Page 17 - Children Bookt.pdf

2. Management of children born to HIV- infected mothers

The ultimate goal of caring for these children is to maintain health by providing access
to comprehensive care and support services. Comprehensive care includes antiretroviral
therapy for treatment of established HIV infection and for the prevention of perinatal
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opportunistic infections, counselling and testing, psycho-social and nutritional support.

Infant feeding counselling x
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Ensure mothers and family members understand the need to balance the
competing risks of reducing the risk of HIV to infants through breastfeeding
with the need for minimising the risk of other causes of morbidity and
mortality through not breastfeeding
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infant feeding options based on locally feasible and acceptable feeding
practices
Recommend avoidance of all breast feeding and should only give commercial
infant formula milk as a replacement feed to their HIV uninfected infants or

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safely formula feed are met.

NOTE: For HIV-negative women and women who do not know
their status
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introducing nutritionally adequate and safe complementary foods
with continued breastfeeding for up to two years of age or beyond
for women whose HIV status is unknown and women who are not
infected with HIV.

Family education, counselling and support
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o do not allow pets inside house
o drink boiled water
How to prevent horizontal spreading of HIV-infection. Casual household
contacts are safe.
Appropriate infant feeding
Advice on appropriate activities according to age group, including going to
school
Identify what the family needs and provide or refer to appropriate support

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