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Table 3 Revised CMO configuration reflecting contexts and mechanisms for EBF to occur

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

Frequent counselling sessions

Uniform message by all HCPs (health care providers) - based on up to date, evidence based counselling appropriate to local context

High quality and practical counselling appropriate to individual context

Correct learning and understanding about infant feeding occurs for mother

Clarity around expectations, Trust of HCP

Equipped to combat inadequate milk production

Belief in their capacity to be able to exclusively breastfeed

Increased health literacy regarding infant feeding

Mother is able to produce breastmilk and also believes the supply is sufficient

EBF adherence

Mother avoids mix-feeding