Breastfeeding: the hidden barrier in Côte d’Ivoire’s quest to eliminate mother-to-child transmission of HIV

Publication Date:

14 Apr 2014


Buesseler HM, Koné A, Robinson J, Bakor A, Senturia K. (2014). Breastfeeding: the hidden barrier in Côte d’Ivoire’s quest to eliminate mother-to-child transmission of HIV. J Int AIDS Soc. 17( 17:18853), 18853. doi: 10.7448/IAS.17.1.18853



Côte d’Ivoire has one of the worst HIV/AIDS epidemics in West Africa. This study sought to understand how HIV-positive women’s life circumstances and interactions with the public health care system in Bouaké, Côte d’Ivoire, influence their self-reported ability to adhere to antiretroviral prophylaxis during pregnancy.

Semistructured interviews were conducted with 24 HIV-positive women not eligible for antiretroviral therapy and five health care workers recruited from four public clinics in which prevention of mother-to-child transmission services had been integrated into routine antenatal care. Results Self-reported adherence to prophylaxis is high, but women struggle to observe (outdated) guidelines for rapid infant weaning. Women’s positive interactions with health providers, their motivation to protect their infants and the availability of free antiretrovirals seem to override most potential barriers to prophylaxis adherence.

This study reveals the importance of considering the full continuum of prevention of mother-to-child transmission interventions, including infant feeding, instead of focussing primarily on prophylaxis for the mother and newborn.


Read the Full Article


Stand with HAI

Stand with HAI

Our Mission

Our mission is to promote policies and support programs that strengthen government primary health care and foster social, economic, and health equity for all. Our vision is a just world that promotes health and well-being, including universal access to quality health care.

Our History

Health Alliance International began in 1987 as a US-based international solidarity organization committed to supporting the public sector provision of health care for all.  Over 35 years, HAI conducted programs in 17 countries, with flagship programs in Mozambique, Côte d'Ivoire, and Timor-Leste.

Our Evolution

In line with HAI’s commitment to support and strengthen local public health leadership, as of October 2021, HAI fully transitioned global operations and active programs to locally-based, locally-led NGOs. Learn more about this shift toward local autonomy and equity in global health.

Didn't find what you were looking for?

Didn't find what you were looking for?