The ten steps to successful breastfeeding for settings where HIV….pptVIP

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2018-08-20 发布于江苏
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The ten steps to successful breastfeeding for settings where HIV….ppt

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The ten steps to successful breastfeeding for settings where HIV…

The ten steps to successful breastfeeding for settings where HIV is prevalent:Issues to consider STEP 1: Have a written breastfeeding policy that is routinely communicated to all health care staff STEP 1 (continued): Have a written breastfeeding policy that is routinely communicated to all health care staff The policy should include a recommendation that all pregnant and lactating women be offered or referred for HIV testing counselling. The policy should require that the hospital offer counselling for HIV-positive pregnant women about feeding options. The policy should stress that full compliance with the “Code of Marketing of Breast-milk Substitutes” or a similar national measure is essential. The issue of confidentiality should be addressed in the policy. If there is a national level policy on infant feeding in the context of HIV the hospital policy should incorporate the national guidelines. Step 2: Train all health care staff in skills necessary to implement this policy. Staff training needs may vary from facility to facility. If the hospital is already a baby-friendly hospital, then emphasis should be placed on refresher training related to HIV and infant feeding. If the facility has never implemented the BFHI then BFHI training will need to include guidance related to HIV and infant feeding, or additional training on this topic will need to be organized,requiring more time and training resources. Training may require a multi-sectoral training team from nutrition, HIV/AIDS and other MCH sections. If there are no master trainers available locally with experience in implementing BFHI in settings where HIV-positive mothers receive care, external trainers may be needed. Step 3: Inform all pregnant women about the benefits and management of breastfeeding. WHO/UNAIDS recommends that pregnant women be offered VCT during antenatal care. Where VCT services do not yet exist, this will involve additional equipment, space, reagents, and staff time. Mothers ma