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HIV and infant feeding : a compilation of programmatic evidence

et al
July 2004

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This paper tries to deepen understandings of the biological and programmatic implications of the transmission of HIV through breastfeeding which have previously been hampered by insufficient study and difficulties of interpretation. It is a careful look at the findings of programmatic approaches. The project attempted to find, summarise and analyse reports on a wide variety of relevant programmes conducted since 1998 UNICEF guidelines were issued. The programmes range from small community research projects to national programmes. The compilation addresses numerous controversial topics and constraints, including human resources, confused mothers, stigma and discrimination, spillover of replacement feeding, free or subsidised infant formula, family economics and the difficulty in providing integrated HIV testing, informed choice counselling, community support, logistics and follow-up care for mothers and infants

Improving nutrition and reproductive health : a review of UNICEF experience with the distribution of free infant formula for infants of HIV-infected mothers in Africa

WAGT, Arjan de
Clark, David

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This review considers the experience of UNICEF with the distribution of free infant formula for infants of HIV infected mothers in Africa. UNICEF has provided, or is planning to provide, support to pregnant women in 54 countries, with HIV testing and counselling, improved health care, anti-retroviral drugs, and counselling on infant feeding options. After 1998, UNICEF decided to provide poorer HIV positive mothers with an alternative to breastfeeding by providing free formula. This paper presents the experiences with the procurement, distribution and use of free formula in PMTCT programmes. It further suggests conditions for the use of free formula


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