Factors Associated with Compliance with World Health Organization-Recommended Infant-Feeding Practices by Mothers with HIV Infection in Northwest Ethiopia

Autor: Abigiya Simachew, Mastewal Birehanu, Asmamaw Birhie, Tirualem Alehegn, Tilahun Tewabe, Amare Belachew Dagnew, Agereselam Tsegaw
Rok vydání: 2019
Předmět:
Zdroj: Current Therapeutic Research, Clinical and Experimental
Current Therapeutic Research, Vol 91, Iss, Pp 39-44 (2019)
ISSN: 0011-393X
DOI: 10.1016/j.curtheres.2019.100568
Popis: Highlights • Even though World Health Organization (WHO) recommends infant feeding options for HIV exposed infants, level of recommended infant feeding practices was still low in Ethiopia. • This institutional study was done in prevention of mother-to-child transmission (PMTCT) clinic services among HIV exposed infants and having follow up in this clinics. • Recommended infant feeding practices is an options to tackle vertical HIV infections especially for developing countries. • Generally, prevalence of recommended infant feeding among HIV exposed infants in the study area was sub optimal. Mother's educational status, attendance to antenatal visits attendance to postnatal follow up and disclosure of mother's HIV status to their spouse were the predictors of recommended infant feeding practices.
Background The World Health Organization has recommended either exclusive replacement feeding or exclusive breastfeeding options for HIV-exposed infants for the first 6 months of life. Objective The purpose of this study was to assess the factors associated with noncompliance with these recommendations among a population of HIV-infected mothers of young infants in Bahir Dar City, Amhara Regional State, Ethiopia. Methods An institutional based cross-sectional study was conducted from March 1 to May 15, 2018. A structured interview was conducted with 213 HIV-positive mothers. Descriptive statistics were used to show the frequency distributions of factors associated with noncompliance with World Health Organization-recommended infant-feeding practices. Both bivariate and multivariate logistic regression analyses were performed to identify the variables predictive of infant-feeding practices. Results All mothers were undergoing antiretroviral therapy. Only 83.5% claimed to be following World Health Organization-recommended infant-feeding practices. Bivariate analysis showed that high school or greater educational status [Adjusted odds ratio (AOR) = 3.6 (95% CI = 4.2, 9.5)], having attended antenatal visits [AOR = 6.7 (95% CI = 5.6, 10.9)] and postnatal follow-up visits [AOR = 6.9 (95% CI = 4.2, 9.3)], and disclosure of HIV status to their spouse [AOR = 8.2 (95% CI = 6.2, 10.7)] were associated with adherence to recommended infant-feeding practices. Conclusions The prevalence of recommended infant feeding practices among HIV-exposed infants in the study area was suboptimal compared with the ≥90% recommended by the World Health Organization. Higher educational status of the mother, antenatal and postnatal follow-ups, and disclosure of HIV status to spouses were predictors of adherence to the recommended infant-feeding practices. Although not yet proven in a prospective clinical trial, providing more education for women, improving attendance at antenatal and postnatal follow-up visits, encouraging the disclosure of HIV status to spouses, and educating mothers about proper infant-feeding options during follow-up visits may all be useful to increase compliance.
Databáze: OpenAIRE
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