PHM-Exch> WABA 2017 World AIDS Day Statement

Tue Nov 28 00:07:36 PST 2017

From: Pei Ching Chuah <peiching.chuah at waba.org.my>
World Alliance for Breastfeeding

*MY HEALTH, MY RIGHT CAMPAIGN! A Breastfeeding perspective*

The *World Aids Day Campaign 2017* claims the right to health for everyone
living with HIV, regardless of culture, gender, orientation, age, social
class and belief. This includes the right of everyone living with and
affected by HIV, to the prevention and treatment of ill health, to make
decisions about their own health and to be treated with respect and dignity
without discrimination.1 The right to health depends on social justice,
sanitation, a clean environment, and access to skilled professionals,1 all
of which are underpinned by the Sustainable Development Goals (SDGs). Also,
the *my health, my right* campaign increases visibility about the need to
achieve good health for everyone, everywhere.

*Considering that women represent 52% of all people affected by
HIV,2 WABA draws attention to the role of the protection, promotion and
support of optimal breastfeeding as a way of ensuring women’s rights.**3*

*My health, my right for women and children*

Today the gender gap drives the HIV epidemic in countries of high incidence
and prevalence.2 Many women are prevented from seeking education and work
outside their homes and from seeking access to health assistance which
significantly compromises their access to HIV diagnosis and effective
treatment. Many of these women also lack support for breastfeeding.

* WABA believes that effective policies and programmes can empower women
and girls, including the participation of boys and men in behavioral and
structural interventions, to reduce women and girls’ vulnerability to HIV.*

*WABA **calls for recognition of the evidence that breastfeeding4 is the
main resource to promote infant health and survival, and contends that
support for breastfeeding can contribute to the achievement of all the SDGs
by year 2030.5,6*

*My health, my right for breastfeeding*

Currently it is recommended that women diagnosed positive for HIV initiate
ART as early as possible,7,8 and continue lifelong drug therapy with good
adherence. There should be no restriction to breastfeeding
duration. Thus, women under lifelong ART are recommended, in line with
recommendations for the general population, to breastfeed exclusively for
the first six months, followed by continued breastfeeding with adequate
complementary food for two years or beyond.9

*ACT LOCALLY TO CREATE A WARM CHAIN <http://waba.org.my/warm-chain/> TO
PROTECT, PROMOTE AND SUPPORT BREASTFEEDING AMONG WOMEN LIVING WITH HIV*

*Identify* ACTIONS to promote, protect and support breastfeeding in the HIV
context, according to country policy (e.g. produce a community mapping to
understand the health assistance needed by women living with HIV):10

*During pregnancy guarantee that all women*

·         be tested for and receive rapid diagnosis of HIV,

·         start lifelong ART as early as possible, at least 13 weeks before
labour,7

·         in areas of high HIV incidence and prevalence, if women test
negative to HIV, receive re-testing after 3 months.7

*During labour/childbirth guarantee all women living with HIV*

·         respectful treatment with the right to have a companion at the
health facility,11

·         support by a skilled birth attendant,

·         skin-to-skin contact with her baby immediately after birth and
assistance to initiate breastfeeding within one hour after birth.5

*During rooming-in at a health facility guarantee all women living with HIV
and their newborn infants*

·         close, and continuous support to establish breastfeeding,

·         counselling at the time of the discharge, to seek support for
lifelong ART, and ARV prophylaxis for their babies (e.g. for 4 to 6 weeks),
breastfeeding support (e.g. through mother to mother peer support in the
community), infant to be tested for HIV and enrolment at a family planning
facility.

*At the community level* *guarantee all breastfeeding women living with HIV
and infants*

·         close and continuous support for women and their babies to
receive ART and appropriate ARV prophylaxis, adequate follow-up and
retention in care,7

·         HIV testing for infants at birth, at 6 weeks, 6 months and 18
months,7

·         support for exclusive breastfeeding for six months and continued
breastfeeding with appropriate complementary food for 2 years or beyond,5

·         uninfected woman should be offered HIV-testing during the
breastfeeding period.7

By creating this Warm chainof support <http://waba.org.my/warm-chain/>
across the continuum of care, women who are living with HIV can be ensured
their rights to health and be supported in their breastfeeding journeys.

