<div dir="ltr">From: <b class="gmail_sendername">Pei Ching Chuah</b> <span dir="ltr"><<a href="mailto:peiching.chuah@waba.org.my">peiching.chuah@waba.org.my</a>></span><br><div class="gmail_quote">World Alliance for Breastfeeding <br></div><div class="gmail_quote"><br></div><div class="gmail_quote"><div dir="ltr"><div style="font-family:verdana,sans-serif"><span class=""><p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:center;line-height:normal" align="center"><b><span style="color:rgb(148,54,52);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">MY HEALTH, MY RIGHT CAMPAIGN! A Breastfeeding
perspective</span></b><b><span lang="EN-US"><span></span></span></b></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal"><b><sup><span style="color:rgb(148,54,52)" lang="EN-US"> <wbr> </span></sup></b><b><span style="color:rgb(148,54,52)" lang="EN-US"><span></span></span></b></p>
</span><p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal"><span style="background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">The </span><b><span style="color:rgb(148,54,52);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">World Aids Day Campaign 2017</span></b><span style="background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"> 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.<sup>1</sup> The
right to health depends on social justice, sanitation, a clean environment, and
access to skilled professionals,<sup>1</sup> all of which are underpinned
by the Sustainable Development Goals (SDGs). Also, the </span><b><i><span style="color:rgb(148,54,52);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">my health, my right</span></i></b><span style="color:rgb(148,54,52);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"> </span><span style="background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">campaign increases visibility
about the need to achieve good health for everyone, everywhere.<span></span></span></p><span class="">
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal"><i><span style="color:rgb(54,95,145);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"><span> </span></span></i></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal"><i><span style="color:rgb(54,95,145);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Considering that women represent 52% of all people
affected by HIV,<sup>2</sup> <b>WABA </b>draws attention to the role
of the protection, promotion and support of optimal breastfeeding as a way of ensuring
women’s rights.</span></i><i><sup><span style="color:rgb(54,95,145);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">3</span></sup></i></p><p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal"><b><span style="color:rgb(148,54,52)" lang="EN-US"><br></span></b></p></span><span class=""><p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal"><b><span style="color:rgb(148,54,52)" lang="EN-US">My health, my right for women and children</span></b></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span lang="EN-US">Today the
gender gap drives the HIV epidemic in countries of high incidence and
prevalence.<sup>2 </sup>Many women are prevented from seeking education and
work outside their homes and from seeking access to health assistance which
significantly</span><span style="color:red" lang="EN-US"> </span><span lang="EN-US">compromises their access to HIV diagnosis and
effective treatment. Many of these women also lack support for breastfeeding.</span><span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="color:rgb(148,54,52)" lang="EN-US"> </span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><i><span style="color:rgb(55,96,146)" lang="EN-US"> <b>WABA </b>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.</span></i><i><span style="color:rgb(55,96,146)"><span></span></span></i></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><i><span style="color:rgb(55,96,146)" lang="EN-US"> </span></i></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><i><span style="color:rgb(55,96,146)" lang="EN-US">WABA </span></i></b><i><span style="color:rgb(55,96,146)" lang="EN-US">calls for recognition of the evidence that
breastfeeding<sup>4</sup> 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.<sup>5,6</sup></span></i><i><span style="color:rgb(55,96,146)"><span></span></span></i></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal"><b><span style="color:rgb(148,54,52)"> </span></b></p>
</span><p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">My health, my right for breastfeeding</span></b><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="color:rgb(80,0,80)" lang="EN-US">Currently it
is recommended that women diagnosed positive for HIV initiate ART as early as
possible,<sup>7,8</sup> 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.<sup>9</sup> </span><span style="color:rgb(80,0,80)"><span></span></span></p><span class="">
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"> <b><span style="color:rgb(148,54,52)" lang="EN-US"><span></span></span></b></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">ACT LOCALLY TO CREATE <a href="http://waba.org.my/warm-chain/" target="_blank">A WARM CHAIN</a> TO PROTECT,
