Analysis of some Socio-Demographic Factors Influencing Choices of Infant Feeding Options among HIV positive mothers in Cross River State, Nigeria

Volume 8, Issue 3, June 2023     |     PP. 248-267      |     PDF (372 K)    |     Pub. Date: January 13, 2017
DOI:    312 Downloads     4019 Views  

Author(s)

Eneji, J.E.O., School of Midwifery, Moore Road, Calabar
Eneji, C.V.O., Dept. of Environmental Education, University of Calabar, Nigeria
Ngoka, V.N., University of Nigeria Teaching Hospital, Ituku Ozala, Enugu, Nigeria
Tangban, E. A, School of Midwifery, Moore Road, Calabar

Abstract
Making the choices of feeding the new infant of HIV+ mothers is influenced by a lot of factors the purpose of this paper is to take an in-depth examination of some sociodemographic factors influencing the choices of infant feeding options among HIV+ mothers in two health facilities: General Hospital Ogoja and Roman Catholic Mission (RCM) Maternity Hospital Ogoja, Cross River State, Nigeria. Using descriptive research design, a purposeful sample of 136 HIV+ mothers were sampled and administered with structured questionnaire and semi structured interview. Data generated was analyzed using Chi Square statistical method. The result of the analysis shows that the calculated Chi square value is 54.600 at 0.05 level significance with a degree of freedom 2, is higher than the critical table value of 5.991, the result is statistically significant implying that there are some socio-demographic factors which influences the choices of infant feeding options among HIV+ mothers in Ogoja Local Government Area of Cross River State Nigeria. To further buttress how significant each factor influence the choices of infant feeding options among HIV + mothers, another Chi square analysis was further carried out and the result shows that seven socio-demographic factors marital status (x2 20.924, p<.05), religious status (x2 14.972, p<.05), mother’s educational qualification, (x2 21.324, p<.0.5), mother’s occupation (x2 21.970, p. <.05), husband’s occupation (x2 17.704, p<.05), spouses monthly income (x2 14.862, p<.05), significantly influence the respondents choice of infant feeding options; whereas the age of the respondents (x2 = 7.001, p>.05) is not statistically significant factor in influencing the respondents’ choice of infant feeding options. The research therefore concluded that sociodemographic factors influences the choices of infant feeding options among HIV+ mothers in Ogoja Local Government Area of Cross River State. It was therefore recommended among others that HIV+ mothers should always make infant feeding choices that can be affordable, feasible, accessible and sustainable.

Keywords
sociodemographic factors, HIV+ mothers, infant feeding and PMTCT

Cite this paper
Eneji, J.E.O., Eneji, C.V.O., Ngoka, V.N., Tangban, E. A, Analysis of some Socio-Demographic Factors Influencing Choices of Infant Feeding Options among HIV positive mothers in Cross River State, Nigeria , SCIREA Journal of Agriculture. Volume 8, Issue 3, June 2023 | PP. 248-267.

