Inappropriate infant feeding in the context of HIV infection and associated factors in southwestern Nigeria

Aim: Optimal adherence to infant feeding method of choice is not only context specific but requires deep understanding of facilitators and barriers to appropriate infant feeding. Limited data exists on these facilitators and barriers to effective adherence to appropriate infant feeding in the context of HIV infection. In this study, we determined the risk factors for in appropriate infant feeding in the context of HIV infection. Methods: Review of infant feeding practices of HIV positive mothers seen over a decade at a large HIV treatment centre in southwestern Nigeria. Data analysis was with SPSS version 20. Univariate and multivariate analysis were used to determine the risk factors for inappropriate infant feeding in the context of HIV infection. Results: The inappropriate infant feeding rate in the context of HIV infection was 2.8%. Low Agatha N. David1, Oliver C. Ezechi1, Endurance Aghahowa1, Titilola A. Gbajabiamila1, Lilian O. Ezechi2, Zaidat A. Musa1, Agatha E. Wapmuk1, Paschal M. Ezeobi1, Sabdat O. Ekama1, Olutosin Odubela1, Aigbe G. Ohihoin1 Affiliations: 1Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria; 2Department of Home Economics, Federal College of Education, Akoka Yaba, Lagos, Nigeria. Corresponding Author: Dr. Oliver C. Ezechi, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria; Email: oezechi@yahoo.co.uk Received: 05 February 2017 Accepted: 08 August 2017 Published: 19 September 2017 educational status (aOR: 3.6; CI:2.4–5.1), low socioeconomic status (aOR: 2.3; CI: 1.3–4.1), unemployed status (aOR: 3.9; CI: 2.5–5.5), not being on care before PMTCT enrolment (aOR: 1.9; CI: 1.5–2.7), non-disclosure of HIV status (aOR: 6.3; CI: 4.9–8.3) and delivery outside an orthodox health facility (aOR: 8.1; CI: 7.4–11.7) retained significant association with inappropriate infant feeding. Conclusion: Mothers with low educational and of low socioeconomic status, unemployed, not on care before PMTCT enrolment, yet to disclosed their HIV status and who delivered outside orthodox health facility are more likely to practice inappropriate infant feeding. Health programmes that promote safe infant feeding in context of HIV infection should target poor women and those not on care.

[1]  K. Adefemi,et al.  Breastfeeding in Nigeria: a systematic review , 2016 .

[2]  J. Ebenebe,et al.  Infant feeding practices and maternal socio-demographic factors that influence practice of exclusive breastfeeding among mothers in Nnewi South-East Nigeria: a cross-sectional and analytical study , 2014, International Breastfeeding Journal.

[3]  Kalu So,et al.  Infant Feeding Choices Practiced among HIV Positive Mothers Attending a Prevention of Mother to Child Transmission (PMTCT) of HIV Program in Nnewi, Nigeria , 2014 .

[4]  M. Oche,et al.  Breastfeeding and Weaning Practices in an Urban Slum, North Western Nigeria. , 2014 .

[5]  H. Radwan.  Patterns and determinants of breastfeeding and complementary feeding practices of Emirati Mothers in the United Arab Emirates , 2013, BMC Public Health.

[6]  P. Ukegbu,et al.  Influence of maternal characteristics on exclusive breastfeeding practice among urban mothers in Umuahia, Nigeria. , 2013 .

[7]  L. Mohan.  Patterns and Determinants of Breast Feeding Practices in Dodoma Municipality: A Cross Sectional Study , 2012 .

[8]  S. Mahmood,et al.  Infant feeding practices in the rural population of north India , 2012, Journal of family & community medicine.

[9]  S. Radhakrishnan,et al.  Prevalence of exclusive breastfeeding practices among rural women in Tamil Nadu , 2012 .

[10]  S. Odafe,et al.  Reducing mother-to-child transmission of HIV: findings from an early infant diagnosis program in south-south region of Nigeria , 2012, BMC Public Health.

