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Journal of Human Lactation
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Promotion of WHO Feeding Recommendations: A Model Evaluating the Effects on HIV-Free Survival in African Children

Sandra David, MD, PhD

Hospices Civils de Lyon, Service de Biostatistique, Lyon, France, Université de Lyon, Pierre-Bénite, France

Fatima Abbas-Chorfa, MSc

Université de Lyon, Pierre-Bénite, France

Philippe Vanhems, MD, PhD

Hospices Civils de Lyon, Département hygiène, épidemiologie et prevention, Lyon, France, Université Lyon 1, UFR Faculté de Médecine Lyon-Nord, Lyon, France

Béatrice Vallin, MD

Hospices Civils de Lyon, Service de Biostatistique, Lyon, France

Jean Iwaz, PhD

Hospices Civils de Lyon, Service de Biostatistique, Lyon, France

René Ecochard, MD, PhD

Service de Biostatistique, Hospices Civils de Lyon, Lyon, France, Université Lyon 1, Lyon, France

En África, el VIH y las prácticas de lactancia materna afectan profundamente la mortalidad infantil. Para prevenir la transmisión madre-hijo, la OMS recomienda lactancia materna exclusiva durante 6 meses (LME) y alimentación de sustitución (AS) cuando sea aceptable, factible, asequible, sostenible y segura. Determinar la proporción de niños que se salvan con LME y AS es esencial para diseñar e implementar pólizas cruciales a nivel nacional. Se usaron datos de 31 países de la región del sub-Sahara y el modelo de decisión por evaluación de riesgo, estimamos números potenciales de salvar vidas infantiles en 6 áreas que combinan LME por 6 meses o AS con tres estrategias de promoción. Entre todos los niños VIH negativos, nacidos de madres VIH positivas, que murieron en África Sub-Sahara por año, 52,315 (9.6%) se pondrían salvar al año con LME vs 21,638 (4.0%) con AS. La promoción de apoyo puede duplicar estos números (110,625 vs 45,330; i.e., 20.3% vs 8.3%), y además con grupos educativos prenatales, 132,633 vs 54,192 vidas se podrían salvar (24.3 vs 9.9%). Si la alimentación de sustitución no es posible, la lactancia materna exclusiva con promoción de apoyo y grupos educativos prenatales pueden salvar uno de 4 niños expuestos.

Journal of Human Lactation, Vol. 24, No. 2, 140-149 (2008)
DOI: 10.1177/0890334408315330
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This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
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Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by David, S.
Right arrow Articles by Ecochard, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by David, S.
Right arrow Articles by Ecochard, R.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?