References

[ 1 ] Abiona, T.C., Onayade, A. A., Ijadunola, K.T., Obiajunwa, P.O., Aina, O.I., & Thairu, L.N., (2006). Acceptability, feasibility and affordability of infant feeding options for HIV-infected women: A qualitative study in south-west Nigeria. Maternal Child Nutrition, 2: 135-144.
[ 2 ] Abusoman, O.E.,(2011). Infant feeding choices and practices of HIV –positive mothers at lower Umfolozi District, War Memorial Hospital, Empangeni, KwaZulu-Natal province.Retrived October 31, 2012.
[ 3 ] Adejuyigbe, E., Orji, E., Onayade, A., Makinde, N., & Anyabolu, H., (2008). Infant feeding intentions and practices of HIV-positive mothers in southwestern Nigeria. Journal of Human Lactation, 24: 303-310.
[ 4 ] Aidam, B. A., Escamilla, R. P., Lartey, A., (2005). Lactation counseling increases breastfeeding rates in Ghana. Journal of Nutrition; 135: 1691-1695.
[ 5 ] Ajayi, A.D., Hellandendu,J & Odekunle,F., (2011). Socio-demographic correlates of breastfeeding practices among mothers in kogi state, Nigeria, West African Journal of Nursing 22(1); 28-35.
[ 6 ] American International Health Alliance (AIHA)., (2008). Infant feeding practices of mothers of known HIV status in Lusaka, Zambia. Health Policy and Planning 18(2): 156-162.
[ 7 ] Anyebe,E.E.,Whiskey,H.,Ajayi,A.D.,Garba,S.N.,Ochigbo,C.E & Lawal,H.,(2011). Pregnant women’s knowledge and awareness of prevention of mother-to-child transmission of HIV\AIDS and voluntary counseling and confidential testing uptake in selected Health Centers in Zaria, Nigeria. Nursing and Midwifery Council of Nigeria Journal 1(1); 13-18.
[ 8 ] Becquet, R, Castetbon, K., Viho, I., Ekouevi, D.K., Becquet, L., Ehouo, B., Dabis, F. & Leroy, V., (2005). Infant feeding practices before implementing alternatives to prolonged breastfeeding to reduce HIV transmission through breast milk in Abidjan, Cote d'Ivoire. Journal of Tropical Pediatrics, 51: 351-355.
[ 9 ] Bentley, M.E., Corneli, A.L., Piwoz, E., Moses, A., Nkhoma, J., Tohill, B.C., Ahmed, Y., Adair, L., Jamieson, D.J. & Van der Horst, C. (2005). Perceptions of the role of maternal nutrition in HIV -positive breast-feeding women in Malawi. Journal of Nutrition, 135 (4): 945 - 949.
[ 10 ] Bezner-Kerr, R., Dakishon, L., Shumba, L., Mshachi, R., & Chirwa, M., (2007). “We Grandmother know plenty” breastfeeding, complimentary feeding and the multifaceted role of grandmothers on Malawi. Soc. Sci. Med. 66: 1095-1105.
[ 11 ] Bloom, K., Goldbloom, R. B., & Stevens, F. E., (2008). Factors affecting the mother's choice of infant feeding method Issue , ActaPaediatrica, 71, Supplements 300, 3–8;1982, DOI: 10.1111/j.1651-2227.1982.tb09632.
[ 12 ] Branson, BM, Handsfield, HH, Lampe, MA, et al., (2006). Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Morb Mortal Wkly Rep 2006; 55:1-17. Quiz CE1–4.
[ 13 ] Chopra, M., Doherty, T., & Jackson, D., (2005). Preventing HIV transmission to children: Quality of counseling of mothers in South Africa, ActaPediatrics, 94: 357-363.
[ 14 ] Coutsoudis, A., (2005). Infant feeding dilemmas created by HIV: South African experiences. Nutrition Journal, 135: 956-999.
[ 15 ] Coutsoudis, A., Coovadia, H., Pillay, K., & Kuhn, L., (2005). Are HIV- infected women who breastfeed at increased risk of mortality? AIDS (London, England), 15 (5): 653 - 655.mothers with HIV acceptable, feasible, affordable, sustainable and safe? Pregnant women’s perspectives in Moshi, Tanzania. Public Health Nutrition; 7: 611-619.
[ 16 ] Didiza-Maganga, N.D.,(2012). Factors influencing feeding choices of PMTCT mothers at St.Barnabas Hospital Libode-East Cape. Assignment presented to Faculty of Economic and Management Sciences. Africa Center for HIV/AIDS Management, Stellenbosch University
