Evaluating Nurses' Implementation of an Infant-Feeding Counseling Protocol for HIV-Infected Mothers: The Ban Study in Lilongwe, Malawi
Creators: name: Tegha, Gerald
name: Kathyola, Damson
name: Ait-Khaled, Mounir
name: Zimba, Chifundo
name: Ellington, Sascha
name: Chilongozi, David
name: Kourtis, Athena
name: Meme, Joyce
name: Loeliger, Edde
name: Galvin, Shannon
name: Musis, Bonface
name: Chavula, Charity
name: Boyle, Nicola
name: Kayira, Dumbani
name: Jamieson, Denise
name: Nkhoma, Jacqueline
name: Kanyama, Cecilia
name: Bobrow, Emily
name: Mita, Khama
name: Chasela, Charles
name: Wiyo, Patricia
name: Kamthunzi, Portia
name: Thomas, Roshan
name: Zulu, Cynthia
name: Jamieson, Denise J.
name: Van Der Horst, Charles
name: Kamanga, Esmie
name: Krysiak, Robert
name: Tembo, Martin
name: Soko, Alice
name: Msika, Albans
name: Duerr, Ann
name: McDonough, Marita
name: Waalberg, Esther
name: Sellers, Christopher
name: Piwoz, Ellen G.
name: Raines, Byron
name: Kumwenda, Jacob
name: Eliya, Henry
name: Chimerang'Ambe, Joseph
name: Rublein, John
name: Ahmed, Yusuf
name: Mwapasa, Gerald
name: Kacheche, Zebrone
name: Eng, Eugenia
name: Msungama, Wezi
name: Hurst, Stacy
name: Spensley, Allison
name: Mkomawanthu, Chimwemwe
name: Eron, Joseph
name: Knight, Rodney
name: Piwoz, Ellen
name: Mumba, Noel
name: Fiscus, Susan
name: Kashuba, Angela
name: Chigwenembe, Maggie
name: Muita, Jane
name: Hyde, Lisa
name: Heilig, Chad
name: Matika, Chrissie
name: Martinson, Francis
name: Madhlopa, Victor
name: Wilfert, Cathy
name: Ferguson, Yvonne Owens
name: Mwansambo, Charles
name: Farr, Sherry
name: Mndala, Gertrude
name: Guay, Laura
name: Hosseinipour, Mina
name: Mndala, Ibrahim
name: Steckler, Allan
name: Butera, Sal
name: Bentley, Margaret
name: Mayuni, Isabel
name: Moses, Agnes
name: Shugars, Diane
name: Jones, David
name: Wiener, Jeffrey
name: Albrecht, Sandra
name: Maida, Alice
name: Tohill, Beth Carlton
name: Randall-David, Elizabeth
name: Tohill, Beth
name: Chikasema, Maria
name: Majawa, Maganizo
name: Luhanga, Misheck
name: Chikhungu, Norah
name: Chiudzu, Grace
name: Sandelowski, Margarete
name: Kampani, Coxcilly
name: Hooten, Elizabeth
name: Bayer, Ronald
name: Corneli, Amy
name: Kazembe, Peter
name: Kamanga, Gift
name: Chome, Lenesi
name: Zgambo, Onnocent
name: Joaki, George
name: Corbett, Amanda
name: Marcus, Cheryl
name: Sanne, Ian
name: Tien, Hsiao Chuan
name: Mtimuni, Beatrice
name: Mayers, Douglas
name: Cole, Anne
name: Bramson, Brian
name: Snowden, Wendy
name: Merry, Ceppie
name: Sichali, Dorothy
name: Kamwendo, Deborah
name: Steens, Jean Marc
name: Adair, Linda
name: Bangdiwala, Shrikant
name: Thoofer, Navdeep
name: Ryan, Mairin
name: Hudgens, Michael
name: Hoffman, Irving
name: Pendame, Richard
name: Ramdas, Zane
Publisher: name: The University of North Carolina at Chapel Hill University Libraries
Year: 2009

description: A process evaluation of nurses’ implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV-infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study’s outcomes.