Ruth Bland|Kirsty Little|Hoosen M. Coovadia|Anna Coutsoudis|Nigel Rollins|Marie?Louise Newell
Intervention to promote exclusive breast-feeding for the first 6 months of life in a high HIV prevalence area
University of Glasgow|University of KwaZulu-Natal|University College London|University of KwaZulu-Natal|University of KwaZulu-Natal|University of KwaZulu-Natal|University College London
report nonrandomized intervention cohort study increase exclusive breastfeeding rates 6 months delivery hivpositive hivnegative women kwazulunatal south africalay counselors visited women support exclusive breastfeeding four times antenatally four times first 2 weeks postpartum fortnightly 6 months daily feeding practices collected weekly intervals separate field workers cumulative exclusive breastfeeding rates birth assessed kaplanmeier analysis association maternal infant variables quantified cox regression analysisone thousand two hundred nineteen infants hivnegative 1217 infants hivpositive women followed postnatally median duration exclusive breastfeeding 177 r 1180 interquartile range 150180 175 days r 1180 interquartile range 137180 hivnegative hivpositive women respectively using 24h recall exclusive breastfeeding rates 3 5 months 831 765 respectively hivnegative women 725 667 respectively hivpositive women using stringent cumulative data 45 hivnegative 40 hivpositive women adhered exclusive breastfeeding 6 months counseling visits strongly associated adherence cumulative exclusive breastfeeding 4 months received scheduled number visits twice likely still exclusively breastfeeding hivnegative women adjusted odds ratio 207 95 confidence interval 156274 p 00001 hivpositive women adjusted odds ratio 286 95 ci 213383 p 00001it feasible promote sustain exclusive breastfeeding 6 months hivpositive hivnegative women home support well trained lay counselors