Piwoz, E. G., Ferguson, Y. O., Bentley, M. E., Corneli, A. L., Moses, A., Nkhoma, J., Tohill, B. C., Mtimuni, B., Ahmed, Y., Jamieson, D. J., van der Horst, C., Kazembe, P., Adair, L., Albrecth, S., Alt-Khaled, M., Bangdiwala, K., Bayer, R., Butera, S., Chigwenembe, J., ... Zimba, C. (2006). Differences between international recommendations on breastfeeding in the presence of HIV and the attitudes and counselling messages of health workers in Lilongwe, Malawi. International Breastfeeding Journal, 1, Artículo 2. https://doi.org/10.1186/1746-4358-1-2
Piwoz, EG, Ferguson, YO, Bentley, ME, Corneli, AL, Moses, A, Nkhoma, J, Tohill, BC, Mtimuni, B, Ahmed, Y, Jamieson, DJ, van der Horst, C, Kazembe, P, Adair, L, Albrecth, S, Alt-Khaled, M, Bangdiwala, K, Bayer, R, Butera, S, Chigwenembe, J, Chilongozi, D, Chiudzu, G, Cole, A, Corbett, A, Duerr, A, Eliya, H, Fiscuss, S, Galvin, S, Heilig, C, Hoffman, I, Hooten, E, Hsiao, T, Hurst, S, Joaki, G, Jones, D, Kamanga, G, Kamthunzi, P, Kanyama, C, Kashuba, A, Kathyola, D, Knight, R, Krysiak, R, Loeliger, E, Luhanga, M, Maida, A, Martinson, F, Mayers, D, Mayuni, I, McDonough, M, Merry, C, Msungama, W, Multa, J, Mwansambo, C, Mwapasa, G, Pendame, R, Raines, B, Ryan, M, Shugars, D, Sichali, D, Steens, JM, Tegha, G, Tembo, M, Thomas, R, Waalberg, E & Zimba, C 2006, 'Differences between international recommendations on breastfeeding in the presence of HIV and the attitudes and counselling messages of health workers in Lilongwe, Malawi', International Breastfeeding Journal, vol. 1, 2. https://doi.org/10.1186/1746-4358-1-2
@article{51a9a37ea2e94423965969d12d77e23b,
title = "Differences between international recommendations on breastfeeding in the presence of HIV and the attitudes and counselling messages of health workers in Lilongwe, Malawi",
abstract = "Background: To prevent postnatal transmission of HIV in settings where safe alternatives to breastfeeding are unavailable, the World Health Organization (WHO) recommends exclusive breastfeeding followed by early, rapid cessation of breastfeeding. Only limited data are available on the attitudes of health workers toward this recommendation and the impact of these attitudes on infant feeding counselling messages given to mothers. Methods: As part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) clinical trial, we carried out an in-depth qualitative study of the attitudes, beliefs, and counselling messages of 19 health workers in Lilongwe, Malawi. Results: Although none of the workers had received formal training, several reported having counseled HIV-positive mothers about infant feeding. Health workers with counselling experience believed that HIV-infected mothers should breastfeed exclusively, rather than infant formula feed, citing poverty as the primary reason. Because of high levels of malnutrition, all the workers had concerns about early cessation of breastfeeding. Conclusion: Important differences were observed between the WHO recommendations and the attitudes and practices of the health workers. Understanding these differences is important for designing effective interventions.",
author = "Piwoz, {Ellen G.} and Ferguson, {Yvonne Owens} and Bentley, {Margaret E.} and Corneli, {Amy L.} and Agnes Moses and Jacqueline Nkhoma and Tohill, {Beth Carlton} and Beatrice Mtimuni and Yusuf Ahmed and Jamieson, {Denise J.} and {van der Horst}, Charles and Peter Kazembe and Linda Adair and Sandra Albrecth and Mounir Alt-Khaled and Kant Bangdiwala and Ronald Bayer and Sal Butera and Joseph Chigwenembe and David Chilongozi and Grace Chiudzu and Ann Cole and Amanda Corbett and Ann Duerr and Henry Eliya and Susan Fiscuss and Shannon Galvin and Chad Heilig and Irving Hoffman and Elizabeth Hooten and Tien Hsiao and Stacey Hurst and George Joaki and David Jones and Gift Kamanga and Portia Kamthunzi and Cecilia Kanyama and Angela Kashuba and Dansom Kathyola and Rod Knight and Robert Krysiak and Edde Loeliger and Misheck Luhanga and Alice Maida and Francis Martinson and Douglas Mayers and Isabel Mayuni and Marita McDonough and Ceppei Merry and Wezi Msungama and Jane Multa and Charles Mwansambo and Gerald Mwapasa and Richard Pendame and Byron Raines and Mairin Ryan and Diane Shugars and Dorothy Sichali and Steens, {Jean Marc} and Gerald Tegha and Martin Tembo and Roshan Thomas and Esther Waalberg and Chifundo Zimba",
year = "2006",
month = mar,
day = "9",
doi = "10.1186/1746-4358-1-2",
language = "English",
volume = "1",
journal = "International Breastfeeding Journal",
issn = "1746-4358",
publisher = "BioMed Central",
}
TY - JOUR
T1 - Differences between international recommendations on breastfeeding in the presence of HIV and the attitudes and counselling messages of health workers in Lilongwe, Malawi
AU - Piwoz, Ellen G.
