HIV moms must not breastfeed

HIV moms must not breastfeed

Dewi Santoso, Jakarta

HIV positive mothers have been advised not to breastfeed their
babies to avoid them contracting the virus.

A HIVAIDS activist said on Friday that although the risk of
being infected by the virus through breastfeeding was lower at
about 30 percent than the risk from blood transfusions at more
than 90 percent, the chances of possible infection remained open.

"We would therefore urge HIV positive mothers to feed their
infants with powdered milk," said Toha Muhaimin, who is also the
chairman of the non-governmental organization Pelita Ilmu
Foundation (YPI).

A report issued earlier this week by the Joint United Nations
Program on HIV/AIDS (UNAIDS) shows that the number of people
living with HIV/AIDS (PLWHA) rose to 38 million in 2003 from 35
million in 2001.

Out of the 2003 figure, 2.5 million PLWHA, or approximately
6.5 percent, were children of under 15 years of age, it said.

Based on data from the Ministry of Health, during the 2001-
2002 period 14,283 mothers tested positive for HIV.

They gave birth to at least 13,957 babies, but only 1,730 of
them were infected with HIV thanks to the Prevention Mother To
Child HIV Transmission (PMTCT) program.

The program focuses on the comprehensive prevention steps
needed by HIV positive women to prevent their babies from being
infected.

Under the program, which has been introduced by the YPI, HIV
positive mothers are advised to take three precautionary
measures, with the first being the taking of antiretroviral (ARV)
drugs on a regular basis.

The other two measures are to give birth by caesarean section
(c-section), and to avoid breastfeeding.

"The ARV drugs will help the mothers to remain fit during
their pregnancies so that the risk of infecting their infants
with the virus will be low," Muhaimin said.

He said that c-section operations could help reduce the risk
of newborn babies being infected with HIV by up to 8 percent,
compared to a risk level of between 20 percent and 40 percent in
the case of natural births.

"To further minimize the risk, don't breastfeed, but rather
feed your children with powdered milk," he added.

The YPI started implementing its own three-year PMTCT program
in 1998. The program involves providing voluntary testing and
counseling (VCT) services to 558 pregnant women, 16 of whom had
tested HIV positive.

Following the program, none of the 11 babies born to the
mothers were infected with the virus.

In 2003, the foundation launched a two-year PMTCT program
intended to provide VCT services to 2,000 women.

Funded by the Global Funds, the US$100,000 program has so far
reached 599 expecting mothers, including 10 with HIV. The results
are still not known as the 10 women have yet to give birth.