Abstract

Child health in southern Africa is seriously threatened by the HIV epidemic: 20–30% of pregnant women are infected in most countries in this region. Prominent among threats to child health are HIV transmission and orphanhood. The avoidance or reduced duration of breastfeeding that can occur when women learn that they are HIV-positive is no less troubling than is the epidemic. New results from the Breastfeeding, Antiretrovirals, and Nutrition (BAN) study done in Lilongwe, Malawi, reported by Denise Jamieson and colleagues in The Lancet,1 remind us that limitation of breastfeeding duration is not suitable for HIV-infected women and their infants.

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