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Table 2 Revised CMO for motherhood/motivation to promote child survival theme

From: A realist review of infant feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa: what works for whom and in what contexts

Context Mechanism Outcome
Mother aware of HIV status and has received infant feeding counselling
Mother’s highest priority is to be a mother figure.
Health care provider counsels with the intention of promoting child survival
Desire for motherhood
Motivated by prospect of child survival
No fear of breastfeeding
Mother values education by HCP
Motivated to maximise child survival through appropriate feeding method
Maintains EBF, avoiding alternate or mixed feeding.