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  1. 1
    183981

    [90 percent cases of HIV transmission are due to perinatal contagion or breastfeeding. One million children were HIV positive in 1977] El 90 por ciento de casos por contagio perinatal o lactancia. Un millon de niños/as portan VIH en 1977.

    RedAda. 1997 Dec; (26):22-24.

    A million children under 15 years of age will have contracted HIV worldwide by 1997, while in 1996, of the one and a half million people who died of this disease, 350,000 were under 15, according to UNAID numbers released on the occasion of the world AIDS campaign (December 1), whose theme this year is "Children in a World with AIDS." Approximately 90 percent of children with HIV were infected by their mothers, during pregnancy or childbirth or through mother's milk, according to the UN organization. (excerpt)
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  2. 2
    187657

    Child survival [letter] [Supervivencia infantil (carta)]

    Cunha AL

    Lancet. 2003 Sep 13; 362(9387):917.

    I find reassuring the fact that the Child survival series could constitute a renaissance in child-health matters, as suggested by Boniface Kalanda in the accompanying Debate section online. To remain quiet while 10 million children die every year, mostly in developing countries, is certainly unacceptable. (excerpt)
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  3. 3
    176957
    Peer Reviewed

    Child mortality associated with reasons for non-breastfeeding and weaning: Is breastfeeding best for HIV-positive mothers?

    Brahmbhatt H; Gray RH

    AIDS. 2003 Apr 11; 17(6):879-885.

    Objective: To estimate child mortality associated with reasons for the non-initiation of breastfeeding and weaning caused by preceding morbidity, compared with voluntary weaning as a result of maternal choice. Methods: Demographic and Health Surveys were analysed from 14 developing countries. Women reported whether they initiated lactation or weaned, and if so, their reasons for non-initiation or stopping breastfeeding were classified as voluntary choice or as a result of preceding maternal/infant illness. Rates of child mortality and survival analyses were estimated, by reasons for non-breastfeeding or weaning. Results: Mortality was highest among never-breastfed children. Child mortality among women who never initiated breastfeeding was significantly higher than among women who weaned. Preceding maternal/infant morbidity was the most common reason for not breastfeeding (63.9%), and the mortality of children never breastfed because of preceding morbidity was higher than in children not breastfed as a result of maternal choice; 326.8 per 1000 versus 34.8 per 1000, respectively. Mortality among breastfed children who were weaned because of preceding morbidity was higher than among those weaned voluntarily; 19.2 per 1000 versus 9.3 per 1000, respectively. Failure to initiate lactation was significantly more frequent among women reporting complications of delivery and with low birthweight infants. Conclusion: Child mortality as a result of the voluntary non-initiation of breastfeeding or voluntary weaning was lower than previously estimated, and this should be used as a benchmark when counselling HIV-positive mothers on the risks of non-breastfeeding or weaning to prevent mother-to-child transmission of HIV. (author's)
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