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Are WHO/UNAIDS/UNICEF-recommended replacement milks for infants of HIV-infected mothers appropriate in the South African context?

Author: Papathakis & Rollins, Bull of WHO
Year: 2004
Resource type: Research

WHO/UNAIDS/UNICEF- recommended replacement milks for infants of HIV-infected mothers appropiate in the South African context? Papathakis P & Rollins N  Bull of WHO, 2004, 82(3): 164-169

Paper looks at the acceptability & feasibility of various BMS options, so has emergency implications. E.g. looks at time it takes to make up the various options. Took 21-25 mins to prepare 120 ml of formula, infant needs 6-8 feed a day, carer needs 2.5 hrs per day, without taking into account time taken to feed the infant (participants had no electricity, gas or water but were close to a stream and shrubs (1-2 mins walk away).

Review in Field Exchange 22, July 2004

No home-prepared replacement milks in South Africa meet all estimated micronutrient and essential fatty acid requirements of infants aged <6 months. Commercial infant formula is the only replacement milk that meets all nutritional needs.Revisions of WHO/UNAIDS/UNICEF HIV and infant feeding course replacement milk options are needed. If replacement milks are to provide total nutrition, preparations should include vegetable oils, such as soybean oil, as a source of linoleic and additional vitamins and minerals.

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Papathakis & Rollins, Bull of WHO (2004). Are WHO/UNAIDS/UNICEF-recommended replacement milks for infants of HIV-infected mothers appropriate in the South African context?. www.ennonline.net/replacementfeedingsouthafrica

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