The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria
Lucky O Lawani,1 Azubuike K Onyebuchi,2 Chukwuemeka A Iyoke,3 Robinson C Onoh,2 Peter O Nkwo31School of Postgraduate Studies, Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu State, Nigeria; 2Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki,...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2014-03-01
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| Series: | Patient Preference and Adherence |
| Online Access: | http://www.dovepress.com/the-challenges-of-adherence-to-infant-feeding-choices-in-prevention-of-a16230 |
| _version_ | 1818210131491422208 |
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| author | Lawani LO Onyebuchi AK Iyoke CA Onoh RC Nkwo PO |
| author_facet | Lawani LO Onyebuchi AK Iyoke CA Onoh RC Nkwo PO |
| author_sort | Lawani LO |
| collection | DOAJ |
| description | Lucky O Lawani,1 Azubuike K Onyebuchi,2 Chukwuemeka A Iyoke,3 Robinson C Onoh,2 Peter O Nkwo31School of Postgraduate Studies, Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu State, Nigeria; 2Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria; 3Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Enugu State, NigeriaBackground: Global and national efforts in the 21st century are directed toward the elimination of new pediatric HIV infections through evidence-based infant feeding interventions for the prevention of mother-to-child-transmission, with patient preference, motivation, and adherence identified as key factors for success.Objectives: This study assessed the challenges faced by HIV-infected parturients in adhering to the national infant feeding recommendations and their infant feeding preference for prevention of mother-to-child transmission in South East Nigeria.Methods: This is a cross-sectional, descriptive, questionnaire-based study of 556 parturients infected with HIV/AIDS.Results: The mean age of the participants was 28.0±5.3 years. The infant feeding choices were made jointly by both partners (61.1%) in the antepartum period. The HIV status disclosure rate was 89.2%. A large proportion (91.7%) practiced exclusive breastfeeding with highly active antiretroviral therapy, and 7.6% practiced mixed feeding because of nonadherence to their choice and national/international recommendations on infant feeding in the context of HIV/AIDS. This was mainly a result of pressure from family members (42.8%) and cultural practices (28.5%). Multivariate logistic regression analysis indicates that adherence was strongly associated with age, marital status, and employment status, but not with residence, educational status, or parity.Conclusion: Exclusive breastfeeding is predominately the infant feeding choice among HIV-infected parturients in South East Nigeria, but there is still a gap between infant feeding preference and adherence to standard practice as a result of sociocultural challenges associated with risk for mixed feeding and the risk for mother-to-child-transmission of HIV by nursing mothers.Keywords: PMTCT, HIV, infant feeding, challenges, HAART, adherence |
| first_indexed | 2024-12-12T05:11:44Z |
| format | Article |
| id | doaj.art-5a12ce90e9fc473bb2331508af80e4f7 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-12T05:11:44Z |
| publishDate | 2014-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-5a12ce90e9fc473bb2331508af80e4f72022-12-22T00:36:52ZengDove Medical PressPatient Preference and Adherence1177-889X2014-03-012014default37738116230The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East NigeriaLawani LOOnyebuchi AKIyoke CAOnoh RCNkwo POLucky O Lawani,1 Azubuike K Onyebuchi,2 Chukwuemeka A Iyoke,3 Robinson C Onoh,2 Peter O Nkwo31School of Postgraduate Studies, Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu State, Nigeria; 2Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria; 3Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Enugu State, NigeriaBackground: Global and national efforts in the 21st century are directed toward the elimination of new pediatric HIV infections through evidence-based infant feeding interventions for the prevention of mother-to-child-transmission, with patient preference, motivation, and adherence identified as key factors for success.Objectives: This study assessed the challenges faced by HIV-infected parturients in adhering to the national infant feeding recommendations and their infant feeding preference for prevention of mother-to-child transmission in South East Nigeria.Methods: This is a cross-sectional, descriptive, questionnaire-based study of 556 parturients infected with HIV/AIDS.Results: The mean age of the participants was 28.0±5.3 years. The infant feeding choices were made jointly by both partners (61.1%) in the antepartum period. The HIV status disclosure rate was 89.2%. A large proportion (91.7%) practiced exclusive breastfeeding with highly active antiretroviral therapy, and 7.6% practiced mixed feeding because of nonadherence to their choice and national/international recommendations on infant feeding in the context of HIV/AIDS. This was mainly a result of pressure from family members (42.8%) and cultural practices (28.5%). Multivariate logistic regression analysis indicates that adherence was strongly associated with age, marital status, and employment status, but not with residence, educational status, or parity.Conclusion: Exclusive breastfeeding is predominately the infant feeding choice among HIV-infected parturients in South East Nigeria, but there is still a gap between infant feeding preference and adherence to standard practice as a result of sociocultural challenges associated with risk for mixed feeding and the risk for mother-to-child-transmission of HIV by nursing mothers.Keywords: PMTCT, HIV, infant feeding, challenges, HAART, adherencehttp://www.dovepress.com/the-challenges-of-adherence-to-infant-feeding-choices-in-prevention-of-a16230 |
| spellingShingle | Lawani LO Onyebuchi AK Iyoke CA Onoh RC Nkwo PO The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria Patient Preference and Adherence |
| title | The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria |
| title_full | The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria |
| title_fullStr | The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria |
| title_full_unstemmed | The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria |
| title_short | The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria |
| title_sort | challenges of adherence to infant feeding choices in prevention of mother to child transmission of hiv infections in south east nigeria |
| url | http://www.dovepress.com/the-challenges-of-adherence-to-infant-feeding-choices-in-prevention-of-a16230 |
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