1 / 3

Study Overview

Severe household food insecurity is highly prevalent and associated with suboptimal breastfeeding practices among HIV-infected women in rural Uganda.

astro
Download Presentation

Study Overview

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Severe household food insecurity is highly prevalent and associated with suboptimal breastfeeding practices among HIV-infected women in rural Uganda • S.L. Young*, B.K. Natamba, F.A. Luwedde, A.H.J. Plenty, J. Mwesigwa, P. Natureeba, B. Osterbauer, J. Achan, T.D. Clark, V. Ades, M. Robine, B.K. Nzarubara, T.D. Ruel, M. Kamya, E.D. Charlebois, D.V. Havlir, D.L. Cohan • *sera.young@cornell.edu The primary sponsor of the PROMOTE-PIs trial is the National Institute for Child Health and Human Development. The nutritional sub-study was supported by PEPFAR, the Office of the Global AIDS Coordinator, and the Office of AIDS Research. Abbott Laboratories provides Lopinavir/ritonavir for the parent trial.

  2. Study Overview • Background. Optimal infant feeding is critical to child health. Food insecurity may be an important barrier. • Objective. To determine if food insecurity was • associated with sub-optimal IF practices. • Population (PROMOTE PIs). HIV-infected lactating women on combination ART. • Design. 1. Prospective cohort (n=185). Monthly maternal recall of infant feeding, one-time household food insecurity assessment (FANTA). 2. Qualitative study (n=56): in-depth interviews about food insecurity and infant feeding. • Primary outcomes. Prevalence of food insecurity, exclusive breastfeeding at 6 months. • Analysis. Logistic regression & thematic coding of qualitative data.

  3. Results (1). The prevalence of household food insecurity was 98.9% Results (3). Logistic regression of EBF at 6 months* *After adjusting for maternal education and household assets. Severely food insecure women were 60% less likely to EBF at 6 months Results (2). Exclusive breastfeeding was lower than recommended, but higher than national figures Results (4). In-depth interviews confirmed role of food insecurity in difficulties with optimal breastfeeding. “... if you do not eat properly, then there would be no breast milk. So if you stay hungry for a long time, milk flow will be affected.” * * * Conclusion. The mitigation of food insecurity may increase the duration of EBF and BF among HIV-infected women in rural Uganda.

More Related