AU - Ferguson, Yvonne Owens
AU - Bentley, Margaret E.
AU - Corneli, Amy L.
AU - Moses, Agnes
AU - Nkhoma, Jacqueline
AU - Tohill, Beth Carlton
AU - Mtimuni, Beatrice
AU - Ahmed, Yusuf
AU - Jamieson, Denise J.
AU - van der Horst, Charles
AU - Kazembe, Peter
AU - Adair, Linda
AU - Albrecth, Sandra
AU - Alt-Khaled, Mounir
AU - Bangdiwala, Kant
AU - Bayer, Ronald
AU - Butera, Sal
AU - Chigwenembe, Joseph
AU - Chilongozi, David
AU - Chiudzu, Grace
AU - Cole, Ann
AU - Corbett, Amanda
AU - Duerr, Ann
AU - Eliya, Henry
AU - Fiscuss, Susan
AU - Galvin, Shannon
AU - Heilig, Chad
AU - Hoffman, Irving
AU - Hooten, Elizabeth
AU - Hsiao, Tien
AU - Hurst, Stacey
AU - Joaki, George
AU - Jones, David
AU - Kamanga, Gift
AU - Kamthunzi, Portia
AU - Kanyama, Cecilia
AU - Kashuba, Angela
AU - Kathyola, Dansom
AU - Knight, Rod
AU - Krysiak, Robert
AU - Loeliger, Edde
AU - Luhanga, Misheck
AU - Maida, Alice
AU - Martinson, Francis
AU - Mayers, Douglas
AU - Mayuni, Isabel
AU - McDonough, Marita
AU - Merry, Ceppei
AU - Msungama, Wezi
AU - Multa, Jane
AU - Mwansambo, Charles
AU - Mwapasa, Gerald
AU - Pendame, Richard
AU - Raines, Byron
AU - Ryan, Mairin
AU - Shugars, Diane
AU - Sichali, Dorothy
AU - Steens, Jean Marc
AU - Tegha, Gerald
AU - Tembo, Martin
AU - Thomas, Roshan
AU - Waalberg, Esther
AU - Zimba, Chifundo
PY - 2006/3/9
Y1 - 2006/3/9
N2 - Background: To prevent postnatal transmission of HIV in settings where safe alternatives to breastfeeding are unavailable, the World Health Organization (WHO) recommends exclusive breastfeeding followed by early, rapid cessation of breastfeeding. Only limited data are available on the attitudes of health workers toward this recommendation and the impact of these attitudes on infant feeding counselling messages given to mothers. Methods: As part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) clinical trial, we carried out an in-depth qualitative study of the attitudes, beliefs, and counselling messages of 19 health workers in Lilongwe, Malawi. Results: Although none of the workers had received formal training, several reported having counseled HIV-positive mothers about infant feeding. Health workers with counselling experience believed that HIV-infected mothers should breastfeed exclusively, rather than infant formula feed, citing poverty as the primary reason. Because of high levels of malnutrition, all the workers had concerns about early cessation of breastfeeding. Conclusion: Important differences were observed between the WHO recommendations and the attitudes and practices of the health workers. Understanding these differences is important for designing effective interventions.
AB - Background: To prevent postnatal transmission of HIV in settings where safe alternatives to breastfeeding are unavailable, the World Health Organization (WHO) recommends exclusive breastfeeding followed by early, rapid cessation of breastfeeding. Only limited data are available on the attitudes of health workers toward this recommendation and the impact of these attitudes on infant feeding counselling messages given to mothers. Methods: As part of the Breastfeeding, Antiretroviral, and Nutrition (BAN) clinical trial, we carried out an in-depth qualitative study of the attitudes, beliefs, and counselling messages of 19 health workers in Lilongwe, Malawi. Results: Although none of the workers had received formal training, several reported having counseled HIV-positive mothers about infant feeding. Health workers with counselling experience believed that HIV-infected mothers should breastfeed exclusively, rather than infant formula feed, citing poverty as the primary reason. Because of high levels of malnutrition, all the workers had concerns about early cessation of breastfeeding. Conclusion: Important differences were observed between the WHO recommendations and the attitudes and practices of the health workers. Understanding these differences is important for designing effective interventions.
UR - http://www.scopus.com/inward/record.url?scp=33751302191&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33751302191&partnerID=8YFLogxK
U2 - 10.1186/1746-4358-1-2
DO - 10.1186/1746-4358-1-2
M3 - Article
AN - SCOPUS:33751302191
SN - 1746-4358
VL - 1
JO - International Breastfeeding Journal
JF - International Breastfeeding Journal
M1 - 2
ER -