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XIX AIDS Conference Washington DC,July 2012

XIX AIDS Conference Washington DC,July 2012 . Determinants of infant feeding intent and appropriateness of choices for formula feeding in the Djoungolo Prevention of Mother-To-Child Transmission of HIV programme , Yaounde , Cameroon (M0PDD0303 ).

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XIX AIDS Conference Washington DC,July 2012

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  1. XIX AIDS Conference Washington DC,July 2012 Determinants of infant feeding intent and appropriateness of choices for formula feeding in the Djoungolo Prevention of Mother-To-Child Transmission of HIV programme, Yaounde, Cameroon(M0PDD0303) A.E. Njom Nlend1, B. Bagfegue Ekani2, A. Tchouamo2, A. Mbi3, and the Mother & Child Djoungolo Network

  2. Background • The dilemma of infant feeding in HIV context of poor resource setting remains unresolved and the practice of replacement feeding can contribute to lower child survival. (De Paoli, 20, Coutsoudis 2009 • Appropriate infant feeding counseling can reverse such risk as well as limiting spill-over (WHO,2010.)

  3. Objective • To describe infant feeding intents of HIV positive women and determine the appropriateness of choice of those opting for formula-feeding after the counseling process.

  4. Methods • Routine infant feeding counseling of HIV positive mother offered by short-course trained counselors during the pregnancy or in the early-post partum. • Intents of formula FEEDING assessed FOR feasibility by using a generic acceptable, feasible, affordable sustainable , secure( AFASS) score composed of 7 variables grading from 0 to 2

  5. Measurement • % of womenwhohad an AFASS >10 and or whofullfilledat least 4 conditions • Factorspredicting replacement feedingchoice (univariate)

  6. RESULTS (1) Among 924 women counseled, 63% intended to formula feed their babies while 37% where planning to breastfeed. The AFASS criteria >10 was met by 87% who intend to practise formula feeding compared to 57 of those who intend to breastfeed. Inappropriate formula feeding choice ( AFASS <10) was twice likely in women counseled during post partum period as against during pregnancy ( 0R: 1,8 1.3-2.4, p=0.02).

  7. RESULTS(2)

  8. CONCLUSION • in Djoungolo, after infant feeding counseling, replacement feeding intent is mostly appropriate fitting mother's environment and livelihood. In addition, • The desire to breastfeed remains real as more than ½ women who choose to breastfeed met the conditions to practice formula feeding.

  9. THANKS

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