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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