A Cluster Randomised Trial to Determine the Efficacy of the 'Feeding Buddies' Programme in Improving Exclusive Breastfeeding Rates Among HIV-Infected Women in Rural KwaZulu-Natal, South Africa
| Autor: | Kiersten Israel-Ballard, Penelope Reimers, Frank Tanser, Lenore Spies, Ibou Thior, Marlies H. Craig, Anna Coutsoudis |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Rural Population medicine.medical_specialty Pediatrics Adolescent Social Psychology Breastfeeding Mothers HIV Infections Intention Disease cluster Article South Africa 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Pregnancy Intervention (counseling) Hiv infected Humans Medicine 030212 general & internal medicine Pregnancy Complications Infectious 030219 obstetrics & reproductive medicine business.industry Public health Infant Newborn Public Health Environmental and Occupational Health Infant Social Support medicine.disease Infectious Disease Transmission Vertical Care giver Breast Feeding Infectious Diseases Female business Kwazulu natal Demography |
| Zdroj: | AIDS and Behavior. 22:212-223 |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | This cluster randomised trial in KwaZulu-Natal South Africa, evaluated the implementation of a Feeding Buddies (FB) programme to improve exclusive breastfeeding (EBF) amongst human immunodeficiency virus infected mothers. Eight clinics were randomly allocated to intervention and control arms respectively. Pregnant women attending the prevention of mother-to-child transmission program and intending to EBF were enrolled: control (n = 326), intervention (n = 299). Intervention mothers selected FBs to support them and they were trained together (four sessions). Interviews of mothers occurred prenatally and at post-natal visits (day 3, weeks 6, 14 and 22). Breastfeeding results were analysed (Stata) as interval-censored time-to-event data, with up to four time intervals per mother. EBF rates at the final interview were similar for control and intervention groups: 44.68% (105/235) and 42.75% (109/255) respectively (p = 0.67). In Cox regression analysis better EBF rates were observed in mothers who received the appropriate training (p = 0.036), had a community care giver visit (p = 0.044), while controlling for other factors. Implementation realities reduced the potential effectiveness of the FBs. |
| Databáze: | OpenAIRE |
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