References

1.       UNAIDS. World AIDS Day 1 December 2017 – My health, my right
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=b6814dc490&e=b675c26f3f>.
Geneva:
UNAIDS org. (accessed 9 Nov 2017).

2.       UNITED NATIONS. Report of the Executive Director of the joint
United Nations Programme on HIV/AIDS; 2015.
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=c2d908ae6d&e=b675c26f3f>(accessed
9 November 2017).

3.       WABA. What women needs to know about breastfeeding in the HIV
context; 2016
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=4457f164fc&e=b675c26f3f>.
(accessed 14 Nov 2017).

4.       The Lancet Breastfeeding Series; 2016
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=61f695c579&e=b675c26f3f>.
(accessed 14 Nov 2017).

5.       WABA. WBW English Action Folder; 2017
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=8a0f55b5c1&e=b675c26f3f>.
(accessed 15 Nov 2017).

6.       WABA. WBW English Action Folder Insert; 2017
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=95a49447c4&e=b675c26f3f>.
(accessed 15 Nov 2017).

7.       WHO. Consolidate Guidelines on The Use of Antiretroviral Drugs for
Treating and Preventing HIV Infection – Recommendations for a Public Health
Approach.
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=97dfab6586&e=b675c26f3f>
Geneva:
World Health Organization; 2016. (accessed 15 Nov 2017).

8.       Chibwesha CJ, Giganti MJ, Putta N, Chintu N
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=0bc5b48fee&e=b675c26f3f>
, Mulindwa J
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=f7ea103122&e=b675c26f3f>
, Dorton BJ
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=ffb287d0e5&e=b675c26f3f>
et
al. Optimal Time on HAART for Prevention of Mother-to-Child Transmission of
HIV. J Acquir Immune Defic Syndr 2011; 58(2):224-8. doi:
10.1097/QAI.0b013e318229147e.

9.       WHO. WHO Guideline Updates on HIV and Infant Feeding
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=52e8112451&e=b675c26f3f>.
Geneva:
World Health Organization;2016. (accessed 14 Nov 2017).

10.    PATA, PACF. Clinic-Community Collaboration Toolkit: Working together
to improve PMTCT and paediatric HIV treatment, care and support; 2017.
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=9690c4797a&e=b675c26f3f>
(accessed
15 Nov 2017).

11.    WHO. Monitoring Framework – Quality, Equity, Dignity. A WHO Network
for Improving Quality of Care for Maternal and Child Health; 2016.
<https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=70f15f7eca&e=b675c26f3f>
 (accessed
11 April 2017).

On Tue, Nov 28, 2017 at 3:48 PM, Claudio Schuftan <cschuftan at phmovement.org>
wrote:

