In the clinic
Communications in the clinic
- 44. What are the essential health messages that should be communicated to HIV-infected pregnant women attending antenatal clinics or to mothers at MCH services?
- 45. What should health workers communicate about mixed breastfeeding, and how is complementary feeding after 6 months explained?
Coordinating in the clinic
- 46. For mothers on lifelong antiretroviral therapy (ART), how would dispensing of maternal ARVs link with counselling and support for infant feeding?
- 47. What is the recommended timing of visits for dispensing of nevirapine and infant feeding counselling and support? How often should ARVs for prophylaxis be given to mothers?
- 48. Where should ARVS for prophylaxis be dispensed from? Who should dispense them?
- 49. In countries that recommend Option A - daily NVP to infants, how much NVP should be given as the infant gets older?
- 50. What is the best way to coordinate ARV prophylaxis during breastfeeding with infant feeding support and interventions?
- 51. Which staff member should do the 'supporting' of mothers?
Exception
- 52. If ARVs are not available immediately should health workers still recommend BF?
- 53. How to manage/feed infants less/more than 6 months who are undernourished or severely malnourished?
- 54. Should the infant be tested for HIV more frequently because of the recommendation to breastfeed with ARVs to 12 months or beyond?
Follow up
- 55. How can health workers help mothers stop breastfeeding? How to counsel a mother on weaning her infant off the breast?
- 56. What should a health worker counsel a mother who learns that her infant is HIV negative at a 6 week test?
- 57. How should health workers follow up maternal health when attending child health services?
- 58. How should health workers at clinics integrate and support improved family planning by HIV-infected mothers?