Cost-Effectiveness Tool for Evaluating Interventions to Prevent Mother-to-Child Transmission - Manual and Model (UNAIDS, 2000, 94 p.): “SUBSTITUTE FEEDING” WORKSHEET: TABLE SF - 1: DURATION OF BREASTFEEDING AND SUBSTITUTE FEEDING

Cost-Effectiveness Tool for Evaluating Interventions to Prevent Mother-to-Child Transmission - Manual and Model (UNAIDS, 2000, 94 p.)

“SUBSTITUTE FEEDING” WORKSHEET

		(introduction...)
		TABLE SF - 1: DURATION OF BREASTFEEDING AND SUBSTITUTE FEEDING
		TABLE SF - 2: BREASTFEEDING, HIV RISK, AND NON-HIV MORTALITY
		TABLE SF - 3: HEALTH OUTCOMES (PER 100 CHILDREN OF HIV+ MOTHERS)
		TABLE SF - 4: PROGRAM COSTS - COUNSELING, TRAINING AND SUBSTITUTE FOOD
		TABLE SF - 5: HIV AND NON-HIV MEDICAL COSTS
		TABLE SF - 6: SUMMARY OF SUBSTITUTE FEEDING COST OUTCOMES

TABLE SF - 1: DURATION OF BREASTFEEDING AND SUBSTITUTE FEEDING

Background

A substitute feeding program should use one of two recommendations for mothers: no breastfeeding, or a short duration of exclusive breast feeding followed by a switch to substitute feeding. Mixed feeding appears to increase both HIV and non-HIV risk as compared with breast feeding, and so should be strongly discouraged.

This table displays the CET’s current settings regarding breast feeding durations, in months. These settings were selected in the “Interventions” worksheet. If “Optimal” was selected in “Interventions” C13, the CET calculates the breast feeding duration that minimizes fatal events. If instead of “Optimal” the user entered a particular number of months in “Interventions” C13, the CET calculates costs and cost-effectiveness based on that breast feeding duration. In either case, the calculations take into consideration compliance with feeding recommendations as specified in this table. (See below).

D7 - H7. Months of breast feeding or “Optimal”. Reminds the user whether “Optimal” or a set number of months (0-6) was specified for length of breast feeding in “Interventions”.
D8 - H8. Number of months of breast feeding with optimal feeding strategy. If “Optimal” was selected in “Interventions”, these cells show the number of months of breast feeding found to be optimal by the CET. Notice that this number can vary among the five ARV interventions. These cells are blank if a specific number of months of breast feeding was chosen in “Interventions” in which case this duration is displayed in the previous row.
D9 - H9. Months of substitute feeding in program. These numbers represent simply the months of breast feeding subtracted from 12 months. It is assumed that a substitute feeding program will provide formula up to 12 months, by which age children will be consuming a significant portion of their diet from solid foods.