> AS ALWAYS, PEI, PLS.
>  CLAUDIO
>
>
> ---------- Forwarded message ----------
> From: World Alliance for Breastfeeding Action (WABA) <wbw at waba.org.my>
> Date: Tue, Nov 28, 2017 at 10:56 AM
> Subject: WABA 2017 World AIDS Day Statement
> To: cschuftan at phmovement.org
>
>
> MY HEALTH, MY RIGHT CAMPAIGN! A Breastfeeding perspective
>
>
>
>
> *
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=81498a2450&e=b675c26f3f>
> Press Release WABA World AIDS* *Day Statement  *
> 28 November 2017
>
>
> * MY HEALTH, MY RIGHT CAMPAIGN! A Breastfeeding perspective*
> The *World Aids Day Campaign 2017*
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=e3dfade2ec&e=b675c26f3f> claims
> the right to health for everyone living with HIV, regardless of culture,
> gender, orientation, age, social class and belief. This includes the right
> of everyone living with and affected by HIV, to the prevention and
> treatment of ill health, to make decisions about their own health and to
> be treated with respect and dignity without discrimination.1 The right to
> health depends on social justice, sanitation, a clean environment, and
> access to skilled professionals,1 All of which are underpinned by the
> Sustainable Development Goals (SDGs). Also, the *my health, my right*
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=2fc16adaaa&e=b675c26f3f> campaign
> increases visibility about the need to achieve good health for everyone,
> everywhere.
>
> *Considering that women represent 52% of all people affected by HIV,2 WABA
>  draws attention to the role of the protection, promotion and support of
> optimal breastfeeding as a way of ensuring women’s rights.3*
> *My health, my right for women and children*
> Today the gender gap drives the HIV epidemic in countries of high
> incidence and prevalence.2  Many women are  prevented from seeking
> education and work outside their homes and from seeking access to health
> assistance which significantly compromises their access to HIV diagnosis
> and effective treatment. Many of these women also lack support for
> breastfeeding.
>
>
>
> *WABA believes that effective policies and programmes can empower women
> and girls, including the participation of boys and men in behavioral and
> structural interventions, to reduce women and girls’ vulnerability to HIV.
>   WABA calls for recognition of the evidence that breastfeeding4 is the
> main resource to promote infant health and survival, and contends that
> support for breastfeeding can contribute to the achievement of all the SDGs
> by year 2030.5,6*
>
> *My health, my right for breastfeeding*
> Currently it is recommended that women diagnosed positive for HIV initiate
> ART as early as possible,7,8 and continue lifelong drug therapy with good
> adherence. There should be no restriction to breastfeeding duration.9 Thus, women
> under lifelong ART are recommended, in line with recommendations for the
> general population, to breastfeed exclusively for the first six months,
> followed by continued breastfeeding with adequate complementary food for
> two years or beyond.9
>
> *ACT LOCALLY TO CREATE A WARM CHAIN
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=b909ca677d&e=b675c26f3f>
> TO PROTECT, PROMOTE AND SUPPORT BREASTFEEDING AMONG WOMEN LIVING WITH HIV*
>
> Identify ACTIONS to promote, protect and support breastfeeding in the HIV
> context, according to country policy (e.g. produce a community mapping to
> understand the health assistance needed by women living with HIV):10
>
> *During pregnancy guarantee that all women:*
>
>    - be tested for and receive rapid diagnosis of HIV,
>    - start lifelong ART as early as possible, at least 13 weeks before
>    labour,7
>    - in areas of high HIV incidence and prevalence, if women test
>    negative to HIV, receive re-testing after 3 months.7
>
> *During labour/childbirth guarantee all women living with HIV:*
>
>    - respectful treatment with the right to have a companion at the
>    health facility,11
>    - support by a skilled birth attendant,
>    - skin-to-skin contact with her baby immediately after birth and
>    assistance to initiate breastfeeding within one hour after birth.5
>
> *During rooming-in at a health facility guarantee all women living with
> HIV and their newborn infants:*
>
>    - close, and continuous support to establish breastfeeding,
>    - counselling at the time of the discharge, to seek support for
>    lifelong ART, and ARV prophylaxis for their babies (e.g. for 4 to 6 weeks),
>    breastfeeding support (e.g. through mother to mother peer support in the
>    community), infant to be tested for HIV and enrollment at a family planning
>    facility.
>
> *At the community level* *guarantee all breastfeeding women living with