PROMOTE AND SUPPORT BREASTFEEDING AMONG WOMEN LIVING WITH HIV</span></b><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">Identify</span></b><span style="color:rgb(80,0,80)" lang="EN-US"> 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):<sup>10</sup></span><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="color:rgb(80,0,80)"> </span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">During pregnancy guarantee that all women</span></b><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpFirst" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol;color:rgb(80,0,80)">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">be tested for
and receive rapid diagnosis of HIV,</span><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol;color:rgb(80,0,80)">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">start
lifelong ART as early as possible, at least 13 weeks before labour,<sup>7</sup> </span><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpLast" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol;color:rgb(80,0,80)">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">in areas of
high HIV incidence and prevalence, if women test negative to HIV, receive
re-testing after 3 months.<sup>7</sup> </span><span style="color:rgb(80,0,80)"><span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="color:rgb(80,0,80)"> </span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">During labour/childbirth guarantee all women living
with HIV<span></span></span></b></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpFirst" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">respectful
treatment with the right to have a companion at the health facility,<sup>11</sup></span><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">support by a
skilled birth attendant,</span><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpLast" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">skin-to-skin
contact with her baby immediately after birth and assistance to initiate
breastfeeding within one hour after birth.<sup>5</sup></span><span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US"> </span></b></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">During rooming-in at a health facility guarantee
all women living with HIV and their newborn infants</span></b><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpFirst" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">close, and continuous
support to establish breastfeeding,</span><span></span></p>
</span><p class="m_-285343920739107518gmail-MsoListParagraphCxSpLast" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">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. </span><span></span></p><span class="">
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span> </span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><b><span style="color:rgb(148,54,52)" lang="EN-US">At the community level</span></b><span lang="EN-US"> </span><b><span style="color:rgb(148,54,52)" lang="EN-US">guarantee all
breastfeeding women living with HIV and infants</span></b><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpFirst" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">close and
continuous support for women and their babies to receive ART and appropriate
ARV prophylaxis, adequate follow-up and retention in care,<sup>7</sup></span><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">HIV testing
for infants at birth, at 6 weeks, 6 months and 18 months,<sup>7</sup></span><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">support for
exclusive breastfeeding for six months and continued breastfeeding with
appropriate complementary food for 2 years or beyond,<sup>5</sup></span><span></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpLast" style="margin-bottom:0.0001pt;text-align:justify;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Symbol">·<span style="font-variant-numeric:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">
</span></span><span style="color:rgb(80,0,80)" lang="EN-US">uninfected
woman should be offered HIV-testing during the breastfeeding period.<sup>7 </sup></span><span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span> </span></p>
</span><p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">By creating this <a href="http://waba.org.my/warm-chain/" target="_blank">Warm chainof support</a> 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.<span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal"><b><span style="color:rgb(148,54,52)"> </span></b></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal"><b><span style="color:rgb(148,54,52)"> </span></b></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal"><span lang="PT-BR"><font size="1">References</font></span></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpFirst" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">1.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">UNAIDS. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=b6814dc490&e=b675c26f3f" target="_blank">World AIDS Day 1 December 2017 – My health, my right</a>. Geneva:
UNAIDS org. (accessed 9 Nov 2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">2.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">UNITED
NATIONS. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=c2d908ae6d&e=b675c26f3f" target="_blank">Report of the Executive Director of the joint United Nations
Programme on HIV/AIDS; 2015.</a>(accessed 9 November 2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">3.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">WABA. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=4457f164fc&e=b675c26f3f" target="_blank">What women needs to know about breastfeeding in the HIV context;
