Abstract
Infant feeding by HIV-infected mothers has been a major global public health dilemma and a highly controversial matter. The controversy is reflected in the different sets of WHO infant feeding guidelines that have been issued over the last two decades. This thematic series, 'Infant feeding and HIV: lessons learnt and ways ahead' highlights the multiple challenges that HIV-infected women, infant feeding counsellors and health systems have encountered trying to translate and implement the shifting infant feeding recommendations in different local contexts in sub-Saharan Africa. As a background for the papers making up the series, this editorial reviews the changes in the guidelines in view of the roll out of prevention of mother to child transmission (PMTCT) programmes in sub-Saharan Africa between 2001 and 2010.
Highlights
The papers in this thematic series highlight the multiple challenges to infant feeding that have surfaced within the framework of postnatal prevention of mother to child transmission of HIV (PMTCT)
Mother to child transmission of HIV Mother to child transmission (MTCT) of HIV is a field of health and health care that dramatically demonstrates the inequality between the global north and the global south
The major infant feeding options for HIV-infected mothers suggested in local PMTCT programmes in subSaharan Africa included exclusive breastfeeding with early and rapid cessation and exclusive replacement feeding with infant formula or modified cow’s milk
Summary
The papers in this thematic series highlight the multiple challenges to infant feeding that have surfaced within the framework of postnatal prevention of mother to child transmission of HIV (PMTCT). The focus is in particular on the implementation of the global HIV and infant feeding guidelines at the local level in various settings in sub-Saharan Africa. The seven research papers included in this issue report on the experiences of women and their partners, of PMTCT counsellors and of policy makers in selected countries in sub-Saharan Africa between 2001 and 2009. During this period the WHO 2001 HIV and infant
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