Department of Women's and Children's Health at Uppsala University, Sweden.
J Hum Lact. 2009 Nov;25(4):427-34. doi: 10.1177/0890334409341050. Epub 2009 Jul 21.
Postnatal transmission of HIV through breastfeeding remains an unsolved problem in resource poor settings, where refraining from breastfeeding is neither feasible nor safe. This study describes how women experienced infant-feeding peer counseling within a community-based intervention trial in 3 settings in South Africa. In total, 17 interviews and 10 observations were done with HIV-infected and uninfected women. The findings raise questions on the concept of "peer." Some women feared the peer counselor visits and questioned their intentions. Others, especially HIV-infected women, valued peer counseling for the emotional support provided. Being HIV infected with limited or no network of support appeared stressful for most women. The effects of data collection on the delivery and uptake of peer counseling are discussed. The findings underline the contextual barriers facing peer counselors and show that these challenges could have important implications for the effectiveness of infant-feeding counseling in high HIV prevalence countries.
在资源匮乏的环境中，通过母乳喂养传播艾滋病毒仍然是一个尚未解决的问题，在这些环境中，既不可行也不安全地避免母乳喂养。本研究描述了在南非三个地区的基于社区的干预试验中，妇女如何接受婴儿喂养同伴咨询。总共对 17 名感染艾滋病毒和未感染艾滋病毒的妇女进行了 17 次访谈和 10 次观察。研究结果对“同伴”的概念提出了质疑。一些妇女担心同伴顾问的来访，并质疑他们的意图。另一些妇女，特别是感染艾滋病毒的妇女，重视同伴咨询提供的情感支持。对于大多数妇女来说，感染艾滋病毒且支持网络有限或没有支持网络似乎压力很大。讨论了数据收集对同伴咨询的提供和接受的影响。研究结果强调了同伴顾问面临的背景障碍，并表明这些挑战可能对高艾滋病毒流行国家婴儿喂养咨询的有效性产生重要影响。
