Purpose
      To review optimal infant and young child feeding 
      practices to improve counseling skills on infant 
      feeding in the context of HIV
                                                         2
                 Learning Objectives
    • Describe optimal infant and young child feeding 
       practices. 
    • Explain infant feeding options for HIV-infected 
       mothers.
    • Know key components of counseling women, 
       their partners, and their families on infant 
       feeding in the context of HIV. 
                                                           3
                   Session Outline
     • Overview of a comprehensive PMTCT 
       approach and entry points
     • Review of informed choice and AFASS criteria
     • Description of infant feeding practices
                                                        4
     Comprehensive PMTCT Approach 
                Obstetrical         Prevention
                   care
                            Government               VCT
    Maternal & child       Organizations
     health services        Community
                           Private sector
           Counseling                           Treatment
                             Infant feeding
                                                               5
  PMTCT Entry Points for Infant Feeding
           Pregnancy                Post-natal period
       Counsel on infant        Counsel on and support 
       feeding options and      infant feeding options.
       self-care including      Prevent and treat  
       nutrition and            breastfeeding problems.
       preparing for the 
       future.                  Treat infant thrush and oral 
                                lesions. 
                                Counsel on complementary
                                feeding and breastfeeding 
                                cessation.
                                Counsel on preventing  re-
                                infection.
                                                               6