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An Update on HIV and Infant Feeding Issues in Developed and Developing Countries

Authors

  • Debra J. Jackson,

    1. RNC, MPH, DSc, is an associate professor in the School of Public Health at the University of the Western Cape, Cape Town, South Africa.
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  • Ameena E. Goga,

    1. MBChB, DTMH, DCH, FC(Paeds), MSc, is a senior scientist at the Health Systems Research Unit, Medical Research Council of South Africa, Pretoria, South Africa.
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  • Tanya Doherty,

    1. MPH, PhD, is a senior scientist at the Health Systems Research Unit, Medical Research Council of South Africa and senior researcher at the School of Public Health at the University of the Western Cape, Cape Town, South Africa.
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  • Mickey Chopra

    1. BSc, BM, DCH, MSc, PhD, is director of the Health Systems Research Unit, Medical Research Council of South Africa and associate professor (Hon) at the School of Public Health, University of the Western Cape, Cape Town, South Africa.
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Correspondence
Debra J. Jackson, RNC, MPH, DSc, School of Public Health, University of the Western Cape PBX17, Modderdam Road, Bellville 7535, South Africa.
djackson@uwc.ac.za

ABSTRACT

The field of mother to child transmission of human-immunodeficiency virus is rapidly evolving. In the United States, prevention focuses on implementation of universal human-immunodeficiency virus testing to assure compliance with recommended treatment regimens and infant-feeding strategies. In most cases, this is the avoidance of all breastfeeding. In developing countries, avoidance of breastfeeding places infants at higher risk of morbidity and mortality. Current World Health Organization recommendations require individualized counseling to determine the best feeding method for each woman.

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