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Table 2 Summary of infant feeding changes of the global infant feeding guidelines for HIV infected mothers

From: Challenges of disseminating clinical practice guidelines in a weak health system: the case of HIV and infant feeding recommendations in Tanzania

YEAR World Health Organization Tanzania
1992 • Breastfeeding • Adopted
1997 • Right to choose either to breastfeed or use replacement milk • Adopted
2000/2001 • Replacement feeding first option when AFASS criteria are met • Adopted
2003 • Exclusive breastfeeding for the first 6 months first option; abrupt cessation at 6 months • Adapted in 2003: Animal milk was encouraged for replacement fed children
• No mixed feeding; alternatively replacement feeding using formula or animal milk; heating of mother’s milk • Heating of mothers’ milk not recommended
2006 • Exclusive breastfeeding for the first 6 months first option; extend breastfeeding if replacement feeding is not AFASS • Adapted in 2007, heating of mother’s milk and wet nursing not recommended.
• No mixed feeding for the first 6 months of age; alternatively replacement feeding using formula or animal milk; heating of mother’s milk; wet nursing
2010 • Breastfeeding for 12 months: i.e. exclusively for the first six months then introduce complementary foods thereafter • Adapted in 2011
• ARVs are administered during the breastfeeding period; Express and heat mothers’ milk if ARVs not available; Gradual weaning
• Decision regarding feeding option is left to the country
• Animal milk strictly prohibited