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Table 4 Revised CMO configuration regarding the impact of stigma on EBF

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
Community with high levels of stigma regarding HIV and breastfeeding avoidance
Community that views EBF as an HIV-positive activity
EBF provided universally regardless of HIV status
Mother desires to avoid stigma of formula feeding
Felt stigma and demotivation to EBF
Reduction of stigma associated with EBF
Protective for EBF
Decreased EBF
Increased EBF adherence universally