Transmission can occur during pregnancy, birth, or through breastfeeding. Accumulating evidence has shown that giving antiretroviral medicines to the mother or the infant can significantly reduce the risk of HIV transmission through breastfeeding. National gina guidelines 2016 pdf authorities can refer to this evidence when formulating a strategy on infant feeding.

WHO recommendations Mothers known to be HIV-infected should be provided with lifelong antiretroviral therapy or antiretroviral prophylaxis interventions to reduce HIV transmission through breastfeeding. National or sub-national health authorities should decide whether health services will principally counsel mothers known to be HIV-infected to either breastfeed and take antiretrovirals, or, avoid all breastfeeding. 6 months of life, introducing appropriate complementary foods thereafter, and continue breast feeding. In settings where health services provide and support lifelong ART, including adherence counselling, and promote and support breastfeeding among women living with HIV, the duration of breastfeeding should not be restricted. Breastfeeding should then only stop once a nutritionally adequate and safe diet without breast milk can be provided. National and local health authorities should actively coordinate and implement services in health facilities and activities in workplaces, communities and homes to protect, promote and support breastfeeding among women living with HIV.

This is a summary of WHO recommendations. Chikhungu L, Bispo S, Newell ML. Chetty T, Naidu KK, Newell ML. Horvath T, Madi BC, Iuppa IM, Kennedy GE, Rutherford GW, Read JS. Never too early, never too late. Global Initiative for Chronic Obstructive Lung Disease, All Rights Reserved. Need a bulk order on any of our reports?

2018 GINA Full Report now available! 2018 GINA Pocket Guide now available! We work with health care professionals and public health officials around the world to reduce asthma prevalence, morbidity, and mortality. Through resources such as evidence-based strategy documents for asthma management, and events such as the annual celebration of World Asthma Day, GINA is working to improve the lives of people with asthma in every corner of the globe. Global Initiative for Asthma, All Rights Reserved.

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