> HIV and infants:*
>
>    - close and continuous support for women and their babies to receive
>    ART  and appropriate ARV prophylaxis, adequate follow-up and retention in
>    care,7
>    - HIV testing for infants at birth, at 6 weeks, 6 months and 18 months,
>    7
>    - support for exclusive breastfeeding for six months and continued
>    breastfeeding with appropriate complementary food for 2 years or beyond,
>    5
>    - uninfected woman should be offered HIV-testing during the
>    breastfeeding period.7
>
> By creating this Warm chain
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=63b73a8a1c&e=b675c26f3f>
> of support across the continuum of care, women who are living with HIV can
> be ensured their rights to health and be supported in their breastfeeding
> journeys.
>
> *References*
>
>    1. UNAIDS. *World AIDS Day 1 December 2017 – My health, my right
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=b6814dc490&e=b675c26f3f>.*
>    Geneva: UNAIDS org. (accessed 9 Nov 2017).
>    2. UNITED NATIONS. *Report of the Executive Director of the joint
>    United Nations Programme on HIV/AIDS;* 2015.
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=c2d908ae6d&e=b675c26f3f>
>    (accessed 9 November 2017).
>    3. WABA. *What women needs to know about breastfeeding in the HIV
>    context*; 2016
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=4457f164fc&e=b675c26f3f>.
>    (accessed 14 Nov 2017).
>    4. *The Lancet Breastfeeding Series*; 2016
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=61f695c579&e=b675c26f3f>.
>    (accessed 14 Nov 2017).
>    5. WABA. WBW *English Action Folder;* 2017
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=8a0f55b5c1&e=b675c26f3f>.
>    (accessed 15 Nov 2017).
>    6.  WABA. WBW *English Action Folder Insert;* 2017
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=95a49447c4&e=b675c26f3f>.
>    (accessed 15 Nov 2017).
>    7. WHO. *Consolidate Guidelines on The Use of Antiretroviral Drugs for
>    Treating and Preventing HIV Infection – Recommendations for a Public Health
>    Approach*.
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=97dfab6586&e=b675c26f3f>
>    Geneva: World Health Organization; 2016. (accessed 15 Nov 2017).
>    8. Chibwesha CJ, Giganti MJ, Putta N, Chintu N
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=0bc5b48fee&e=b675c26f3f>,
>    Mulindwa J
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=f7ea103122&e=b675c26f3f>,
>    Dorton BJ
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=ffb287d0e5&e=b675c26f3f>
>    et al. Optimal Time on HAART for Prevention of Mother-to-Child Transmission
>    of HIV. *J Acquir Immune Defic Syndr* 2011; 58(2):224-8. doi:
>    10.1097/QAI.0b013e318229147e.
>    9. WHO. *WHO Guideline Updates on HIV and Infant Feeding*
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=52e8112451&e=b675c26f3f>*.
>    *Geneva: World Health Organization;2016. (accessed 14 Nov 2017).
>    10. PATA, PACF. *Clinic-Community Collaboration Toolkit: Working
>    together to improve PMTCT and paediatric HIV treatment, care and support*;
>    2017.
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=9690c4797a&e=b675c26f3f>
>    (accessed 15 Nov 2017).
>    11.  WHO. *Monitoring Framework – Quality, Equity, Dignity. A WHO
>    Network for Improving Quality of Care for Maternal and Child Health*;
>    2016.
>    <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=70f15f7eca&e=b675c26f3f>
>     (accessed 11 April 2017).
>
>
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=076c4ab993&e=b675c26f3f>
> Share
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> For more information, please contact:
>
> WABA Liaison Person:
> Pei Ching
> peiching.chuah at waba.org.my <aida.redza at waba.org.my>
>
> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=0bef19345b&e=b675c26f3f>
> *Copyright © 2017 World Alliance for Breastfeeding Action (WABA), All
> rights reserved.*
>
>
> *Our mailing address is:*
> World Alliance for Breastfeeding Action (WABA)
> P.O.BOX 1200
> George Town, Penang 10850
> Malaysia
>
> Add us to your address book
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> <https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=7c2937280d&e=b675c26f3f>
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-- 
*Regards,*
*Pei Ching*
*Programme Coordinator, Health and Information *

*World Alliance for Breastfeeding Action*
P.O. Box 1200, 10850 Penang, Malaysia
Tel: 604 6584816 Fax: 604 6572655
Email: waba at waba.org.my
Websites: www.waba.org.my
             www.worldbreastfeedingweek.org
             www.breastfeedinggateway.org
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