Centre for International Health, University of Bergen, Norway.
Int Breastfeed J. 2010 Oct 26;5:10. doi: 10.1186/1746-4358-5-10.
Infant feeding by HIV-infected mothers has been a major global public health dilemma and a highly controversial matter. The controversy is reflected in the different sets of WHO infant feeding guidelines that have been issued over the last two decades. This thematic series, 'Infant feeding and HIV: lessons learnt and ways ahead' highlights the multiple challenges that HIV-infected women, infant feeding counsellors and health systems have encountered trying to translate and implement the shifting infant feeding recommendations in different local contexts in sub-Saharan Africa. As a background for the papers making up the series, this editorial reviews the changes in the guidelines in view of the roll out of prevention of mother to child transmission (PMTCT) programmes in sub-Saharan Africa between 2001 and 2010.
受 HIV 感染的母亲如何进行婴儿喂养,这一直是全球公共卫生的一大难题,也是一个极具争议的问题。争议反映在过去 20 年发布的世卫组织多套婴儿喂养指南中。本专题系列“婴儿喂养与 HIV:经验教训和未来方向”重点介绍了受 HIV 感染的妇女、婴儿喂养顾问和卫生系统在尝试将不断变化的婴儿喂养建议转化并在撒哈拉以南非洲不同当地环境中实施时所遇到的诸多挑战。作为本系列论文的背景,社论审查了在 2001 年至 2010 年期间,撒哈拉以南非洲地区推广预防母婴传播(PMTCT)方案的情况下指南的变化。