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• W2120234025 abstract "Infant feeding in communities with a high prevalence of HIV and AIDS is a potential challenge for mothers who must ultimately decide how to feed their infants within contexts that constrain their choices.We investigated how infant feeding policy recommendations translate into maternal infant feeding decisions and practices using ethnographic research conducted between August 2004 and June 2005 among women participating in a prevention of mother-to-child transmission (PMTCT) program in Lilongwe, Malawi.Qualitative findings are that maternal ability to adhere to recommendations to breastfeed exclusively for the first six months of infant life was constrained by expectations and psycho-social support. The most salient were women's pre-existing views on breastfeeding, their understanding of the medico-scientific information, and the quality of counselling received. In contrast, maternal decisions to wean were largely influenced by household economic factors and food insecurity.We conclude that PMTCT programs delivered in ways which download the responsibility of adhering to recommendations to women in the absence of adequate psycho-social and livelihood supports contribute to substantial maternal psychosocial distress in this and, likely, similar settings." @default.
• W2120234025 created "2016-06-24" @default.
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• W2120234025 date "2010-01-01" @default.
• W2120234025 modified "2023-10-09" @default.
• W2120234025 title "On our own, we can't manage: experiences with infant feeding recommendations among Malawian mothers living with HIV" @default.
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• W2120234025 doi "https://doi.org/10.1186/1746-4358-5-15" @default.
• W2120234025 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/2978142" @default.
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