Infant feeding and HIV

“Act Now!” Campaign in ZambiaThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): LINKAGES— Zambia

Published: 2004–2005

Summary: These brochures, created as part of the LINKAGES “Act Now” Campaign in Zambia, offer standardized messages on infant feeding and HIV for a variety of audiences, including mothers, youth, and health workers. Topics include prevention of mother-to-child transmission of HIV, HIV testing and counseling, and optimal infant and young child feeding behaviors.

Booklet:

Brochure:

Poster:

Topic(s): Behavior change communication, breastfeeding, infant feeding and HIV, maternal nutrition

Type(s): Booklet, brochure, poster

Region: Sub-Saharan Africa

Challenging Assumptions: Breastfeeding and HIV/AIDS

Authoring organization(s): Program for Appropriate Technology in Health

Published: 2008

Summary: This policy brief discusses the benefits of breastfeeding in light of the risk of perinatal HIV transmission.

Topic(s): Breastfeeding, infant feeding and HIV

Type(s): Newsletter

Region: Global

Counseling Tool on Infant Feeding Options for PMTCT SitesThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): LINKAGES— Ethiopia

Summary: These counseling cards are for use by health professionals at prevention of mother-to-child transmission sites in counseling HIV-positive mothers on recommended infant feeding options that, if followed correctly, will help the baby grow well, remain HIV negative, and stay healthy.

Counseling Tools on Infant Feeding Options for PMTCT Sites

Topic(s): Behavior change communication, infant feeding and HIV

Type(s): Counseling tool

Region: Sub-Saharan Africa

Country-specific Approaches for Infant Feeding and HIV Activities

Authoring organization(s): Infant and Young Child Nutrition Project

Published: 2009

Summary: This fact sheet summarizes IYCN’s approach to designing and implementing infant feeding and HIV activities.

Topic(s): Infant feeding and HIV

Type(s): Fact sheet

Region: Global

Differential Effects of Early Weaning for HIV-Free Survival of Children Born to HIV-Infected Mothers by Severity of Maternal Disease

Author(s): Kuhn L, Aldrovandi GM, Sinkala M, et al.

Published: 2009

Summary: This study, published in PLoS One, compares HIV-positive mothers who stopped breastfeeding at four months with those who breastfed for longer to determine if there was difference in HIV-free survival.   

Topic(s): Infant feeding and HIV

Type(s): Journal article

Region: Global

Early Weaning of HIV-Exposed Uninfected Infants and Risk of Serious Gastroenteritis: Findings from Two Perinatal HIV Prevention Trials in Kampala, Uganda

Author(s): Onyango-Makumbi C, Bagenda D, Mwatha A, et al.

Published: 2009

Summary: This article, published in the Journal of Acquired Immune Deficiency Syndromes, assesses serious gastroenteritis risk and mortality associated with early cessation of breastfeeding in infants enrolled in two prevention of maternal-to-child transmission of HIV trials in Uganda.

Topic(s): Infant feeding and HIV

Type(s): Journal article

Region: Sub-Saharan Africa

Effect of a Point-of-Use Water Treatment and Safe Water Storage Intervention on Diarrhea in Infants of HIV-Infected Mothers

Author(s): Harris JR, Greene SK, Thomas TK, et al.

Published: 2009

Summary: This article, published in the Journal of Infectious Diseases, documents further investigation into the result of the Kisumu Breastfeeding Study, in which infants of HIV-infected mothers who received antiretroviral therapy experienced high rates of diarrhea at weaning. To address this problem, mothers in the study were given safe water storage vessels, hygiene education, and bleach for household water treatment. The authors compared the incidence of diarrhea in infants enrolled before and after implementation of the intervention.

Topic(s): Infant feeding and HIV

Type(s): Journal article

Region: Sub-Saharan Africa

Haiti Stakeholders’ Workshop Report on HIV and Infant Feeding

Authoring organization(s): Infant & Young Child Nutrition Project

Published: 2008

Summary: This report (in French) was the product of a three-day stakeholder’s meeting in collaboration with the United Nations Children’s Fund and the World Health Organization (WHO) for more than 100 institutions to achieve national consensus on infant feeding in the context of HIV/AIDS and adopt the WHO Recommendations for Infant Feeding in the Context of HIV/AIDS.

French:

Topic(s): Infant feeding and HIV, non-English

Type(s): Report

Region: Caribbean 

HIV and Infant Feeding Counseling ToolsThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): World Health Organization

Published: 2005, 2008

Summary: These tools have been created to help health workers before, during, and after a counseling session so that they can better support HIV-positive mothers. The set includes counseling cards that describe the counseling process; a reference guide that provides technical and practical details; and an orientation guide that suggests ways for health care managers to train infant feeding counselors on using the cards and guide.

