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首页> 美国卫生研究院文献>other >Infant and young child feeding counseling decision-making and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study
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Infant and young child feeding counseling decision-making and practices among HIV-infected women in Malawi’s Option B+ prevention of mother-to-child transmission program: a mixed methods study

机译：马拉维的方案B +预防母婴传播计划中的HIV感染妇女的婴幼儿喂养咨询决策和做法：混合方法研究

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摘要

This study examined infant and young child feeding (IYCF) counseling, decision-making, and practices among HIV-infected women with children 0–23 months participating in Malawi’s Option B+ prevention of mother-to-child transmission (PMTCT) program. We conducted 160 survey interviews, 32 in-depth interviews, and 32 observations of PMTCT visits. Surveys indicated that exclusive breastfeeding was common (75%) among children < 6 months, while minimum dietary diversity (41%) and minimum acceptable diet (40%) for children 6–23 months occurred less often. In-depth interviews supported these findings. Most women felt comfortable with current breastfeeding recommendations, but chronic food insecurity made it difficult for them to follow complementary feeding guidelines. Women trusted IYCF advice from health workers, but mainly received it during pregnancy. During observations of postnatal PMTCT visits, health workers infrequently advised on breastfeeding (41% of visits) or complementary feeding (29% of visits). This represents a missed opportunity for health workers to support optimal IYCF practices within Option B+.
机译：这项研究调查了参加马拉维的方案B +预防母婴传播（PMTCT）计划的0-23个月有HIV感染的妇女中的婴幼儿喂养（IYCF）咨询，决策和做法。我们进行了160次调查访谈，32次深度访谈以及对PMTCT访问的32次观察。调查表明，<6月龄的儿童中纯母乳喂养很普遍（75％），而6-23个月儿童的最低饮食多样性（41％）和最低可接受饮食（40％）的发生率较低。深入访谈支持了这些发现。大多数妇女对当前的母乳喂养建议感到满意，但是长期的粮食不安全状况使她们难以遵循补充性的喂养准则。妇女信任卫生工作者的国际青年年的建议，但主要是在怀孕期间得到的。在观察产后PMTCT访视时，卫生工作者很少建议母乳喂养（占访视的41％）或补充喂养（占访视的29％）。这对于医务工作者来说是错失良机，无法在备选方案B +中支持最佳的国际青年年实践。

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