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Counselling for infant feeding decisions

This session covers elements for counselling on infant feeding in relation to HIV, discussing available options. It includes exclusive breastfeeding, replacement feeding, wet-nursing, and discussing when to cease breastfeeding. Participants will acquire knowledge to support pregnant or recently-delivered women with unknown or tested HIV status in making informed decisions.

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Counselling for infant feeding decisions

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  1. 18/1 Counselling for infant feeding decisions • After completing this session participants will be able to: • describe the elements to be considered for counselling on infant feeding in relation to HIV • list the different feeding options available to HIV-positive mothers

  2. Pregnant or recently-delivered woman in contact with the health services Unknown HIV status Tested negative Tested positive Encourage testing Counsel and encourage breastfeeding Counsel on infant feeding Discuss all options available 18/2 Counselling for infant feeding in relation to HIV

  3. Infant feeding options from 0-6 months • Replacement feeding when AFASS: • Commercial infant formula • Home modified animal milk with a micronutrient supplement Exclusive breastfeeding • Other breast-milk options: • Expression and heat-treatment • Wet-nursing (breastfeeding by an HIV-negative woman) • [Milk banks] Early cessation when RF becomes AFASS 18/3 Infant feeding options from 0-6 months for HIV-positive women

  4. 18/4 Replacement feeding • is the process of feeding a child who is not breastfeeding with a diet that provides • all the nutrients the child needs until • the child is fully fed on family food

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