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HIV and infant feeding : new evidence and programmatic experience|Report of a technical consultation held on behalf of the Inter-agency Task Team (IATT) on Prevention of HIV infections in pregnant women, Mother and their Infants, Geneva, Switzerland, 25-

WORLD HEALTH ORGANIZATION (WHO)
et al
2007

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This report aims to clarify and refine existing UN guidance on HIV and infant feeding. It follows a previous technical consultation in 2000 and presents a summary of findings, conclusions and recommendations regarding HIV and Infant Feeding between 2000 and 2006

HIV risk exposure in young children : a study of 2-9 year olds served by public health facilities in the Free State, South Africa

SHISANA, Olive
MEHTAR, Shaheen
2005

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South Africa has, until now, focused its HIV prevention efforts on youth and adults, and now needs to expand its focus to include children. Much is already known about mother to child transmission, which is the dominant mode of HIV transmission among children. However, little investigation has been done into the potential for horizontal transmission of HIV on the population below reproductive age. This report focuses on children aged 2-9 years and, using a combination of qualitative and quantitative methods, presents evidence on the potential for HIV transmission in dental, maternity and paediatric service in public health facilities. A new finding concerns the practice of shared breastfeeding

HIV and infant feeding : a compilation of programmatic evidence

KONIZ-BOOHER, Peggy
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
2004

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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

Assessing the costs of a rural PMTCT pilot site in the Eastern Cape

DESMOND, Chris
BOYCE, Gerard
Eds
2004

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Mother to child transmission is by far the largest source of HIV infection in children below the age of 15. Prevention of mother to child transmission (PMTCT) programmes have been implemented nationally in South Africa since 2000. This report presents the results of research conducted at a pilot site in the Eastern Cape into the use of resources associated with the implementation of a PMTCT programme. It is part of a larger research project that seeks to examine and compare the costs of providing nevirapine and AZT in both urban and rural contexts. It is hoped that this study will contribute to the national programme of monitoring and evaluating the costs and effectiveness of PMTCT interventions in South Africa

HIV transmission through breastfeeding : a review of available evidence

UNITED NATIONS CHILDREN'S FUND (UNICEF)
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
WORLD HEALTH ORGANIZATION (WHO)
UNITED NATIONS POPULATION FUND
2004

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This book presents a summary of the available scientific evidence on the transmission of HIV infection through breastfeeding. It briefly describes the benefits of breastfeeding for both mothers and infants; and summarizes evidence on the relative risk of mother-to-child transmission of HIV-1 infection during pregnancy, delivery, and breastfeeding.
Contents: 1. Executive Summary 2. Introdution 3. Background 4. Mother-to-child transmission 5. HIV transmission through breastfeeding 6. Preventing transmission through breastfeeding 7. Current or planned research 8. References

HIV and infant feeding : a report of a WABA-UNICEF Colloquium

GREINER, Ted
Ed
2003

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This report covers the main dilemmas and debates around HIV/AIDS and infant feeding practices. There is some focus on antiretrovirals and prevention of mother to child transmission, but sessions featured in the report mainly cover technical and progammatic issues, and the sharing of field experiences. The key themes are the issues of if and how to breastfeed, and confusion over unclear messages about infant feeding practices. Increasing access to information and voluntary counselling and testing is covered as well as community involvement and the perspective and role of breastfeeding supportive NGOs. Lessons learned are drawn upon and details of each working group on various subjects are documented. Research, monitoring and evaluation priorities are looked at, and there is a presentation of knowledge gaps and challenges for the future

HIV and infant feeding : guidelines for decision-makers

UNITED NATIONS CHILDREN'S FUND (UNICEF)
WORLD HEALTH ORGANIZATION (WHO)
JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
UNITED NATIONS POPULATION FUND (UNFPA)
2003

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Contents: 1. Overview 2. Protecting, promoting and supporting appropriate feeding practices for infants and young children in the context of HIV 3. Supporting HIV-positive women in their infant-feeding decisions 4. Monitoring and evaluation

HIV/AIDS : issues affecting the young child

EDWARDS, Morris
2002

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This PowerPoint presentation looks at the impact and scale of HIV/AIDS on the young, and the health and social aspects of HIV/AIDS. The focus on very young chldren focuses on the prevention of mother-to-child transmission. The presentation also makes recommendations for advocacy to ensure the non-discrimination of children living with HIV/AIDS and their access to health care, education and social services and benefits

WABA position on HIV and breastfeeding

WORLD ALLIANCE FOR BREASTFEEDING ACTION (WABA)
1998

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This is a position paper on HIV and breastfeeding. It makes broad statements on the situation of breastfeeding mothers in the light of HIV. It states that it is concerned that recent changes in WHO, UNICEF and UNAIDS policy regarding breastfeeding and HIV as these changes appear to put major stress on the use of infant formula and less on alternative feeding methods. Recommendations are then made which indicate what some of these alternatives are

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