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Bibliographic Info

GuidelineWHO updated recommendations on HIV clinical management: recommendations for a public health approach
Year of Publication2025
Issuing InstitutionWorld Health Organization

Recommendation

Status
Maintained

Recommended in favor

Strong

HIV and infant feeding. Duration of breastfeeding by mothers living with HIV: mothers living with HIV should breastfeed for at least 12 months and may continue breastfeeding for up to 24 months or longer (as for the general population) while being fully supported for ART adherence.

Notes and Remarks

In settings in which health services provide and support lifelong ART, including adherence counselling, and promote and support breastfeeding among women with HIV, the duration of breastfeeding should not be restricted. Furthermore, as for the general population, mothers living with HIV (and whose infants are HIV uninfected or of unknown HIV status) should exclusively breastfeed their infants for the first six months of life, introducing appropriate complementary foods thereafter while continuing to breastfeed. Breastfeeding should then only stop once a nutritionally adequate and safe diet without breast milk can be provided. WHO-recommended breastfeeding is defined as: (1) initiating breastfeeding within the first hour of life; (2) exclusive breastfeeding for the first six months of life (that is, the infant receives breast milk only without any additional food or drink, not even water); followed by (3) continued breastfeeding for up to two years of age or beyond (with the introduction of appropriate complementary foods at six months);

Also Featured In

This recommendation also appears in the following guidelines:

Originally Developed
Guideline

Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV

Year2016
InstitutionWHO
Guideline

Consolidated guideline on sexual and reproductive health and rights of women living with HIV

Year2017
InstitutionWHO
Guideline

Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach

Year2021
InstitutionWHO
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