2016</a>. (accessed 14 Nov 2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">4.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR"><a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=61f695c579&e=b675c26f3f" target="_blank">The Lancet Breastfeeding Series; 2016</a>. (accessed 14 Nov
2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">5.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">WABA. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=8a0f55b5c1&e=b675c26f3f" target="_blank">WBW English Action Folder; 2017</a>. (accessed 15 Nov
2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">6.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">WABA. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=95a49447c4&e=b675c26f3f" target="_blank">WBW English Action Folder Insert; 2017</a>. (accessed
15 Nov 2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">7.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">WHO. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=97dfab6586&e=b675c26f3f" target="_blank">Consolidate Guidelines on The Use of Antiretroviral Drugs for
Treating and Preventing HIV Infection – Recommendations for a Public Health
Approach.</a> Geneva: World Health Organization; 2016. (accessed 15 Nov
2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">8.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">Chibwesha
CJ, Giganti MJ, Putta N, <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=0bc5b48fee&e=b675c26f3f" target="_blank">Chintu N</a>, <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=f7ea103122&e=b675c26f3f" target="_blank">Mulindwa J</a>, <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=ffb287d0e5&e=b675c26f3f" target="_blank">Dorton BJ</a> 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. <span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">9.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">WHO.<a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=52e8112451&e=b675c26f3f" target="_blank"> WHO Guideline Updates on HIV and Infant Feeding</a>. Geneva:
World Health Organization;2016. (accessed 14 Nov 2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpMiddle" style="margin-bottom:0.0001pt;line-height:normal"><font size="1"><span lang="PT-BR">10.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></span><span lang="PT-BR">PATA,
PACF. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=9690c4797a&e=b675c26f3f" target="_blank">Clinic-Community Collaboration Toolkit: Working together to
improve PMTCT and paediatric HIV treatment, care and support; 2017.</a> (accessed
15 Nov 2017).<span></span></span></font></p>
<p class="m_-285343920739107518gmail-MsoListParagraphCxSpLast" style="margin-bottom:0.0001pt;line-height:normal"><span lang="PT-BR"><font size="1">11.<span style="font-variant-numeric:normal;font-stretch:normal;line-height:normal;font-family:"Times New Roman"">
</span></font></span><span lang="PT-BR"><font size="1">WHO. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=70f15f7eca&e=b675c26f3f" target="_blank">Monitoring Framework – Quality, Equity, Dignity. A WHO Network
for Improving Quality of Care for Maternal and Child Health; 2016.</a> (accessed
11 April 2017).</font><span style="font-size:10pt"></span></span></p>
<p class="MsoNormal" style="margin-bottom:0.0001pt;line-height:normal"><span style="color:rgb(148,54,52)" lang="EN-US"> </span></p></div></div><div class="gmail_extra"><div><div class="h5"><br><div class="gmail_quote">On Tue, Nov 28, 2017 at 3:48 PM, Claudio Schuftan <span dir="ltr"><<a href="mailto:cschuftan@phmovement.org" target="_blank">cschuftan@phmovement.org</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div dir="ltr"><div>AS ALWAYS, PEI, PLS.<br></div> CLAUDIO<br><br><br><div><div><div class="gmail_quote">---------- Forwarded message ----------<br>From: <b class="gmail_sendername">World Alliance for Breastfeeding Action (WABA)</b> <span dir="ltr"><<a href="mailto:wbw@waba.org.my" target="_blank">wbw@waba.org.my</a>></span><br>Date: Tue, Nov 28, 2017 at 10:56 AM<br>Subject: WABA 2017 World AIDS Day Statement<br>To: <a href="mailto:cschuftan@phmovement.org" target="_blank">cschuftan@phmovement.org</a><br><br><br><u></u>
<div marginwidth="0" marginheight="0" style="height:100%;margin:0;padding:0;width:100%;background-color:#ffffff">
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<span style="font-family:verdana,geneva,sans-serif"><span style="font-size:14px"><span style="font-size:18px"><b><a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=81498a2450&e=b675c26f3f" style="color:#a6d9e5;font-weight:normal;text-decoration:underline" target="_blank"><img src="https://gallery.mailchimp.com/9c4737de875c6fa12b87991e8/images/0e951798-b5a6-49ae-ad1a-08badf459d01.jpg" style="width:149px;height:170px;margin:5px 10px 10px;border:0;outline:none;text-decoration:none" width="149" height="170" align="right"></a><br>
<br>
Press Release<br>
<br>
WABA World AIDS</b></span></span><span style="font-size:18px"><b> </b></span><span style="font-size:14px"><span style="font-size:18px"><b>Day Statement </b></span><br>
28 November 2017</span></span>
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<div style="text-align:center"><b> MY HEALTH, MY RIGHT CAMPAIGN!<br>
A Breastfeeding perspective</b></div>
