Table 1 – Initial Program Theories
Context | Mechanism | Outcome |
|---|---|---|
Mother aware of HIV status and has received infant feeding counselling | Desire for motherhood Motivated by prospect of child survival | Mother values education by HCP Motivated to maximise child survival through appropriate feeding method Maintains EBF, avoiding alternate or mixed feeding. |
Frequent counselling sessions Uniform message by all HCPs (health care providers) - based on up to date, evidence-based counselling. High quality counselling appropriate to local context | Clarity around expectations, Trust of HCP Correct learning and understanding about infant feeding occurs for mother | Increased health literacy regarding infant feeding EBF adherence |
Community with high levels of stigma regarding HIV and breastfeeding avoidance | Mother desires to avoid stigma | Avoidance of replacement feeding, choosing EBF |
Partner and healthcare worker support | Empowerment to adhere to EBF and be assertive about feeding choices | Supported in EBF choice and activities necessary for adherence Feeding decisions are reinforced – to promote adherence |