Evaluating nurses' implementation of an infant-feeding counseling protocol for HIV-infected mothers: The Ban study in Lilongwe, Malawi

Yvonne Owens Ferguson, Eugenia Eng, Margaret Bentley, Margarete Sandelowski, Allan Steckler, Elizabeth Randall-David, Ellen G. Piwoz, Cynthia Zulu, Charles Chasela, Alice Soko, Martin Tembo, Francis Martinson, Beth Carlton Tohill, Yusuf Ahmed, Peter Kazembe, Denise J. Jamieson, Charles Van Der Horst, Linda Adair, Mounir Ait-Khaled, Sandra AlbrechtShrikant Bangdiwala, Ronald Bayer, Brian Bramson, Emily Bobrow, Nicola Boyle, Sal Butera, Charity Chavula, Joseph Chimerang'Ambe, Maggie Chigwenembe, Maria Chikasema, Norah Chikhungu, David Chilongozi, Grace Chiudzu, Lenesi Chome, Anne Cole, Amanda Corbett, Amy Corneli, Ann Duerr, Henry Eliya, Sascha Ellington, Joseph Eron, Sherry Farr, Susan Fiscus, Shannon Galvin, Laura Guay, Chad Heilig, Irving Hoffman, Elizabeth Hooten, Mina Hosseinipour, Michael Hudgens, Stacy Hurst, Lisa Hyde, Denise Jamieson, George Joaki, David Jones, Zebrone Kacheche, Esmie Kamanga, Gift Kamanga, Coxcilly Kampani, Portia Kamthunzi, Deborah Kamwendo, Cecilia Kanyama, Angela Kashuba, Damson Kathyola, Dumbani Kayira, Rodney Knight, Athena Kourtis, Robert Krysiak, Jacob Kumwenda, Edde Loeliger, Misheck Luhanga, Victor Madhlopa, Maganizo Majawa, Alice Maida, Cheryl Marcus, Navdeep Thoofer, Chrissie Matika, Douglas Mayers, Isabel Mayuni, Marita McDonough, Joyce Meme, Ceppie Merry, Khama Mita, Chimwemwe Mkomawanthu, Gertrude Mndala, Ibrahim Mndala, Agnes Moses, Albans Msika, Wezi Msungama, Beatrice Mtimuni, Jane Muita, Noel Mumba, Bonface Musis, Charles Mwansambo, Gerald Mwapasa, Jacqueline Nkhoma, Richard Pendame, Ellen Piwoz, Byron Raines, Zane Ramdas, John Rublein, Mairin Ryan, Ian Sanne, Christopher Sellers, Diane Shugars, Dorothy Sichali, Wendy Snowden, Allison Spensley, Jean Marc Steens, Gerald Tegha, Roshan Thomas, Hsiao Chuan Tien, Beth Tohill, Esther Waalberg, Jeffrey Wiener, Cathy Wilfert, Patricia Wiyo, Onnocent Zgambo, Chifundo Zimba

Research output: Contribution to journalArticle

Abstract

A process evaluation of nurses' implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV-infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study's outcomes.

Original languageEnglish (US)
Pages (from-to)141-155
Number of pages15
JournalAIDS Education and Prevention
Volume21
Issue number2
DOIs
StatePublished - Apr 2009
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Health(social science)

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    Ferguson, Y. O., Eng, E., Bentley, M., Sandelowski, M., Steckler, A., Randall-David, E., Piwoz, E. G., Zulu, C., Chasela, C., Soko, A., Tembo, M., Martinson, F., Tohill, B. C., Ahmed, Y., Kazembe, P., Jamieson, D. J., Van Der Horst, C., Adair, L., Ait-Khaled, M., ... Zimba, C. (2009). Evaluating nurses' implementation of an infant-feeding counseling protocol for HIV-infected mothers: The Ban study in Lilongwe, Malawi. AIDS Education and Prevention, 21(2), 141-155. https://doi.org/10.1521/aeap.2009.21.2.141