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French:

Spanish:

Topic(s): Behavior change communication, infant feeding and HIV, non-English

Type(s): Counseling cards, reference manual

Region: Global

HIV and Infant Feeding: Framework for Priority Action

Authoring organization(s): World Health Organization, United Nations Children’s Fund, United Nations Population Fund, Joint United Nations Programme on HIV/AIDS

Published: 2003

Summary: This framework was developed in the context of the World Health Organization’s Global Strategy for Infant and Young Child Feeding. The purpose is to recommend key priority actions related to infant feeding and HIV to governments.

Topic(s): Infant feeding and HIV

Type(s): Technical report

Region: Global

HIV and Infant Feeding: A Guide for Health-Care Managers and Supervisors

Authoring organization(s): World Health Organization, United Nations Children’s Fund, United Nations Population Fund, Joint United Nations Programme on HIV/AIDS

Published: 2003

Summary: This guide is aimed at helping mid-level managers understand issues and organize services to support all women, and especially HIV-infected women, on infant feeding. The document contains a list of key steps, background information, key resources and references, and extensive annexes.

Topic(s): Infant feeding and HIV

Type(s): Technical report

Region: Global

HIV and Infant Feeding: Guidelines for Decision-Makers

Authoring organization(s): World Health Organization, United Nations Children’s Fund, United Nations Population Fund, Joint United Nations Programme on HIV/AIDS

Published: 2003

Summary: The purpose of these guidelines is to provide information on issues related to infant and young child feeding in the context of HIV, and to highlight areas on which policy decisions need to be made.

Topic(s): Infant feeding and HIV

Type(s): Technical report

Region: Global

HIV and Infant Feeding: New Evidence and Programmatic Experience, Report of a Technical Consultation

Authoring organization(s): World Health Organization

Published: 2007

Summary: This report presents a summary of new findings, conclusions, and recommendations from the HIV and infant feeding Technical Consultation which took place in Geneva in October 2006. This Consultation was organized by WHO on behalf of the Inter-agency Task Team on Prevention of HIV Infections in Pregnant Women, Mothers, and their Infants. Topics discussed include the risk of HIV transmission through breastfeeding and how to reduce it; the impact of different feeding methods on child survival; implementation of current WHO recommendations and guidance on HIV and infant feeding; early cessation of breastfeeding; implementation of counseling; and feeding options (home-modified milk, heat-treatment of breastmilk).

Topic(s): General nutrition, infant feeding and HIV

Type(s): Technical overview

Region: Global

HIV and Infant Feeding Technical Consultation: Consensus Statement

Authoring organization(s): Inter-Agency Task Team on Prevention of HIV Infections in Pregnant Women, Mothers, and Their Infants, World Health Organization

Published: 2006

Summary: This consensus statement is the product of the World Health Organization HIV and Infant Feeding Technical Consultation held on behalf of the Inter-Agency Task Team on Prevention of HIV Infections in Pregnant Women, Mothers, and Their Infants in Geneva , Switzerland, October 25–27, 2006. It outlines new evidence and research on HIV transmission through breastfeeding, new evidence on morbidity and mortality, improving young child infant feeding practices, new program data, and recommendations. Also included below are the reference documents that informed the consensus statement.

English:

French:

Reference documents:

Topic(s): Breastfeeding, infant feeding and HIV, non-English

Type(s): Policy document

Region: Global

HIV and Infant Feeding: Update

Authoring organization(s): World Health Organization

Published: 2007

Summary: This document provides the full list of updated HIV and infant feeding recommendations from the World Health Organization and an explanation of key points. It is based on the Technical Consultation held on behalf of the Inter-agency Task Team (IATT) on Prevention of HIV Infection in Pregnant Women, Mothers and their Infants, Geneva , 25-27 October 2006.

French:

Spanish:

Topic(s): General nutrition, infant feeding and HIV, non-English

Type(s): Technical overview

Region: Global

HIV Transmission through Breastfeeding: A Review of Available Evidence, 2007 Update

Authoring organization(s): World Health Organization, United Nations Children’s Fund, United Nations Population Fund, Joint United Nations Programme on HIV/AIDS

Published: 2008

Summary: This publication provides the evidence base and rationale for updated recommendations and publications. It presents a summary of the available scientific evidence on the transmission of HIV infection through breastfeeding, including a preface with the newest evidence as the review was going to press.

Topic(s): General nutrition, infant feeding and HIV

Type(s): Technical review

Region: Global

HIV Vertical Transmission StudyThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Author(s): Bland RM, Coovadia HM, et al.

