Your browser doesn't support javascript.
loading
Exclusive breastfeeding among HIV exposed infants from birth to 14 weeks of life in Lira, Northern Uganda: a prospective cohort study.
Napyo, Agnes; Tumwine, James K; Mukunya, David; Waako, Paul; Tylleskär, Thorkild; Ndeezi, Grace.
Afiliação
  • Napyo A; Department of Public Health, Faculty of Health Sciences, Busitema University , Tororo, Uganda.
  • Tumwine JK; Centre for International Health, University of Bergen , Bergen, Norway.
  • Mukunya D; Department of Pediatrics and Child Health, Makerere University , Kampala, Uganda.
  • Waako P; Department of Pediatrics and Child Health, Makerere University , Kampala, Uganda.
  • Tylleskär T; Centre for International Health, University of Bergen , Bergen, Norway.
  • Ndeezi G; Department of Pharmacology, Faculty of Health Sciences, Busitema University , Tororo, Uganda.
Glob Health Action ; 13(1): 1833510, 2020 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-33121390
ABSTRACT

BACKGROUND:

Breastfeeding is important for growth, development and survival of HIV exposed infants. Exclusive breastfeeding reduces the risk of morbidity, mortality and increases HIV free survival of infants. Evidence on risk factors for inappropriate breastfeeding in Northern Uganda is limited.

OBJECTIVE:

This study determined the risk factors for non-exclusivity of breastfeeding in the first 14 weeks of life.

METHODS:

This prospective cohort study was conducted among 466 mother-infant pairs between August 2018 and February 2020 in Lira district, Northern Uganda. HIV infected pregnant women were enrolled and followed up at delivery, 6- and 14- weeks postpartum. We used a structured questionnaire to obtain data on socio-demographic, reproductive-related, HIV-related characteristics and exclusive breastfeeding. Data were analysed using Stata version 14.0 (StataCorp, College Station, Texas, USA.). We estimated adjusted risk ratios using modified Poisson regression models.

RESULTS:

The proportion of HIV exposed infants that were exclusively breastfed reduced with increasing age. Risk factors for non-exclusive breastfeeding included infants being born to HIV infected women who were in the highest socioeconomic strata (adjusted risk ratio = 1.5, 95%CI 1.01- 2.1), whose delivery was supervised by a non-health worker (adjusted risk ratio = 1.6, 95%CI 1.01- 2.7) and who had not adhered to their ART during pregnancy (adjusted risk ratio = 1.3, 95%CI 1.01- 1.7).

CONCLUSIONS:

HIV infected women with highest socioeconomic status, whose delivery was not supervised by a health worker and who did not adhere to ART were less likely to practice exclusive breastfeeding. We recommend ART adherence and infant feeding counselling to be emphasised among HIV infected women who are at risk of having a home delivery, those with poor ART adherence and those of higher socioeconomic status. We also recommend integration of these services into other settings like homes, community and work places instead of limiting them to hospital settings. ABBREVIATIONS HIV Human Immunodeficiency Virus; ART Antiretroviral therapy; HEI HIV exposed infant; PMTCT Prevention of mother-to-child transmission of HIV; MTCT Mother-to-child transmission of HIV; AFASS Acceptable, Feasible, Affordable, Sustainable and Safe; LRRH Lira regional referral hospital; CI confidence interval; ARR Adjusted risk ratio; SD Standard deviation; PCA Principal component analysis.
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas / ODS3 - Saúde e Bem-Estar Tema em saúde: Objetivo 3: Recursos humanos em saúde / Meta 3.1: Reduzir a mortalidade materna / Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos Base de dados: MEDLINE Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Fatores de risco Idioma: Inglês Revista: Glob Health Action Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas / ODS3 - Saúde e Bem-Estar Tema em saúde: Objetivo 3: Recursos humanos em saúde / Meta 3.1: Reduzir a mortalidade materna / Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos Base de dados: MEDLINE Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Fatores de risco Idioma: Inglês Revista: Glob Health Action Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda
...