What are the options?
Using formative research to adapt global recommendations on HIV and infant feeding to the local context
Current recommendations on HIV and infant feeding suggest that feeding options for HIV-positive mothers should be identified locally through formative research. The purpose of this manual is to provide programme managers, researchers, and policy makers with basic guidance on how to conduct local assessments to establish the range of replacement feeding options and breast-milk feeding options that may be acceptable, feasible, affordable, sustainable and safe in different contexts.
Findings from local assessments may be used to develop national policies and guidelines for health workers, content for training of counsellors and for behaviour change communications strategies to support safer infant feeding practices to prevent HIV infection in infants and young children. The manual contains general guidelines and describes a 12-step process to be carried out, recommends research methods, gives suggestions for analysing findings and for disseminating the results. The annexes contain useful examples from actual field experience.