Authoring organization(s): Universityof KwaZulu Natal

Published: 2007

Summary: These journal articles, published in Bulletin of the World Health Organization, Clinical Infectious Diseases, and The Lancet describe the training methods and courses used for the Vertical Transmission Study—a large non-randomized intervention cohort study conducted in South Africa—to investigate postnatal HIV transmission associated with infant feeding modes.

Topic(s): Infant feeding and HIV, monitoring and evaluation

Type(s): Journal article

Region: Sub-Saharan Africa

HIV/AIDS, Nutrition, and Food Security: What We Can Do

Authoring organization(s): The World Bank

Published: 2007

Summary: This document provides guidance to World Bank and other HIV project managers on integrating nutrition support into HIV projects to improve HIV and AIDS outcomes. Sections include nutrition for adults living with HIV, HIV-positive pregnant and lactating women, HIV-affected children 0 to 24 months, and HIV-positive children 0 to 24 months; special support for people living with HIV/AIDS; food security; and food assistance support, including in the emergency setting.

English:

French:

Portuguese:

Topic(s): General nutrition, infant feeding and HIV, non-English

Type(s): Technical report

Region: Global

Infant and Young Child Feeding Counselling: An Integrated CourseThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Author(s): Saadeh R, Bland R, Casanovas C, Vallenas C, et al.

Authoring organization(s): World Health Organization and United Nations Children’s Fund

Published: 2006

Summary: This course on infant feeding practices covers breastfeeding, HIV and infant feeding, and complementary feeding. It is an integrated version of three existing World Health Organization courses, designed for all health professionals, including lay workers, and for people with limited time for training.

Topic(s): Behavior change communication, breastfeeding, infant feeding and HIV, monitoring and evaluation

Type(s): Training guide, PowerPoint

Region: Global
Infant Feeding Counseling MaterialsThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): Program for Appropriate Technology in Health

Published: 2006, 2008

Summary: These materials include clinical algorithms geared for health workers (not lay counselors) to use to counsel mothers and determine the most appropriate time to stop breastfeeding; an adaptation and finalization of the World Health Organization (WHO) Infant and Young Child Feeding Counselling: An Integrated Course, including new chapters on complementary feeding and country-specific recommendations; adaptations and local drawings/graphics inspired by the WHO counseling cards; and take-home brochures for mothers on exclusive breastfeeding, expressing breastmilk, and replacement feeding. The set also introduces a new follow-up form to be used at monthly postpartum visits for all infants of HIV-positive mothers.

English:

French:

Topic(s): Behavior change communication, breastfeeding, infant feeding and HIV, monitoring and evaluation, non-English

Type(s): Brochure, job aid, technical report, training guide

Region: Global

Infant Feeding in the Context of HIV InfectionThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): International Center for AIDS Care and Treatment Programs

Summary: This is an excellent summary of the most recent infant feeding information and data to support new recommendations and strategies.

Topic(s): Infant feeding and HIV

Type(s): PowerPoint

Region: Global

Infant Feeding Programme in NigeriaThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): Federal Ministry of Health, World Health Organization, United Nations Children’s Fund

Published: 2005

Summary: These materials include a set of counseling cards produced specifically for Nigeria by the Ministry of Health, in partnership with the World Health Organization and the United Nations Children’s Fund, and the National Policy on Infant and Young Child Feeding in Nigeria.

Topic(s): Behavior change communication, infant feeding and HIV

Type(s): Counseling cards, policy document

Region: Sub-Saharan Africa

Integrated Prevention of Mother-to-Child Transmission of HIV and Support for Infant FeedingThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): LINKAGES, United Nations Children’s Fund, Academy for Educational Development

Published: 2004

Summary: This course, developed by the LINKAGES Project, provides participants with a basic understanding of HIV and AIDS facts and prevention, mother-to-child transmission (MTCT) mechanisms, current MTCT risk-reduction interventions, and infant feeding in the context of HIV and AIDS.

Topic(s): Infant feeding and HIV, monitoring and evaluation

Type(s): Training guide

Region: Sub-Saharan Africa

Iron Supplementation for Reducing Morbidity and Mortality in Children with HIV

Author(s): Adetifa I, Okomo U

Published: 2009

Summary: This Cochrane review article examined available evidence on the impact of the intervention on health outcomes of HIV-positive children.

Topic(s): General nutrition, infant feeding and HIV

Type(s): Journal article

Region: Global

IYCN Success Story: Zambia

Authoring organization(s): Infant and Young Child Nutrition Project

Published: 2009

Summary: This is a success story is about Patricia Nawa, an HIV-positive mother from Zambia, who used good infant feeding practices to help protect her baby from HIV.  

