|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|
|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