@article{fdi:010049592,
  title = {{A}cceptability and feasibility of infant-feeding options : experiences of {HIV}-infected mothers in the {W}orld {H}ealth {O}rganization {K}esho {B}ora mother-to-child transmission prevention ({PMTCT}) trial in {B}urkina {F}aso},
  author = {{C}ames, {C}{\'e}cile and {S}aher, {A}lsha and {A}yassou, {K}. {A}. and {C}ournil, {A}mandine and {M}eda, {N}. and {B}ork {S}imondon, {K}irsten},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n {B}urkina {F}aso, prolonged breastfeeding with introduction of ritual fluids from birth is a deep-seated norm. {W}e explored {HIV}-infected mothers' views and experiences of the acceptability and feasibility of the {W}orld {H}ealth {O}rganization's recommended infant-feeding options within a mother-to-child-transmission prevention trial. {A} qualitative study was conducted on 17 formula-feeding and 19 breastfeeding mothers, from a larger cohort of 51 eligible {HIV}-infected women, consenting to participate in separate focus group discussions in early post-partum. {M}others opted for breastfeeding essentially out of fear of family rejection. {M}ost of them were afraid of denigration for disrespecting tradition if they formula-fed or being suspected of {HIV} infection. {A}chieving exclusive breastfeeding remained a difficult challenge as they engaged in a continuous struggle with close elders to avoid fluid feeding. {A}dditional stress and fatigue were fed by their perception of a high transmission risk through breast milk. {E}xclusive formula-feeding seemed easier to implement, especially as formula was provided free of charge. {F}ormula-feeding mothers more frequently had a supportive partner, a strong personality and lived in better socio-economic conditions than breastfeeding mothers (76% had education and electricity supply vs. 42%, respectively). {E}xclusive breastfeeding for the first 6 months remains the most appropriate option for many {HIV}-infected mothers in sub-{S}aharan {A}frica. {I}ts acceptability and feasibility urgently need to be improved by promoting it as the best feeding option for all infants. {O}ther crucial interventions are the promotion of voluntary counselling and testing for couples, and greater partner involvement in infant-feeding counselling.},
  keywords = {infant-feeding choice ; exclusive breastfeeding ; formula feeding ; {HIV} ; infection ; transmission ; qualitative studies ; {W}est {A}frica},
  booktitle = {},
  journal = {{M}aternal and {C}hild {N}utrition},
  volume = {6},
  numero = {3},
  pages = {253--265},
  ISSN = {1740-8695},
  year = {2010},
  DOI = {10.1111/j.1740-8709.2009.00201.x},
  URL = {https://www.documentation.ird.fr/hor/fdi:010049592},
}