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Table 6 Updated CMO configuration for the mechanism of support and empowerment

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
Married, in a stable relationship with disclosure of HIV status
Healthcare worker supports mother in recurring counselling sessions, particularly in context of non-disclosure
Support with making and adhering to feeding choices against pressure from extended family
Woman empowered to be assertive about feeding choice against opposition/external pressure.
Alleviate burden of stigma – empowered to adhere to EBF
Feeding decisions are reinforced – to promote adherence