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Audience: Clinic-based health personnel and supervisors

Purpose: To provide participants with a basic understanding of HIV and AIDS facts and prevention, mother-to-child transmission (MTCT) mechanisms, current MTCT risk reduction interventions, and infant feeding in the context of HIV and AIDS.

Content:

Technical

Skills

Epidemiology and impact of HIV and AIDS HIV in relation to common sexually transmitted infections (STIs) Opportunistic infections and their management Role of breastfeeding in child survival and safe motherhood Anatomy and physiology of breastfeeding Composition of breastmilk Preparation for breastfeeding during antenatal, labor and delivery, and postpartum in the context of HIV and AIDS HIV testing and counseling HIV testing and HIV therapies to prevent MTCT Approaches for the prevention of MTCT of HIV Management of breastfeeding Baby-friendly Hospital Initiative in the context of HIV and AIDS Women, work, and breastfeeding; expression of breastmilk and storage; re-lactation Drugs and breastfeeding Lactational amenorrhea method Breastfeeding in special situations (maternal and infant) Maternal nutrition and breastfeeding Infant feeding options in the context of HIV and AIDS Complementary feeding, growth, and development Code of marketing of breastmilk substitutes Community support systems in relation to HIV and AIDS

Observe and assess a breastfeed Counsel women in breastfeeding manangement Prepare replacement feedings (formula and cow's milk) Counsel women and couples on HIV and infant feeding options in the context of HIV and AIDS

Methodology: Demonstrations, clinical practice, field visits, working groups, case studies, group discussion, role plays, checklists, and lectures. Videos and slides are used during the training to reinforce information and practice. Participants benefit from clinical practice, working directly with breastfeeding and pregnant women. The course includes opportunities for participants to talk with people living with HIV and AIDS, community service providers, and volunteers.

Structure: The 12-day infant feeding and HIV and AIDS course is divided into 37 sessions. Each session includes the following components: duration, introduction, learning objectives, content and training methods, and materials and recommended readings.

Materials and tools: An instructional plan details the outline of the course sessions, and a module (265 pages) contains the course content.

Time required: Twelve days with clinical practice, replacement feeding practice, and field visits
Languages: English
Country applications: Zambia, Malawi, and India
Date Developed: Updated March 2004