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The <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=e3dfade2ec&e=b675c26f3f" style="color:#b92077;font-weight:normal;text-decoration:underline" target="_blank"><b>World Aids Day Campaign 2017</b></a> 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 <img src="https://gallery.mailchimp.com/9c4737de875c6fa12b87991e8/images/2791c894-4d4f-4864-a50b-c15399cc6c38.jpg" style="border:0px;width:232px;height:150px;margin:5px;outline:none;text-decoration:none" width="232" height="150" align="right">and to be treated with respect and dignity without discrimination.<sup>1</sup> The right to health depends on social justice, sanitation, a clean environment, and access to skilled professionals,<sup>1</sup> All of which are underpinned by the Sustainable Development Goals (SDGs). Also, the <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=2fc16adaaa&e=b675c26f3f" style="color:#b92077;font-weight:normal;text-decoration:underline" target="_blank"><b><i>my health, my right</i></b></a> campaign increases visibility about the need to achieve good health for everyone, everywhere.<br>
<br>
<span style="font-size:13px"><span style="color:#0000ff"><i>Considering that women represent 52% of all people affected by HIV,<sup>2</sup> <b>WABA </b>draws attention to the role of the protection, promotion and support of optimal breastfeeding as a way of ensuring women’s rights.<sup>3</sup></i></span></span>
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<span style="font-size:13px"><b><img src="https://gallery.mailchimp.com/9c4737de875c6fa12b87991e8/images/108ca12b-b248-4aeb-894b-16f23cb0b8e5.jpg" style="border:0px initial;width:10px;height:15px;margin:0px 3px;outline:none;text-decoration:none" width="10" height="15" align="left">My health, my right for women and children</b></span><br>
Today the gender gap drives the HIV epidemic in countries of high incidence and prevalence.<sup>2 </sup> 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.<br>
<br>
<span style="color:#0000cd"><i><b>WABA </b>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.<br>
<br>
<b>WABA </b>calls for recognition of the evidence that breastfeeding<sup>4</sup> 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.<sup>5,6</sup></i></span><br>
<br>
<span style="font-size:13px"><b><img src="https://gallery.mailchimp.com/9c4737de875c6fa12b87991e8/images/108ca12b-b248-4aeb-894b-16f23cb0b8e5.jpg" style="border:0px initial;width:10px;height:15px;margin:0px 3px;outline:none;text-decoration:none" width="10" height="15" align="left">My health, my right for breastfeeding</b></span><br>
Currently it is recommended that women diagnosed positive for HIV initiate ART as early as possible,<sup>7,8</sup> and continue lifelong drug therapy with good adherence. There should be no restriction to breastfeeding duration.<sup>9</sup> 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.<sup>9</sup>
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<div style="text-align:center"><span style="font-size:13px"><b>ACT LOCALLY TO CREATE <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=b909ca677d&e=b675c26f3f" style="color:#b92077;font-weight:normal;text-decoration:underline" target="_blank">A WARM CHAIN</a> TO PROTECT, PROMOTE AND SUPPORT BREASTFEEDING AMONG WOMEN LIVING WITH HIV</b></span></div>
<br>
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):<sup>10 </sup> <br>
<br>
<b>During pregnancy guarantee that all women:</b>
<ul>
<li>be tested for and receive rapid diagnosis of HIV,</li>
<li>start lifelong ART as early as possible, at least 13 weeks before labour,<sup>7</sup> </li>
<li>in areas of high HIV incidence and prevalence, if women test negative to HIV, receive re-testing after 3 months.<sup>7</sup> </li>
</ul>
<b>During labour/childbirth guarantee all women living with HIV:</b>
<ul>
<li>respectful treatment with the right to have a companion at the health facility,<sup>11</sup></li>
<li>support by a skilled birth attendant,</li>
<li>skin-to-skin contact with her baby immediately after birth and assistance to initiate breastfeeding within one hour after birth.<sup>5</sup></li>
</ul>
<b>During rooming-in at a health facility guarantee all women living with HIV and their newborn infants:</b>
<ul>
<li>close, and continuous support to establish breastfeeding,</li>
<li>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. </li>
</ul>
<b>At the community level</b> <b>guarantee all breastfeeding women living with HIV and infants:</b>
<ul>
<li>close and continuous support for women and their babies to receive ART and appropriate ARV prophylaxis, adequate follow-up and retention in care,<sup>7</sup></li>
<li>HIV testing for infants at birth, at 6 weeks, 6 months and 18 months,<sup>7</sup></li>
<li>support for exclusive breastfeeding for six months and continued breastfeeding with appropriate complementary food for 2 years or beyond,<sup>5</sup></li>
<li>uninfected woman should be offered HIV-testing during the breastfeeding period.<sup>7 </sup></li>
</ul>
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<div id="m_-285343920739107518m_1788645381815476728m_5211605665190690750edn1" style="color:#202020;font-family:Helvetica;font-size:9px;line-height:13.5px"><b><u>References</u></b>
