%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Cames, Cécile
%A Mouquet Rivier, Claire
%A Traoré, T.
%A Ayassou, K. A.
%A Kabore, C.
%A Bruyeron, O.
%A Simondon, Kirsten
%T A sustainable food support for non-breastfed infants : implementation and acceptability within a WHO mother-to-child HIV transmission prevention trial in Burkina Faso
%D 2010
%L fdi:010049551
%G ENG
%J Public Health Nutrition
%@ 1368-9800
%K Food support ; Food insecurity ; HIV MTCT prevention ; Non-breastfed ; infants ; West Africa
%M ISI:000278382700005
%N 6
%P 779-786
%R 10.1017/s1368980010000340
%U https://www.documentation.ird.fr/hor/fdi:010049551
%> https://www.documentation.ird.fr/intranet/publi/2010/06-2/010049551.pdf
%V 13
%W Horizon (IRD)
%X Objective: To provide HIV-positive mothers who opted for exclusive breastfeeding or formula feeding from birth to 6 months postpartum as a means of prevention of mother-to-child transmission (PMTCT) of HIV with a sustainable infant food support programme (FSP) from 6 to 12 months postpartum. We describe the implementation and assessment of this pilot initiative. Design: The FSP included a 6-month provision of locally produced infant fortified mix (IFM; 418 kJ/100 g of gruel) for non-breastfed infants coupled with infant-feeding and psychosocial counselling and support. Acceptability and feasibility were assessed in a subsample of sixty-eight mother-infant pairs. Setting: The FSP was developed in collaboration with local partners to support. participants in a PMTCT prevention study. Formula WAS provided for free from 0 to 6 months postpartum. Cessation by 6 months was recommended for breast feeding mothers. Results: The FSP was positively received and greatly encouraged breastfeeding mothers to cease by 6 months. As recommended, most infants were given milk as an additional replacement food, mainly formula subsidised by safety networks. Among daily IFM consumers, feeding practices were satisfactory overall; however, the IFM was shared within the family by more than one-third of the mothers. Cessation of IFM consumption was observed among twenty-two infants, seventeen of whom were fed milk and five neither of these. Conclusions: Without any food support most mothers would have been unable to provide appropriate replacement feeding. The food security of non-breastfed infants urgently needs to be addressed in HIV PMTCT programmes. Our findings on a simple cost-effective pioneer intervention provide an important foundation for this process.
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