Abstract
<i>Background and aim</i>: Infant feeding practices recommended to mothers known to be living with HIV should support the greatest likelihood of the HIV-free survival of their children and not harm the health of mothers. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. The determinant of infant mixed feeding practice among HIV positive mothers is not well studied in Ethiopia. The aim of the study is to assess the determinants of mixed infant feeding practice among HIV Positive Mothers in Southern Ethiopia. <i>Methods</i>: Unmatched case-control study was conducted among HIV positive mothers at selected ART centers of Southern Ethiopia. A total of 276 mothers children pair; 92 cases and 184 controls, were enrolled in the study. An interviewer-administered questionnaire was used to collect data and EPI info version 3.5.3 statistical software used to enter data and analysis was done using SPSS version 20software. Bivariate and multivariate logistic regression was carried out to identify the determinants of mixed feeding practice of HIV positive mothers. <i>Result</i>: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). <i>Conclusion</i>: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. There is a positive relationship between HIV test results of infants and mixed feeding practice of HIV positive mothers. An integrated infant feeding counseling with a practical demonstration is needed to foster HIV positive mother’s practice on infant feeding options. Moreover, enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children.
Highlights
HIV infection among infants primarily transmitted from mothers
Attending Prevention of mother-to-child transmission (PMTCT) and antiretroviral therapy (ART) Services in Southern Ethiopia: A Case-control Study and nearly 85 percent of them live in sub-Saharan Africa
This finding was supported by a study in Zimbabwe, Amhara Region of Ethiopia, and Gondar Town [15,16,17] indicates, HIV infection among children increased if the child was exposed to mixed feeding
Summary
HIV infection among infants primarily transmitted from mothers. Mother-to-child transmission (MTCT) can take place when the child is still in the mother’s womb, around the time of birth, or through breastfeeding after birth. In 2015, an estimated 150,000 children (aged 0–14 years) were newly infected with HIV globally, Beminet Moges Gebremariam et al.: Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers. Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study and nearly 85 percent of them live in sub-Saharan Africa. Result: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). Conclusion: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. Enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children
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