Counselling for infant feeding decisions After completing this session participants will be able to: describe the elements to be considered for counselling on infant feeding in relation to HIV list the different feeding options available to HIV-positive mothers 18/1

Counselling for infant feeding in relation to HIV Pregnant or recently-delivered woman in contact with the health services Unknown HIV status Tested negative Tested positive Encourage testing Counsel and encourage breastfeeding Counsel on infant feeding Discuss all options available 18/2

Infant feeding options from 0-6 months for HIV-positive women Infant feeding options from 0-6 months Replacement feeding when AFASS: Commercial infant formula Home modified animal milk with a micronutrient supplement Exclusive breastfeeding Other breast-milk options: Expression and heat- treatment Wet-nursing (breastfeeding by an HIV-negative woman) [Milk banks] Early cessation when RF becomes AFASS 18/3

Replacement feeding is the process of feeding a child who is not breastfeeding with a diet that provides all the nutrients the child needs until the child is fully fed on family food 18/4