Do the feeding practices and nutrition status among HIV-exposed infants less than 6 months of age follow the recommended guidelines in Bomet County, KenyaReport as inadecuate




Do the feeding practices and nutrition status among HIV-exposed infants less than 6 months of age follow the recommended guidelines in Bomet County, Kenya - Download this document for free, or read online. Document in PDF available to download.

BMC Nutrition

, 2:43

Clinical nutrition

Abstract

BackgroundGlobally, about 1.5 million pregnancies are among women living with the Human Immuno-deficiency Virus HIV. In 2013, an estimated overall HIV prevalence of 0.34 % was reported in antenatal women in Kenya, with 13,000 new HIV infections among children. Appropriate feeding practices and good nutrition status are important for the survival, growth, development and health of HIV-exposed infants, as well as the wellbeing of their mothers. The purpose of this study was to determine the feeding practices and nutrition status of HIV-exposed infants 0–5 months of age, attending the paediatric clinic in a mission hospital in Bomet County, Kenya.

MethodsThis was a cross-sectional study with quantitative and qualitative techniques in data collection and analysis. A comprehensive sample of 118 mothers-caregivers with HIV-exposed infants 0–5 months of age participated in the study. The data was analysed using SPSS software. Statistical significance was set at p values less than 0.05.

ResultsExclusive breastfeeding was practiced by the majority of the participants 73.7 %, 14.4 % practiced exclusive replacement feeding and 11.9 % mixed fed their infants. More than half the infants had normal length for age 57.7 %, weight for age 60.2 % and weight for length 76.3 %. About a third 38.1 % of the infants were stunted, 39 % were underweight and 19.5 % were wasted. Infants on mixed feeding were more likely to be stunted OR = 2.401; 95 % CI: 0.906–5.806; p = 0.001 or underweight OR = 2.001; 95 % CI: 0.328–6.124; p = 0.001 compared to those on exclusive breastfeeding. There was however, no significant difference in the likelihood for wasting among infants on exclusive breastfeeding, compared to those on exclusive replacement feeding OR = 0.186; 95 % CI: 0.011–3.130; p = 0.996 or mixed feeding OR = 1.528; 95 % CI: 0.294–7.954; p = 0.614. No significant differences were observed in the likelihood for malnutrition among infants on exclusive breastfeeding, compared to those on exclusive replacement feeding.

ConclusionMost mothers-caregivers fed their infants as recommended. The 11.9 % who did not observe the recommendations were however, at risk for contracting HIV. We recommend that the Ministry of Health and National AIDS and STI Control Programme develop a policy to support infants who qualify for exclusive replacement feeding but whose mothers-caregivers face constraints in compliance.

KeywordsHIV-exposed Infant feeding Exclusive breastfeeding Exclusive replacement feeding Mixed feeding Nutrition status Stunting Wasting Underweight  Download fulltext PDF



Author: Purity Chepkorir Lang’at - Irene Awuor Ogada - Audrey Steenbeek - Godfrey Odinga - Michael M. Mwachiro

Source: https://link.springer.com/







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