Topic(s): Infant feeding and HIV

Type(s): Handout

Region: Global

Kenya Infant Feeding Assessment: Eastern and Western Provinces

Author(s): Israel-Ballard K, Waithaka M, Greiner T

Authoring organization(s): IYCN, PATH

Published: 2009

Summary: This study was conducted in the Eastern and Western Provinces in Kenya in 2008 to assess the experiences of HIV-infected mothers’ and their infants’ during the time they were stopping breastfeeding.

Topic(s): Breastfeeding, infant feeding and HIV

Type(s): Technical report

Region: Global

Kenya Infant Feeding and HIV: Reporting Tools

Authoring organization(s): IYCN Project, Society for Women and AIDS in Kenya (SWAK)

Published: 2009

Summary: This collection of materials includes the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) reporting form to help psychosocial counselors accurately report on their facility-based activities in a standardized way and to provide an opportunity to share successes and challenges they experience; an observation checklist to provide structured feedback to facility-based psychosocial counselors in order to improve their counseling and facilitation skills (the checklist is being used in Kenya by APHIA II Western as part of the supervision activities for counselors trained by EGPAF with support from IYCN); and a SWAK reporting form for SWAK’s community-based workers to report on new infant feeding activities, including individual and group education/counseling topics, referrals provided, and any successes or challenges they experience.

Topic(s): Infant feeding and HIV

Type(s): Reporting tools

Region: Sub-Saharan Africa

Kenya Infant Feeding and HIV Trainer’s Manual and Participant’s Manual

Authoring organization(s): IYCN Project, APHIA II Western, Society for Women and AIDS in Kenya

Published: 2009

Summary: These manuals were prepared by the IYCN Project for community-level activities to improve infant feeding within the context of HIV, implemented through PATH’s APHIA II Western project by the Society for Women and AIDS in Kenya.

Topic(s): Infant feeding and HIV

Type(s): Training manuals

Region: Sub-Saharan Africa

Lesotho Infant and Young Child Feeding Curriculum and Participant's Manual

Authoring organization(s): Ministry of Health and Social Work, Infant and Young Child Nutrition Project

Published: 2009

Summary: This curriculum for health workers is based on WHO and UNICEF’s Infant and Young Child Feeding Counselling: An Integrated Course. Given the urgency of training large numbers of health workers and counsellors, this integrated course has been adapted to respond to the specific needs in Lesotho by training those who care for mothers and children in the basics of good infant and young child feeding. Counselling is an extremely important part of this course, and the course will focuses on practicing using job aids to improve counselling skills.

Curriculum:

Participant's manual:

Topic(s): General nutrition, infant feeding and HIV

Type(s): Curriculum

Region: Sub-Saharan Africa

National Norms for Safe Feeding of HIV-exposed Infants and Young Children

Authoring organization(s): Infant and Young Child Nutrition Project, Haiti Ministry of Health

Published: 2009

Summary: This document provides clear guidance for health workers to effectively support mothers on infant feeding in Haiti.

French:

Topic(s): General nutrition, infant Feeding and HIV

Type(s): Policy

Region: Latin American and the Caribbean

Nutrition and HIV/AIDS: A Training Manual for Nurses and Midwives

Authoring organization(s): East, Central and Southern African Health Community Secretariat, Food and Nutrition Technical Assistance (FANTA), LINKAGES Project

Published: 2008

Summary: This manual provides nursing students with the knowledge and skills needed for nutrition care and support of people living with HIV.

Topic(s): Infant feeding and HIV

Type(s): Training manual

Region: Global

Nutrition, Food Security and HIV: A Compendium of Promising Practices

Authoring organization(s): Regional Centre for Quality of Health Care in Uganda, Food and Nutrition Technical Assistance (FANTA)

Published: 2008

Summary: The Regional Centre for Quality of Health Care in Uganda and the FANTA Project organized extensive in-country reviews by local teams of nutrition, food security, and HIV programs in Kenya, Malawi, Tanzania, Uganda, and Zambia. This document compiles, analyzes, and describes the promising practices identified through the reviews.

Topic(s): Infant feeding and emergencies, infant feeding and HIV

Type(s): Technical report

Region: Global

Prevention of Mother to Child Transmission (PMTCT) Baseline Survey, Ethiopia, April 2004

Authoring organization(s): US Agency for International Development, Academy for Educational Development-LINKAGES Project

Published: 2004

Summary: This baseline survey was conducted across April and May 2004 as part of the LINKAGES Project and focused on 900 women with infants less than 12 months of age.

