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Working Group 2

Working Group 2. Breastmilk Substitutes and the Code. 3 positions. all HIV positive women should receive formula all HIV positive women should breastfeed all HIV positive women should be provided with full information to make an informed choice. Disagreements.

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Working Group 2

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  1. Working Group 2 Breastmilk Substitutes and the Code

  2. 3 positions • all HIV positive women should receive formula • all HIV positive women should breastfeed • all HIV positive women should be provided with full information to make an informed choice

  3. Disagreements • Code allows/doesn’t allow free formula distribution where govt procures it (but acknowledged Code is best tool we have)

  4. Discussion focussed on: • Conditions (national, implementation and individual levels) • How to prevent spillover of replacement feeding and messages • research recommendations

  5. Areas of agreement/outcome • provision of free formula skews the ‘informed” choice • existing research needs to be critically reviewed and all research should be independent of commercial interests (pharmaceutical and infant feeding companies) • nutritional and financial support needed for all HIV+ positive mothers

  6. Outcomes (continued) • monitoring of health outcomes for mother & child needed (all infant feeding options) • strengthening of training (lact management, counseling & Code), BFHI, Code impl at nat. level, maternity protection (workplace & legislation) • situation analysis needed into five conditions (AFASS) before considering formula provision

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