Main Article Content
Implications of formula feeding to reduce HIV transmission
Abstract
Methods. The study followed a cross-sectional design. Two hundred randomly selected households were visited and caregivers of bottle-feeding infants in the selected area were requested to provide a sample of the infants\' bottle feed. Nutritional and microbial content of each bottle feed were measured. Bottle feeds were classified as unfit for human consumption if they had a standard plate count greater than 50 000 organisms per millilitre feed, or a total coliform count greater than 10 coliform organisms per millilitre.
Findings. A total of 84.5% of all the bottle feeds were classified as unfit for human consumption. There was no major difference in nutritional quality of the fit and unfit feeds. The infants receiving unfit bottle feeds were younger than those receiving fit bottle feeds (11.1 ± 6.9 months compared with 14.0 ± 7.6 months, respectively; p = 0.010) and also weighed less.
Interpretation. This finding underlines the need to address the content of feeding literacy programmes. Bottle-feeding in Mangaung is currently not a safe alternative to breast-feeding and should therefore not be promoted.
Southern African Journal of HIV Medicine Vol. 5 (3) 2004: 38-41