Comparative effects of three methods of promoting breastfeeding among human immunodeficiency virus–infected women in Uganda

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dc.contributor.authorFowler, G. Mary
dc.date.accessioned2022-02-11T13:20:54Z
dc.date.available2022-02-11T13:20:54Z
dc.date.issued2018
dc.description.abstractThe objective of this study was to evaluate the comparative effects of three breastfeeding promotion interventions on the duration of exclusive breastfeeding (EBF) and any breastfeeding (BF) among human immunodeficiency virus (HIV)-infected women in Uganda. Methods Between February 2012 and February 2013, 218 HIV-infected pregnant mothers were randomly assigned to (A) standard care (n=73), (B) enhanced family/peer support (n=72) or (C) enhanced nutrition education (n=73). Results The prevalence (%) of EBF/BF did not differ between intervention arms at the sixth (A, 85/92; B, 84/91; C, 87/89) and ninth (A, 17/91; B, 18/89; C, 16/87) postpartum month assessments (p>0.05). However, the risk of early BF cessation differed between intervention arms depending on the mother’s level of formal education (p=0.04). Among women with no formal education, the risk of early BF cessation was 88% (adjusted hazard ratio [aHR] 0.12 [95% confidence interval {CI} 0.05–0.30]) and 93% (aHR 0.07 [95% CI 0.03–0.18]) lower in arms B and C, respectively, than in arm A (p<0.01). HIV status disclosure to a partner was associated with a higher risk of early EBF (p=0.03) and BF (p=0.04) cessation. Conclusions In resource-limited settings, enhanced (vs standard care) EBF promotion interventions may not differentially influence EBF but reduce the risk of early BF cessation among women with no formal education. Targeted enhanced interventions among women with no formal education and a mother’s partner may be critical to reducing the risk of early EBF/BF cessation.en_US
dc.identifier.citationNamale-Matovu, J., Owora, A. H., Onyango-Makumbi, C., Mubiru, M., Namuli, P. E., Motevalli-Oliner, M., ... & Fowler, M. G. (2018). Comparative effects of three methods of promoting breastfeeding among human immunodeficiency virus–infected women in Uganda: a parallel randomized clinical trial. International health, 10(6), 430-441.en_US
dc.identifier.urihttps://doi.org/10.1093/inthealth/ihy041
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2075
dc.language.isoenen_US
dc.publisherInternational Healthen_US
dc.subjectExclusive breastfeedingen_US
dc.subjectBreastfeeding cessationen_US
dc.subjectHIV-infected womenen_US
dc.subjectRandomized clinical trialen_US
dc.titleComparative effects of three methods of promoting breastfeeding among human immunodeficiency virus–infected women in Ugandaen_US
dc.title.alternative:a parallel randomized clinical trialen_US
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