At national or district level
HIV and other infant feeding policies, programmes and practices
- 23. How can a national authority recommend exclusive breastfeeding and ARVs for the first 6 months if exclusive breastfeeding rates in the population are otherwise very low?
- 24. The recommendations say that mothers should breastfeed for 12 months. Can a national authority recommend longer than this
- 25. How should these new approaches be integrated to deliver comprehensive and better care within routine maternal child health (MCH) services?
- 26. How should national and district health authorities make the transition from former guidelines to 2010 guidelines?
- 27. How can national and district health authorities use these efforts to improve promotion and support of optimal infant and young child feeding in the general population?
- 28. How do the new recommendations relate to the International Code of Marketing of Breast-milk Substitutes and subsequent relevant Health Assembly Resolutions (the Code)?
- 29. What training or other 'capacity' are needed to support the new recommendations re. breastfeeding and ARVs?
- 30. How, or who should develop training and communications messages and materials?
Scaling up with other HIV interventions and services
- 31. How national and district health authorities manage interventions during the period of scaling up revised recommendations on lifelong antiretroviral therapy?
- 32. How can breastfeeding and ARVs be recommended in remote clinics when ARVs to prevent postnatal transmission may not be available?
- 33. How national and district health authorities manage these interventions while ART for mothers with CD4 counts less than 350 is being scaled up
- 34. How should national and district health authorities systematically scale up while repeatedly learning and improving processes?
Monitoring and costs
- 35. What would be the most feasible indicators of infant feeding and ARV usage?
- 36. How should national and district health authorities quantify ARV needs?
- 37. What would be the cost of implementing the 2010 HIV and infant feeding recommendations? Individual versus programme
Key messages and communication
- 38. What are the key messages for communities to hear to help them implement the new guidelines?
- 39. How to change the stigmatization of breastfeeding as dangerous or exclusive breastfeeding and formula feeding as meaning only HIV?
- 40. How to communicate the concept of HIV-free survival as the top priority rather than just avoiding HIV transmission?