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A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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Couples, PMTCT programs and infant feeding decision-making in Ivory Coast

Annick Tijou Traoré1, Madina Querre, Hermann Brou

  • 1ADES/SSD, CNRS UMR 5185, Université Bordeaux 2, 146, Rue Leo Saignat, 33 076 Bordeaux, France. tijoutraora@yahoo.fr

Social Science & Medicine (1982)
|July 10, 2009
PubMed

Insights

Preventing mother-to-child HIV transmission in Sub-Saharan Africa involves couple decisions on infant feeding. When fathers are involved in prevention of mother-to-child transmission (PMTCT) projects, they actively support infant feeding choices.

Area of Science:

  • Public Health
  • Reproductive Health
  • Social Sciences

Background:

  • Sub-Saharan Africa faces challenges in preventing pediatric HIV infection through breastfeeding.
  • Alternatives like artificial feeding or exclusive breastfeeding with early weaning are crucial.
  • Couple dynamics significantly influence the choice and application of preventive infant feeding strategies.

Purpose of the Study:

  • To analyze decision-making processes and practices regarding infant feeding options for HIV-positive mothers.
  • To explore the roles of mothers, fathers, and project teams in implementing preventive feeding strategies.
  • To understand the influence of couple interactions on preventing mother-to-child HIV transmission.

Main Methods:

  • Longitudinal study of HIV-positive women and infants in Abidjan, Ivory Coast, within the Ditrame Plus PMTCT project.
  • Qualitative analysis of data from interviews with couples and women.
  • Examination of discourse differences between men and women regarding attitudes towards infant feeding.

Main Results:

  • Men's involvement in PMTCT projects leads to active participation in applying infant feeding advice.
  • Women can adopt preventive behaviors independently of spousal support.
  • Project teams play a vital role in influencing both women's and men's adoption of preventive feeding practices.

Conclusions:

  • Optimizing PMTCT programs requires acknowledging the complex interplay between women, men, and project teams.
  • Couple-centered approaches are essential for effective prevention of mother-to-child HIV transmission.
  • Understanding gendered perceptions of parenthood is key to successful intervention strategies.

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