From: In your own words Prevention of mother-to-child transmission news from aidsmap South Africa: Women of lower socio-economic status have greater needs for services to prevent mother-to-child HIV transmission Pregnant women of lower socio-economic status are more likely to take up early HIV testing and to have HIV-exposed infants, according to findings of a study presented by Nobubelo Ngandu at the 7th South African AIDS conference last month ... The authors found that the virus that eventually returned after the girl had been off antiretroviral therapy for more than 2 years was identical to her mother's viral strain
Knowledge, attitudes and practices regarding exclusive breastfeeding in Southern Africa - Part 1
Over the last decade, overwhelming scientific evidence supporting the integral role of breastfeeding in the survival, growth and development of a child, as well as the in the health and well-being of a mother, has come to light. There is also great need to create awareness of optimal breastfeeding practices and behavioural change among mothers and their extended families, which play a significant role in infant feeding choices and practices
HIV: mother-to-child transmission
In addition, we use a regular surveillance protocol to capture harms alerts from organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA), which are added to the reviews as required. Categories presented in Clinical Evidence indicate a judgement about the strength of the evidence available to our contributors prior to publication and the relevant importance of benefit and harms
Given the high HIV prevalence in this sample, additional research should be conducted to identify culturally appropriate interventions that overcome barriers to HIV testing and increase linkage to care for heterosexuals with low SES in urban areas with high prevalence of AIDS. messages remind women that they have the power to take charge of their health and protect themselves from HIV through testing, talking openly with their partners about HIV, and insisting on safe sex
This report is part of a larger systematic review of the evidence intended to determine the effect of male participation on female uptake of PMTCT services to evaluate the proportion of men who accept voluntary counseling and testing for HIV, provide moral and financial support to their spouses to adhere to antenatal care and PMTCT guidelines, etc. Overview of methods We did a comprehensive electronic search of four electronic databases: PubMed, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials (CENTRAL)
References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. The seven-fold increase in the number of pregnant and breastfeeding women started on ART per quarter during the first year of Option B+ has multiple potential benefits to mothers, their partners, and their children
Those agreeing to participate will be enrolled following provision of informed consent, maintaining confidentiality of the serostatus of both couple members. It is hypothesized that women receiving the intervention will be significantly more likely to adhere to PMTCT protocol elements and, consequently, significantly less likely to have an infant test HIV seropositive as compared to those women in the control condition
Mortality and Health Outcomes of HIV-Exposed and Unexposed Children in a PMTCT Cohort in Malawi
Additionally we reviewed all delivery and postpartum registers during the specified period in an attempt to capture all HIV-infected pregnant women in the district with an EDD between March 1st and May 31st, 2008 . Our gratitude is extended to the HSAs and research assistants who provided assistance in tracing the study participants, and to the Dignitas International data management team.Funding StatementML is supported by a New Investigator Award from the Department of Family and Community Medicine, University of Toronto
Sample size was too small in each feeding group to do analysis that explained the differences in feeding practices between HIV-positive and -negative women. This finding was unexpected and showed that although NBF seemed easier to implement than EBF, few women who avoided breastfeeding practiced EFF in the first six months
In view of these limitations, it is possible that they only encouraged women to stop breastfeeding at six months without necessarily helping them to weigh the risks versus benefits of the various options. Effective programmes seem to require more than basic resources, which of course challenges sustainability and demonstrates that good health care is not possible without real investment
26 Previously, the mix-feed message was confusing, and in South Africa a study found that only 25 percent of mothers exclusively breastfed whereas 75 percent of women used formula or undertook mixed feeding during the first 6 months. These new guidelines recommend all pregnant mothers take ARVs for life (Option B+), or countries may choose Option B where they can test a mother for her eligibility for ARVs after the birth of her child
A number of reasons were given for this including traditional feeding practices, a poor understanding of what exclusive breastfeeding involves, as well as poor communication about why women should exclusively breastfeed. (2013) ' HIV-related Stigma as a Barrier to Achievement of Global PMTCT and Maternal Health Goals: A Review of the Evidence' AIDS and Behaviour 17:2528-2539 21
The applicability of the findings from the present study may be limited because participants were drawn from one site that caters mainly for low income women. Furthermore, participants, especially the HIV-positive mothers felt that exclusive breastfeeding leads to maternal ill- health and would accelerate their progression to full blown AIDS
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