The outcome of exclusive breast feeding in infants born to HIV positive mothers on ART under SISU RAKSHA program, Bapuji child health institute, Davangere
Keywords:Exclusive breast feeding, ART, PPTCT
Background: Under SISU RAKSHA program (a joint initiative by SAATHII, not-for-profit organization and Bapuji child health institute, Davangere) the HIV positive pregnant mothers are enrolled, counseled and motivated during pregnancy, childbirth and breastfeeding to adhere to antiretroviral therapy (ART) and exclusive breastfeeding (EBF) to reduce mother to child transmission of HIV. Objective is to study the outcome of EBF on infants born to HIV positive mothers on ART under SISU RAKSHA program, with Outcome variables: HIV seroconversion, Growth status, Health status.
Methods: 86 infant born to HIV positive mothers who completed 18 months follow up were included in the study. A prestuctured proforma was used to collect information about ART adherence, infant feeding practice, HIV seroconversion, growth and health status.
Results: The HIV seroconversion of children on EBF among ART adherent mothers, 94.2 % (66/70) were non-reactive at 18th month follow up and 4.28% (3/70) were reactive. 92.8% (65/70) children growth were normal at 18th month follow up and 5.6% (4/70) were under weight and had recurrent infections. All these observations were statistically significant according to Fisher’s exact test.
Conclusions: The rate of mother to child transmission of HIV and rate of other infections among children born to HIV positive mothers is reduced and growth is normal if the mother is adherent to EBF & ART. HIV positive mothers are regularly counseled and motivated to do so under the program. Therefore the SISU RAKSHA program is very effective program for prevention of mother to child transmission of HIV.
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