Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study

Biniam Getachew,1,&ast; Semaria Solomon,2,&ast; Blen Teshome Ramet,2 Tirumebet Mezgebu,2 Demelash Bezabih Ewnetu,2 Noni MacDonald3 1Independent Public Health Consultant, Addis Ababa, Ethiopia; 2St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia; 3Dalhousie University, Hali...

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Autores principales:	Getachew B, Solomon S, Ramet BT, Mezgebu T, Ewnetu DB, MacDonald N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	hiv/aids hiv exposed preterm infant infant feeding ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/7df24091d9ad47fcab5223a85f04408e
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spelling	oai:doaj.org-article:7df24091d9ad47fcab5223a85f04408e2021-12-02T19:31:58ZFeeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study1179-1373https://doaj.org/article/7df24091d9ad47fcab5223a85f04408e2021-11-01T00:00:00Zhttps://www.dovepress.com/feeding-experiences-of-hiv-exposed-preterm-infants-among-mothers-livin-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Biniam Getachew,1,&ast; Semaria Solomon,2,&ast; Blen Teshome Ramet,2 Tirumebet Mezgebu,2 Demelash Bezabih Ewnetu,2 Noni MacDonald3 1Independent Public Health Consultant, Addis Ababa, Ethiopia; 2St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia; 3Dalhousie University, Halifax, Nova Scotia, Canada&ast;These authors contributed equally to this workCorrespondence: Biniam Getachew Addis Ababa, EthiopiaTel +251 911 380964Email biniongech@gmail.comIntroduction: Providing adequate nutrition to preterm infants who are born to HIV-positive mothers is more challenging due to the mother’s underlying health and nutrition status. The understanding of these issues and active participation of the mothers have a significant role in giving continuous care for HIV-exposed preterm infant. Hence, this study aimed to explore the experience of HIV-positive mothers’ feeding practice of their preterm infants, and health workers to identify barriers and facilitators of feeding HIV-exposed preterm infants.Methods: A phenomenological qualitative study design was conducted in Addis Ababa, Ethiopia, between May 1, 2016 and March 31, 2017. Mothers who gave birth to HIV-exposed preterm infants at the study sites’ follow-up clinic were traced and invited by the healthcare providers to voluntarily participate in this study. Fifteen in-depth interviews with mothers of HIV-exposed preterm infants and seven key informant interviews with health professionals and policymakers were carried out. The interviews were transcribed and translated and then manually analyzed thematically.Results: The health education given during antenatal care (ANC) did not consider the feeding practice needs for HIV-exposed preterm infants. Child health status, desire to have a healthy infant, financial constraints and family support were among the influential factors in the feeding practice of HIV-exposed preterm infants mentioned by the study participants. HIV-exposed preterm infant feeding procedure neither has a guideline nor is clearly mentioned in the national HIV guidelines.Conclusion: The desire to have a healthy infant was a major facilitator for feeding of HIV-exposed premature infants. However, financial constraints majorly limited the option to be only exclusive breastfeeding. This became even more problematic for the mother if the premature infant became ill and could not breastfeed well.Keywords: HIV/AIDS, HIV-exposed, preterm infant, infant feeding, EthiopiaGetachew BSolomon SRamet BTMezgebu TEwnetu DBMacDonald NDove Medical Pressarticlehiv/aidshiv exposedpreterm infantinfant feedingethiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 973-981 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hiv/aids hiv exposed preterm infant infant feeding ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	hiv/aids hiv exposed preterm infant infant feeding ethiopia Immunologic diseases. Allergy RC581-607 Getachew B Solomon S Ramet BT Mezgebu T Ewnetu DB MacDonald N Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study
description	Biniam Getachew,1,&ast; Semaria Solomon,2,&ast; Blen Teshome Ramet,2 Tirumebet Mezgebu,2 Demelash Bezabih Ewnetu,2 Noni MacDonald3 1Independent Public Health Consultant, Addis Ababa, Ethiopia; 2St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia; 3Dalhousie University, Halifax, Nova Scotia, Canada&ast;These authors contributed equally to this workCorrespondence: Biniam Getachew Addis Ababa, EthiopiaTel +251 911 380964Email biniongech@gmail.comIntroduction: Providing adequate nutrition to preterm infants who are born to HIV-positive mothers is more challenging due to the mother’s underlying health and nutrition status. The understanding of these issues and active participation of the mothers have a significant role in giving continuous care for HIV-exposed preterm infant. Hence, this study aimed to explore the experience of HIV-positive mothers’ feeding practice of their preterm infants, and health workers to identify barriers and facilitators of feeding HIV-exposed preterm infants.Methods: A phenomenological qualitative study design was conducted in Addis Ababa, Ethiopia, between May 1, 2016 and March 31, 2017. Mothers who gave birth to HIV-exposed preterm infants at the study sites’ follow-up clinic were traced and invited by the healthcare providers to voluntarily participate in this study. Fifteen in-depth interviews with mothers of HIV-exposed preterm infants and seven key informant interviews with health professionals and policymakers were carried out. The interviews were transcribed and translated and then manually analyzed thematically.Results: The health education given during antenatal care (ANC) did not consider the feeding practice needs for HIV-exposed preterm infants. Child health status, desire to have a healthy infant, financial constraints and family support were among the influential factors in the feeding practice of HIV-exposed preterm infants mentioned by the study participants. HIV-exposed preterm infant feeding procedure neither has a guideline nor is clearly mentioned in the national HIV guidelines.Conclusion: The desire to have a healthy infant was a major facilitator for feeding of HIV-exposed premature infants. However, financial constraints majorly limited the option to be only exclusive breastfeeding. This became even more problematic for the mother if the premature infant became ill and could not breastfeed well.Keywords: HIV/AIDS, HIV-exposed, preterm infant, infant feeding, Ethiopia
format	article
author	Getachew B Solomon S Ramet BT Mezgebu T Ewnetu DB MacDonald N
author_facet	Getachew B Solomon S Ramet BT Mezgebu T Ewnetu DB MacDonald N
author_sort	Getachew B
title	Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study
title_short	Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study
title_full	Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study
title_fullStr	Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study
title_full_unstemmed	Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study
title_sort	feeding experiences of hiv-exposed preterm infants among mothers living with hiv in addis ababa, ethiopia: a qualitative study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/7df24091d9ad47fcab5223a85f04408e
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Feeding Experiences of HIV-Exposed Preterm Infants Among Mothers Living with HIV in Addis Ababa, Ethiopia: A Qualitative Study

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