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Date: | Tue, 27 Aug 2002 09:58:25 +0200 |
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>Date: Fri, 23 Aug 2002 07:08:39 -0600
>From: Jodine Chase <[log in to unmask]>
>Subject: HIV/milk news analysis
>MIME-Version: 1.0
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>
>http://www.redflagsweekly.com/Thursday_report/2002_august22.html
>
> > August 22, 2002
> >
> > America : The Land of HIV-Free Milk and Honey
> >
> > Results of New Study Say "Let HIV+ Mothers Care for Their Babies"
> >
> > By Cory Mermer
> > RFW Associate Editor
> >
> > Breastfeeding can save your babyıs life and should be practiced if at all
> > possibleBreastfeeding is too dangerous and MUST be avoided at all costs.
> >
> > The above statements are quite obviously diametrically opposed to one
> another.
> > Yet these two statements represent the advice currently given to
> mothers who
> > test positive for HIV, the virus widely reported to be responsible for the
> > AIDS epidemic.
> >
> > How is this possible? The answer is simple. It depends on your address, of
> > course!
> >
> > If that doesnıt make much sense to you, then GOODyou are among the
> seemingly
> > small number of people with the ability to think for yourself!
>
><snip>
>
>The article above appears on the health news analysis site Red Flag Weekly.
>The conclusion is that perhaps women in third world countries are getting
>better advice than women in North America.
>
>-- Jodine Chase
I have conducted a study on counsellors' perspective and knowledge on
MTCT-issues. This article is called "Counsellors Perspectives on Antenatal
HIV-Testing and Infant Feeding Dilemmas Facing HIV-Infected Women in
Northern Tanzania" which is to be published in
Reproductive Health Matters 2002;10(20):XXX-XXX. I don't believe that the
conclusion that women in third world countries are getting better advice
than their North American counterparts is correct.
We found that informed choice of infant feeding method by HIV-infected
women, as recommended by UNAIDS/WHO/UNICEF Guidelines, was seriously
compromised by the actual advice given, directive counselling, lack of time
to cope with a positive HIV test result, and lack of follow-up support,
regardless of socioeconomic status. Infant feeding options were not always
accurately explained, but counsellors believed most women had little choice
but to breastfeed and were unlikely to exclusively breastfeed, despite
advice. It was apparent that the risks and benefits of the options open to
HIV-infected women were complicated for the counsellors, not only the
women. We concluded that counsellors needed additional training in
non-directive counselling and infant feeding options to ensure quality
advice-giving and support to follow-up women at home.
Marina Manuela de Paoli, Norway
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