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What influences feeding decisions for HIV-exposed infants in rural Kenya?

Overview of attention for article published in International Breastfeeding Journal, July 2017
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Title
What influences feeding decisions for HIV-exposed infants in rural Kenya?
Published in
International Breastfeeding Journal, July 2017
DOI 10.1186/s13006-017-0125-x
Pubmed ID
Authors

Helen M. Nabwera, Joyline Jepkosgei, Kelly W. Muraya, Amin S. Hassan, Catherine S. Molyneux, Rehema Ali, Andrew M. Prentice, James A. Berkley, Martha K. Mwangome

Abstract

Infant feeding in the context of human immunodeficiency virus (HIV) poses unique challenges to mothers and healthcare workers in balancing the perceived risks of HIV transmission and nutritional requirements. We aimed to describe the decision-making processes around infant feeding at a rural HIV clinic in Kenya. We used a qualitative study design. Between March and August 2011, we conducted in-depth interviews (n = 9) and focus group discussions (n = 10) with purposively selected hospital and community respondents at Kilifi County Hospital, Kenya. These respondents had all experienced of infant feeding in the context of HIV. These interviews were informed by prior structured observations of health care worker interactions with carers during infant feeding counselling sessions. Overall, women living with HIV found it difficult to adhere to the HIV infant feeding guidance. There were three dominant factors that influenced decision making processes: 1) Exclusive breastfeeding was not the cultural norm, therefore practising it raised questions within the family and community about a mother's parenting capabilities and HIV status. 2) Women living with HIV lacked autonomy in decision-making on infant feeding due to socio-cultural factors. 3) Non-disclosure of HIV status to close members due to the stigma. Infant feeding decision-making by women living with HIV in rural Kenya is constrained by a lack of autonomy, stigma and poverty. There is an urgent need to address these challenges through scaling up psycho-social and gender empowerment strategies for women, and introducing initiatives that promote the integration of HIV infant feeding strategies into other child health services.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 193 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 193 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 16%
Student > Ph. D. Student 19 10%
Student > Bachelor 17 9%
Researcher 15 8%
Student > Doctoral Student 11 6%
Other 39 20%
Unknown 62 32%
Readers by discipline Count As %
Nursing and Health Professions 40 21%
Medicine and Dentistry 33 17%
Social Sciences 16 8%
Psychology 14 7%
Biochemistry, Genetics and Molecular Biology 6 3%
Other 18 9%
Unknown 66 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 August 2017.
All research outputs
#15,164,176
of 23,322,258 outputs
Outputs from International Breastfeeding Journal
#418
of 551 outputs
Outputs of similar age
#187,095
of 313,449 outputs
Outputs of similar age from International Breastfeeding Journal
#10
of 13 outputs
Altmetric has tracked 23,322,258 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 551 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.6. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 313,449 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.