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Replacement Feeding Experiences of HIV-Positive Mothers in Ethiopia Bogale Abera Woldegiyorgis a & James L. Scherrer b a Hawassa College of Teacher Education, Hawassa, Ethiopia b Graduate School of Social Work, Dominican University, River Forest, Illinois, USA Version of record first published: 12 Mar 2012.
To cite this article: Bogale Abera Woldegiyorgis & James L. Scherrer (2012): Replacement Feeding Experiences of HIV-Positive Mothers in Ethiopia, Journal of Community Practice, 20:1-2, 69-88
To link to this article: http://dx.doi.org/10.1080/10705422.2012.648123
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Journal of Community Practice, 20:69–88, 2012 Copyright © Taylor & Francis Group, LLC ISSN: 1070-5422 print/1543-3706 online DOI: 10.1080/10705422.2012.648123
PART 2: POLICY
Replacement Feeding Experiences of HIV-Positive Mothers in Ethiopia
BOGALE ABERA WOLDEGIYORGIS Hawassa College of Teacher Education, Hawassa, Ethiopia
JAMES L. SCHERRER Graduate School of Social Work, Dominican University, River Forest, Illinois, USA
The World Health Organization most recent guidelines recom- mend that HIV-positive mothers exclusively breastfeed unless replacement foods meet the criteria of acceptability, feasibility, affordability, sustainability, and safety (AFASS). However, the fear of HIV transmission through breastfeeding has pressured these mothers into choosing replacement feeding whether they meet AFASS criteria or not. This choice has subjected infants to malnutrition and related deaths. This qualitative study is based on Scheper-Hughes and Lock’s (1987) Three Bodies Model. Discussions were carried out in a Prevention of Mother-to-Child Transmission Program (PMTCT) in Hawassa, Ethiopia using in-depth interviews, key informant interviews and focus groups. The study focused on the challenges that HIV positive mothers face due to inadequate counseling services, poor economic situations, and lack of support and follow up. The Three Bodies Model exposes the deficits in the comprehensive delivery of services by PMTCT pro- grams. Implications for social work practice and funding policies are discussed.
KEYWORDS replacement feeding, social meanings, PMTCT, HIV/AIDS, breastfeeding, mothers
We acknowledge Haile Michael Tesfahun, Addis Ababa University, School of Social Work, for his critical comments on the original thesis. The research was funded through Addis Ababa University, School of Social Work.