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IYCF
Policy and Programme |
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Infant
Feeding and HIV |
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What is Infant Feeding and HIV
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The
risk of HIV transmission through breastfeeding
presents policy makers, infant feeding counsellors
and mothers with a difficult dilemma. They must
balance the risk of death due to artificial feeding
with the risk of HIV transmission through breastfeeding.
These risks are dependent on the age of the infant
and household conditions and are not precisely
known. Other factors must be considered at the
same time, such as the risk of stigmatisation
(if not breastfeeding signals the mother’s
HIV status), the financial costs of replacement
feeding and the risk of becoming pregnant again.
Policies and programmes to meet this challenge
should provide access to voluntary and confidential
counselling and testing (VCCT) and, for HIV-positive
mothers, counselling on infant feeding options.
Safeguards should be in place to protect, promote
and support breastfeeding in the rest of the population.
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Infant Feeding and HIV : INDICATOR 13 in WBTi , an innovative initiative of the International Baby Food Action Network (IBFAN) Asia for tracking assessing and monitoring the Global Strategy for Infant and Young Child Feeding
know more visit http://www.worldbreastfeedingtrends.org/
Key question: Are appropriate policies and programmes in place to ensure that mothers with HIV are informed about the risks and benefits of different infant feeding options and supported in their infant feeding decisions? |
| Criteria |
Scoring
Check that apply. |
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Yes |
To some degree |
No |
| 13.1) The country has a comprehensive policy on infant and young child feeding that includes infant feeding and HIV |
2 |
1 |
0 |
| 13.2) The infant feeding and HIV policy gives effect to the International Code/ National Legislation |
1 |
0.5 |
0 |
| 13.3) Health staff and community workers receive training on HIV and infant feeding policies, the risks associated with various feeding options for infants of HIV-positive mothers and how to provide counseling and support. |
1 |
0.5 |
0 |
| 13.4) Antenatal Voluntary and Confidential Counseling and Testing (VCCT) is available and offered routinely to couples who are considering pregnancy and to pregnant women and their partners. |
1 |
0.5 |
0 |
| 13.5) Locally appropriate infant feeding counseling in line with current international recommendations is provided to HIV positive mothers. (See Annex 7 for health worker guidelines.) |
1 |
0.5 |
0 |
| 13.6) Mothers are supported in their infant feeding decisions with further counseling and follow-up to make these decisions as safe as possible. |
1 |
0.5 |
0 |
| 13.7) Special efforts are made to counter misinformation on HIV and infant feeding and to promote, protect and support breastfeeding in the general population. |
1 |
0.5 |
0 |
| 13.8) On-going monitoring is in place to determine the effects of interventions to prevent HIV transmission on infant feeding practices and health outcomes for mothers and infants, including those who are HIV negative or of unknown status. |
1 |
0.5 |
0 |
| 13.9) The Baby-friendly Hospital Initiative provides guidance to hospital administrators and staff in settings with high HIV prevalence on how to assess the needs and provide support for HIV positive mothers. |
1 |
0.5 |
0 |
| Total Score: |
___/10__ |
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Where we are
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India score 3 out of 10,
falling in ‘Grade D ’ with ‘Red’ colour
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for details seeThe State of the World’s Breastfeeding: South Asia Report and India report card
source Assessment
of Status of IYCF: Practice, Policy
and Program: Achievements and Gaps 2005 see report |
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What we are doing (As BPNI)
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Supporting Documents
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Area
of Work |
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Acrobat
Reader