>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chasela</surname>
<given-names>Charles</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Adair</surname>
<given-names>Linda</given-names>
</name>
<degrees>PhD</degrees>
<role>Professor of Nutrition</role>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Piwoz</surname>
<given-names>Ellen G.</given-names>
</name>
<degrees>ScD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jamieson</surname>
<given-names>Denise J.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ellington</surname>
<given-names>Sascha</given-names>
</name>
<degrees>MSPH</degrees>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kayira</surname>
<given-names>Dumbani</given-names>
</name>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soko</surname>
<given-names>Alice</given-names>
</name>
<role>Nurse</role>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mkhomawanthu</surname>
<given-names>Chimwemwe</given-names>
</name>
<degrees>BSc</degrees>
<role>Nutritionist</role>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tembo</surname>
<given-names>Martin</given-names>
</name>
<degrees>MSc</degrees>
<role>Nutrition</role>
<xref rid="A5" ref-type="aff">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martinson</surname>
<given-names>Francis</given-names>
</name>
<degrees>MBChB, PhD</degrees>
<role>Country Director</role>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>van der Horst</surname>
<given-names>Charles M.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<on-behalf-of>for the BAN Study Team. UNC, Chapel Hill, NC and Lilongwe Malawi; CDC, Atlanta GA</on-behalf-of>
</contrib-group>
<aff id="A1"><label>1</label>
School of Public Health, University of North Carolina at Chapel Hill, North Carolina, USA</aff>
<aff id="A2"><label>2</label>
UNC Project, Lilongwe, Malawi</aff>
<aff id="A3"><label>3</label>
Bill and Melinda Gates Foundation, Seattle, Washington, USA</aff>
<aff id="A4"><label>4</label>
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</aff>
<aff id="A5"><label>5</label>
Wageningen University, Netherlands</aff>
<author-notes><corresp id="FN1">Corresponding Author: Megan E. Parker, IFPRI 2033 K Street NW, Washington D.C., 20006 USA, <email>m.parker@cgiar.org</email>
, Burundi Telephone: (+257) 7123 5954</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>27</day>
<month>9</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>12</month>
<year>2011</year>
</pub-date>
<volume>23</volume>
<issue>3</issue>
<fpage>281</fpage>
<lpage>295</lpage>
<abstract><p id="P1">International guidelines recommend exclusive breastfeeding to 6 months among HIV-infected mothers choosing to breastfeed and cessation thereafter if replacement feeding is acceptable, feasible, affordable, sustainable and safe. When mothers wean they are challenged to provide an adequate replacement diet. This study investigates the use and acceptability of a lipid-based nutrient supplement (LNS) as a breastmilk substitute when provided to infants (6-12mo) of HIV-positive mothers, as part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) Study. A sub-sample of mothers (n=45) participated in interviews that explored exclusive breastfeeding, weaning, and strategies to feed LNS. Mothers reported several weaning strategies, including gradual reduction of breastfeeding, expressing breastmilk into a cup, and separation of mother and child. LNS, a peanut-based micronutrient fortified paste, was highly accepted and incorporated into the traditional diet. Weaning is a feasible HIV prevention method among this population in Malawi when supported by the provision of LNS as a breastmilk substitute.</p>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>infant feeding</kwd>
<kwd>breastfeeding</kwd>
<kwd>weaning</kwd>
<kwd>LNS</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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