<ol>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">UNAIDS. <i><a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=b6814dc490&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank">World AIDS Day 1 December 2017 – My health, my right</a>.</i> Geneva: UNAIDS org. (accessed 9 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">UNITED NATIONS. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=c2d908ae6d&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"><i>Report of the Executive Director of the joint United Nations Programme on HIV/AIDS;</i> 2015.</a> (accessed 9 November 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">WABA. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=4457f164fc&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"><i>What women needs to know about breastfeeding in the HIV context</i>; 2016</a>. (accessed 14 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px"><a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=61f695c579&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"><i>The Lancet Breastfeeding Series</i>; 2016</a>. (accessed 14 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">WABA. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=8a0f55b5c1&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank">WBW <i>English Action Folder;</i> 2017</a>. (accessed 15 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px"> WABA. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=95a49447c4&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank">WBW <i>English Action Folder Insert;</i> 2017</a>. (accessed 15 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">WHO. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=97dfab6586&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"><i>Consolidate Guidelines on The Use of Antiretroviral Drugs for Treating and Preventing HIV Infection – Recommendations for a Public Health Approach</i>.</a> Geneva: World Health Organization; 2016. (accessed 15 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">Chibwesha CJ, Giganti MJ, Putta N, <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=0bc5b48fee&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank">Chintu N</a>, <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=f7ea103122&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank">Mulindwa J</a>, <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=ffb287d0e5&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank">Dorton BJ</a> et al. Optimal Time on HAART for Prevention of Mother-to-Child Transmission of HIV. <i>J Acquir Immune Defic Syndr</i> 2011; 58(2):224-8. doi: 10.1097/QAI.0b013e318229147e. </span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">WHO.<a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=52e8112451&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"> <i>WHO Guideline Updates on HIV and Infant Feeding</i></a><b>. </b>Geneva: World Health Organization;2016. (accessed 14 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px">PATA, PACF. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=9690c4797a&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"><i>Clinic-Community Collaboration Toolkit: Working together to improve PMTCT and paediatric HIV treatment, care and support</i>; 2017.</a> (accessed 15 Nov 2017).</span></span></li>
<li><span style="font-family:trebuchet ms,lucida grande,lucida sans unicode,lucida sans,tahoma,sans-serif"><span style="font-size:10px"> WHO. <a href="https://waba.us8.list-manage.com/track/click?u=9c4737de875c6fa12b87991e8&id=70f15f7eca&e=b675c26f3f" style="color:#990808;font-weight:normal;text-decoration:underline" target="_blank"><i>Monitoring Framework – Quality, Equity, Dignity. A WHO Network for Improving Quality of Care for Maternal and Child Health</i>; 2016.</a> (accessed 11 April 2017).</span></span></li>
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<i>Copyright © 2017 World Alliance for Breastfeeding Action (WABA), All rights reserved.</i><br>
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</blockquote></div><br><br clear="all"><div><br></div></div></div>-- <br><div class="m_-285343920739107518gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div dir="ltr"><div dir="ltr"><div><font face="verdana, sans-serif"><b>Regards,</b></font></div><div><font size="4" face="comic sans ms, sans-serif" color="#0000ff"><b><i>Pei Ching</i></b></font></div><div><font face="verdana, sans-serif"><b>Programme Coordinator, Health and Information </b></font></div><span class=""><div><br></div><div><font size="1" face="verdana, sans-serif" color="#0000ff"><b>World Alliance for Breastfeeding Action</b></font></div></span><div><font size="1" face="verdana, sans-serif">P.O. Box 1200, 10850 Penang, Malaysia</font></div><div><font size="1" face="verdana, sans-serif">Tel: 604 6584816 Fax: 604 6572655</font></div><div><font size="1" face="verdana, sans-serif">Email: <a href="mailto:waba@waba.org.my" target="_blank">waba@waba.org.my</a></font></div><div><font size="1" face="verdana, sans-serif">Websites: <a href="http://www.waba.org.my" target="_blank">www.waba.org.my</a></font></div><div><font size="1" face="verdana, sans-serif"> <a href="http://www.worldbreastfeedingweek.org" target="_blank">www.worldbreastfeedingweek.<wbr>org</a></font></div><div><font size="1" face="verdana, sans-serif"> <a href="http://www.breastfeedinggateway.org" target="_blank">www.breastfeedinggateway.org</a></font></div></div></div></div></div></div></div>
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