Topic(s): Infant feeding and HIV, monitoring and evaluation

Type(s): Technical report

Region: Global

Prevention of Mother-to-Child Transmission of HIV: Generic Training PackageThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): World Health Organization and Centers for Disease Control and Prevention

Published: 2004, 2008

Summary: The original World Health Organization and US Centers for Disease Control and Prevention Prevention of Mother-to-Child Transmission of HIV Generic Training Package was completed in 2004, and the first update was completed in early 2008. This package is a comprehensive, evidence-based course developed for implementation in resource-limited settings. It provides a framework for updating existing policy, developing materials where needed, and a mechanism for developing and sustaining human capacity building for programs.

English:

French:

Spanish:

Russian:

Topic(s): Behavior change communication, infant feeding and HIV, monitoring and evaluation, non-English

Type(s): Booklet, poster, training guide

Region: Global

Rapid advice: revised WHO principles and recommendations on infant feeding in the context of HIV

Authoring organization(s): World Health Organization

Published: 2009

Summary: On 30 November, the eve of World AIDS Day, the WHO released new recommendations on treatment, prevention and infant feeding in the context of HIV, based on the latest scientific evidence.

The new recommendations call for earlier initiation of antiretroviral therapy (ART) for adults and adolescents, the delivery of more patient-friendly antiretroviral drugs (ARVs), and prolonged use of ARVs to reduce the risk of mother-to-child transmission of HIV. And, for the first time, WHO recommends that HIV-positive mothers or their infants take ARVs while breastfeeding to prevent transmission. Visit the WHO website to learn more.

Topic(s): Infant feeding and HIV

Type(s): Policy document

Region: Global

Role of Breastfeeding Cessation in Mediating the Relationship between Maternal HIV Disease Stage and Increased Child Mortality among HIV-Exposed Uninfected Children

Author(s): Fox MP, Brooks DR, et al.

Published: 2009

Summary: This study, published in the International Journal of Epidemiology, analyzed the role of breastfeeding cessation and its effect on mortality of HIV-exposed children.

Topic(s): Breastfeeding, HIV and infant feeding

Type(s): Journal article

Region: Global

Survival of Infants Born to HIV-Positive Mothers, by Feeding Modality, in Rakai, Uganda

Author(s): Kagaayi J, Gray RH, Brahmbhatt H, Kigozi G, Nalugoda F, Wabwire-Mangen F, Serwadda D, Sewankambo N, Ddungu V, Ssebagala D, Sekasanvu J, Kigozi G, Makumbi F, Kiwanuka N, Lutalo T, Reynolds SJ, Wawer MJ

Published: 2008

Summary: This article, published in PLoS ONE, revealed results on infant mortality and HIV transmission from a program-based intervention in Rakai, Uganda. Mothers received antenatal infant feeding counseling and chose exclusive breastfeeding or formula feeding.

Topic(s): Infant feeding and HIV

Type(s): Journal article

Region: Africa

Testing and Counseling for the Prevention of Mother-to-Child Transmission of HIVThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): Centers for Disease Control and Prevention

Published: 2006

Summary: This set of materials includes educational materials, job aids, and training resources to support the integration of testing and counseling into antenatal care, labor and delivery, and post-delivery settings. Their goal is to facilitate the efficient delivery of essential prevention of mother-to-child transmission (PMTCT) messages, focusing on improving the uptake of HIV testing among pregnant women and their partners, increasing the number of women who know their HIV status, and promoting and providing appropriate PMTCT interventions.

Topic(s): Behavior change communication, infant feeding and HIV

Type(s): Counseling cards, poster, training guide

Region: Global

Update on the Science of Prevention of Mother-to-Child HIV Transmission

Author(s): Mofenson L

Authoring organization(s): National Institutes of Health, University of California at San Francisco Center for HIV Information

Published: 2009

Summary: This resource is a slide set that provides a technical update on prevention of mother-to-child-transmission of HIV (PMTCT). The slide set highlights efforts to improve the efficacy of the PMTCT regimen.

Topic(s): Infant feeding and HIV

Type(s): PowerPoint presentation

Region: Global

ZVITAMBO Infant Feeding MaterialsThis resource is endorsed by the Inter-Agency Task Team on Children and HIV and AIDS.

Authoring organization(s): ZVITAMBO, Ministry of Health Zimbabwe

Summary: These posters from ZVITAMBO contain key, consistent messages that are geared towards mothers, health workers, and other family and community members. The posters are supplemented by simple brochures.

Topic(s): Breastfeeding, infant feeding and HIV

Type(s): Brochure, poster

Region: Sub-Saharan Africa

Photo: Aurelio Ayala III