UMR145, IRD/UM1, Montpellier, France.
Public Health Nutr. 2010 Jun;13(6):779-86. doi: 10.1017/S1368980010000340. Epub 2010 Mar 1.
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.
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.
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 breastfeeding mothers.
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.
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.
为选择纯母乳喂养或出生后 6 个月内配方奶喂养以预防母婴传播（PMTCT）的 HIV 阳性母亲提供可持续的婴儿食品支持计划（FSP），从 6 个月到 12 个月。我们描述了这一试点倡议的实施和评估。
FSP 包括 6 个月的本地生产的婴儿强化混合物（IFM；每 100 克糊状物提供 418 kJ），供未母乳喂养的婴儿食用，并结合婴儿喂养和心理社会咨询和支持。在 68 对母婴对的子样本中评估了可接受性和可行性。
FSP 是与当地合作伙伴合作开发的，以支持 PMTCT 预防研究中的参与者。从出生到 6 个月免费提供配方奶粉。建议母乳喂养的母亲在 6 个月时停止。
FSP 受到了积极的欢迎，并极大地鼓励母乳喂养的母亲在 6 个月时停止。按照建议，大多数婴儿都用牛奶作为额外的替代食物，主要是由安全网络补贴的配方奶粉。在每天食用 IFM 的婴儿中，喂养方式总体上令人满意；然而，超过三分之一的母亲在家庭中共享 IFM。观察到 22 名婴儿停止食用 IFM，其中 17 名婴儿喂食牛奶，5 名婴儿既不喂食 IFM 也不喂食牛奶。
如果没有任何食物支持，大多数母亲将无法提供适当的替代喂养。在 HIV PMTCT 计划中，迫切需要解决未母乳喂养婴儿的食品安全问题。我们在简单且具有成本效益的先驱干预措施上的发现为这一过程提供了重要的基础。