[ 17 ] Heck, E.K., Braveman, P., Cubbin, C., Chavez, G.F., & Kiely, J.L., (2005). Socioeconomic Status and Breastfeeding Initiation among California Mothers; Public Health Rep. 121(1): 51–59.
[ 18 ] Hofmann, J., De Allegri, M., Sarker, M., Sanon, M. & Bhler T. (2009). Breast milk as the "water that supports and preserves life"-Socio-cultural constructions of breastfeeding and their implications for the prevention of HIV. International Journal of Nutrition 2 (5) 126-134
[ 19 ] Horstmann, E., Brown, J, Islam, F., Buck, J., & Agins, B.D., (2010). Retaining HIV-infected patients in care: Where are we? Where do we go from here? Clin Infect Dis 2010; 50:752-761.
[ 20 ] Joan, N., Matji, J.N., Wittenberg, D.F., Makin, J.D., Jeffery, B., MacIntyre, U.E. & Forsyth, B.W.C., (2009). Factors affecting HIV-infected mothers’ ability to adhere to antenatal intended infant feeding choice in Tshwane, South African Journal of Child Health (SAJCH), 2009, 3(1)
[ 21 ] Kakute,A., Ngum, J.M., Pat, K., Kathryn, A.F., Wangnkeh, G.N. & Keming, L.M., (2005). Cultural Barriers to Exclusive Breastfeeding by Mothers in a Rural Area of Cameroon. Med. Anthropology, 50: 324-328.
[ 22 ] KMOH .,(2007). Determinants of Infant and Young Child Feeding Practices among HIV Positive Mothers in Kibera, Nairobi, Kenya, Kenyatta National Hospital Campus, P.O BOX 19676 - 00202, Nairobi, Kenya
[ 23 ] Kumwenda, N.I., Hoowever, R.D., & Mofenson, L.M., (2008). Extended antiretroviral prophylaxisis to reduce breast-milk HIV-1 transmission. New Engl. J. Med.; 359: 119-129.
[ 24 ] Laar, S.A & Govender,A.,(2011). Factors influencing the choices of infant feeding of HIV-positive mothers in South-Ghana. The role of counselors, mothers, families and socio-economic status. Journal of AIDS and HIV Research,3;129-137.
[ 25 ] Lise R.Ø. & Bula, A. (2010). “They call our children „Nevirapine Babies‟”: A Qualitative Study about Exclusive Breastfeeding among HIV Positive Mothers in Malawi, African Journal of Reproductive Health Sept. 2010 (Regular Issue); 14(3): 213
[ 26 ] Magavero, M.J., Norton, W.E., and Saag, M.S., (2011) Health Care System and Policy Factors Influencing Engagement in HIV Medical Care: Piecing Together the Fragments of a Fractured Health Care Delivery System; Clin Infect Dis. (2011) 52 (suppl 2): S238-S246. Doi: 10.1093/cid/ciq048
[ 27 ] Maru, Y. & Haidar, J., (2009). Infant feeding practice of HIV positive mothers and its determinants in selected health institutions of Addis Ababa, Ethiopia, Ethiopian Journal of Health Development, 23(2),107-114
[ 28 ] Sadoh, W. E, A.E Adeniran, K.A. & Abhulimhen-Iyohas,B.I.,(2008). Infant-feeding practices among HIV- infected mot0ers in a HIV-treated programs. Journal Health Population Nutrition. 26(4); 463-467.
[ 29 ] Sethuraman, K., Hammond, W., Hoang, M.A., Dearden, K., Nguyen, M.D., Phan, H.T., & Nguyen, N.T., (2011). Challenges for Safe Replacement Feeding among HIV-Positive Mothers in Vietnam: A Qualitative Study of Mothers, Fathers, Health Care Providers, and Other Experts
[ 30 ] Swarts, S., Kruger, H.S. & Dolman, R.C. (2010). Factors affecting mothers’ choice of breastfeeding vs. formula feeding in the lower Umfolozi district war memorial hospital, KwaZulu-Natal Journal of Interdisciplinary Health Sciences, 15(1)
[ 31 ] Throne, C., SemenenkoI. Pilipenko, T. & Malyuta, R., (2009). Progress in Prevention of Mother-to-Child Transmission of HIV infection in Ukraine: results of a birth cohort study. Available at http// www.biomedicentral.com/1471-2334/9/40. (Accessed 25/07/ 2009).
[ 32 ] World Health Organization.,(2011). HIV transmission through breastfeeding. A review of Available Evidence, Genva; WHO, 2011.