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