Sexual & Reproductive Health Unit, Papua New Guinea Institute of Medical Research, Goroka, Eastern Highlands Province, Papua New Guinea.
Int Breastfeed J. 2013 Jun 7;8(1):6. doi: 10.1186/1746-4358-8-6.
Interventions to prevent mother to child transmission of human immunodeficiency virus (HIV) during childbirth and breastfeeding can reduce HIV infections in infants to less than 5% in low and middle income countries. The World Health Organization (WHO) recommends all mothers, regardless of their HIV status, practice exclusive breastfeeding for the first six months of an infant's life. In line with these recommendations and to protect, promote and support breastfeeding, in 2009 the PNG National Department of Health revised their National HIV infant feeding guidelines, reinforcing the WHO recommendation of exclusive breastfeeding for the first six months followed by the introduction of other food and fluids, while continuing breastfeeding.The overall aim of this paper is to explore health care workers' knowledge regarding infant feeding options in PNG, specifically as they relate to HIV exposed infants.
As part of a study investigating women's and men's experiences of prevention of mother to child transmission (PMTCT) services in two sites in PNG, 28 key informant interviews were undertaken. This paper addresses one theme that emerged from thematic data analysis: Health care workers' knowledge regarding infant feeding options, specifically how this knowledge reflects the Papua New Guinea National HIV Care and Treatment Guidelines on HIV and infant feeding (2009).
Most informants mentioned exclusive breastfeeding, the majority of whom reflected the most up-to-date National Guidelines of exclusive breastfeeding for six months. The importance of breastfeeding continuing beyond this time, along with the introduction of food and fluids was less well understood. The most senior people involved in PMTCT were the informants who most accurately reflected the national guidelines of continuing breastfeeding after six months.
Providing advice on optimal infant feeding in resource poor settings is problematic, especially in relation to HIV transmission. Findings from our study reflect those found elsewhere in identifying that key health care workers are not aware of up-to-date information relating to infant feeding, especially within the context of HIV. Greater emphasis needs to be placed on ensuring the most recent feeding guidelines are disseminated and implemented in clinical practice in PNG.
在中低收入国家，通过分娩和母乳喂养期间预防母婴传播艾滋病毒（HIV）的干预措施，可以将婴儿的 HIV 感染率降低到 5%以下。世界卫生组织（WHO）建议所有母亲，无论其 HIV 状况如何，都应在婴儿生命的头六个月内实行纯母乳喂养。为了遵循这些建议，保护、促进和支持母乳喂养，2009 年，巴布亚新几内亚国家卫生部修订了国家 HIV 婴儿喂养指南，强化了世卫组织的建议，即前六个月实行纯母乳喂养，之后再引入其他食物和液体，同时继续母乳喂养。本文的总体目标是探讨巴布亚新几内亚卫生保健工作者对婴儿喂养选择的知识，特别是与 HIV 暴露婴儿有关的知识。
作为一项研究的一部分，该研究调查了巴布亚新几内亚两个地点的妇女和男子对预防母婴传播（PMTCT）服务的经验，进行了 28 次关键知情人访谈。本文探讨了主题数据分析中出现的一个主题：卫生保健工作者对婴儿喂养选择的知识，特别是如何反映 2009 年巴布亚新几内亚国家 HIV 护理和治疗指南中关于 HIV 和婴儿喂养的内容。
大多数知情人都提到了纯母乳喂养，他们中的大多数人反映了最新的国家指南，即六个月内纯母乳喂养。母乳喂养持续时间超过六个月，以及引入食物和液体的重要性理解得较差。参与 PMTCT 工作的级别最高的人，也是最准确地反映了国家指南的人，即六个月后继续母乳喂养。
在资源匮乏的环境中提供有关最佳婴儿喂养的建议存在问题，特别是与 HIV 传播有关的建议。我们的研究结果反映了其他地方的研究结果，即关键卫生保健工作者不了解与婴儿喂养有关的最新信息，特别是在 HIV 背景下。巴布亚新几内亚需要更加重视确保最新的喂养指南在临床实践中得到传播和实施。
