Abstract

The controversy between the risk of HIV transmission through breast milk and the lifesaving
benefits of breastfeeding remains to be a dilemma faced by HIV-positive mothers. In
developing countries, 30-45% of infants born to HIV-positive mothers become infected during
pregnancy, childbirth, and breastfeeding. This study explored the knowledge and attitude of
HIV-positive lactating mothers attending the Young Child Clinic (YCC) at Kabwohe Health
Center IV, Sheema district towards breastfeeding their babies. A descriptive cross-sectional
quantitative approach to data collection was used to collect data from HIV-positive lactating
mothers attending Young Child Clinic at Kabwohe Health Center IV, Sheema district. Fortyfour
interviewed HIV-positive lactating mothers were age group of 20 to 29 (48%), 27% age
group 30 to 39, 14% were age group 40 to 49, the least 7% age group 19 or lesser, and 4%
were aged 50 years or more. 77% of HIV-positive mothers knew that HIV can be transmitted
to their child, 18% did not know and 5% were not sure. 72.7% were aware that MTCT can be
prevented by ARVs during pregnancy and breastfeeding; modified infant feeding; avoid
sharing sharp objects and only 27.3% were not aware. The reproductive age needs to be
empowered with knowledge regarding HIV infection, risks of transmission to their baby, and
services available to reduce the risk. Follow-up and sensitization of HIV-positive lactating mothers for replacement feeding when it is acceptable, feasible, affordable, sustainable, and safe (AFASS).