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Title Financial and Food Insecurity are Primary Challenges to Breastfeeding for Women Living with HIV in Western Kenya: A Longitudinal Qualitative Investigation
Full text https://escholarship.org/uc/item/7t0786mk; https://escholarship.org/content/qt7t0786mk/qt7t0786mk.pdf
Date 2023
Author(s) Tuthill, Emily L; Maltby, Ann E; Odhiambo, Belinda C; Akama, Eliud; Dawson-Rose, Carol; Cohen, Craig R; Weiser, Sheri D
Abstract Exclusive breastfeeding for the first 6 months and continued breastfeeding for 24 months or longer is recommended for all mothers world-wide, including women living with HIV (WLWH). Given evidence of suboptimal infant feeding and the need to understand context specific barriers, we explored experiences of perinatal WLWH in Kisumu, Kenya. We applied a longitudinal qualitative approach (4 in-depth interviews) with 30 women from pregnancy to 14-18 months postpartum. Cross-sectional profiling led to a narrative description of infant feeding across time. The majority of women breastfed exclusively for 6 months and weaned by 18 months. Severe financial and food insecurity were primary challenges as women worked through when/how to breastfeed or stop breastfeeding in the setting of multiple competing priorities/pressures across time. Financial and food support and increased support for breastfeeding beyond 18 months have the potential to reduce women's stress and uncertainty associated with infant feeding as well as optimize infant health and nutrition in this setting.
Subject(s) Public Health; Health Sciences; Sexually Transmitted Infections; Pediatric; Women's Health; Nutrition; Behavioral and Social Science; Maternal Health; Breastfeeding; Lactation and Breast Milk; HIV/AIDS; Prevention; Infectious Diseases; Clinical Research; 3.1 Primary prevention interventions to modify behaviours or promote wellbeing; Reproductive health and childbirth; Zero Hunger; Infant; Pregnancy; Female; Humans; Breast Feeding; Kenya; Cross-Sectional Studies; HIV Infections; Food Insecurity; WLWH; Breastfeeding; Exclusive breastfeeding; Infant feeding; Financial Insecurity; Public Health and Health Services; Social Work; Public health
Coverage 3258 - 3271
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS and Behavior, vol 27, iss 10
Rights public
Identifier qt7t0786mk; info:doi/10.1007/s10461-023-04046-8
Repository Berkeley - University of California
Added to C-A: 2024-11-06;11:34:58