[11]  N. Madise,et al.  Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya , 2011, BMC public health.

[12]  T. Belachew,et al.  RESEARCH ARTICLE Open Access Determinants of timely initiation of breastfeeding , 2022 .

[13]  P. Waithaka,et al.  Relationship between breastfeeding practices and nutritional status of children aged 0-24 months in Nairobi, Kenya. , 2010 .

[14]  B. Brown,et al.  Infant-feeding pattern of HIV-positive women in a prevention of mother-to-child transmission (PMTCT) programme , 2010, AIDS care.

[15]  B. Imonikebe,et al.  Breastfeeding practices and infants nutritional status in isoko north/south local government areas of Delta state, Nigeria , 2010 .

[16]  M. D. Awogbenja.  Feeding Practices and Nutritional Status of Under- Five Children In Nasarawa State, Nigeria. , 2010 .

[17]  B. Brown,et al.  Situation analysis of the existing infant feeding pattern at the commencement of the prevention of mother to child transmission (PMTCT) of HIV programme in Ibadan. , 2009, Nigerian journal of clinical practice.

[18]  A. Abimiku,et al.  Social determinants of mixed feeding behavior among HIV-infected mothers in Jos, Nigeria , 2009, AIDS care.

[19]  W. Sadoh,et al.  Experiences of HIV positive mothers who chose not to breastfeed their babies in Nigeria. , 2009, African journal of reproductive health.

[20]  T. Ogunlesi.  Maternal Socio-Demographic Factors Influencing the Initiation and Exclusivity of Breastfeeding in a Nigerian Semi-Urban Setting , 2010, Maternal and Child Health Journal.

[21]  W. Sadoh,et al.  Infant-feeding Practices among HIV-infected Mothers in an HIV-treatment Programme , 2008, Journal of health, population, and nutrition.

[22]  E. Orji,et al.  Infant Feeding Intentions and Practices of HIV-Positive Mothers in Southwestern Nigeria , 2008, Journal of human lactation : official journal of International Lactation Consultant Association.

[23]  M. Oche,et al.  Breastfeeding practices of mothers in a rural community of Sokoto, Nigeria. , 2008, The Nigerian postgraduate medical journal.

[24]  L. Palombi,et al.  Treatment acceleration program and the experience of the DREAM program in prevention of mother-to-child transmission of HIV , 2007, AIDS.

[25]  S. Leshabari,et al.  Difficult choices: Infant feeding experiences of HIV-positive mothers in northern Tanzania , 2007, SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance.

[26]  K. Ijadunola,et al.  Acceptability, feasibility and affordability of infant feeding options for HIV-infected women: a qualitative study in south-west Nigeria. , 2006, Maternal & child nutrition.

[27]  Z. Iliyasu,et al.  Current knowledge and practice of exclusive breastfeeding among mothers in Gwale local government area of Kano State , 2006 .

[28]  B. Kalu,et al.  Delivery outside hospital after antenatal care: prevalence and its predictors , 2004, Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology.

[29]  M. Altaye,et al.  Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala. , 2002, Revista panamericana de salud publica = Pan American journal of public health.

[30]  B. Richardson,et al.  Morbidity and mortality in breastfed and formula-fed infants of HIV-1-infected women: A randomized clinical trial. , 2001, JAMA.

[31]  T. Lawoyin,et al.  Factors Associated With Exclusive Breastfeeding in Ibadan, Nigeria , 2001, Journal of human lactation : official journal of International Lactation Consultant Association.

[32]  A. Davies-Adetugbo.  Sociocultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun State, Nigeria. , 1997, Social science & medicine.

[33]  B. Popkin,et al.  Drinking-water quality, sanitation, and breast-feeding: their interactive effects on infant health. , 1994, Bulletin of the World Health Organization.

[34]  D. Fagbule,et al.  Weaning practices in Ilorin community, Nigeria. , 1992, West African journal of medicine.

[35]  C. Bullen.  Infant Feeding and the Faecal Flora , 1981 .