{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:38:46Z","timestamp":1753879126724,"version":"3.41.2"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Clinical guidelines are used to translate research findings into evidence\u2010based clinical practice but are frequently not comprehensively adopted by health workers (HWs). HIV and infant feeding guidelines were revised by the World Health Organization to align feeding advice for HIV\u2010exposed and unexposed infants, and these were adopted in South Africa in 2017. We describe an innovative, team\u2010based, mentoring programme developed to update HWs on these guidelines. The intervention was underpinned by strong theoretical frameworks and aimed to improve HWs' attitudes, knowledge, confidence, and skills about breastfeeding in the context of HIV. On\u2010site workshops and clinical mentoring used interactive participatory methods and a simple low\u2010tech approach, guided by participants' self\u2010reported knowledge gaps. Workshops were conducted at 24 participating clinics over three sessions, each lasting 1\u20132 hr. Evaluation data were collected using a self\u2010administered questionnaire. Of 303 participating HWs, 249\/303 (82.2%) attended all workshops. Achieving high workshop attendance was challenging and \u201ccatch\u2010up\u201d sessions were required to achieve good coverage. Common knowledge gaps identified included antiretroviral therapy adherence monitoring during breastfeeding and management of viral load results (173 participants), management of breast conditions (79), and advice about expressing and storing breastmilk (64). Most participants reported all their knowledge gaps were addressed and anticipated that their practice would change.<\/jats:p><jats:p>We describe a feasible, sustainable approach to updating HWs on HIV and infant feeding guidelines and improving skills in breastfeeding counselling in resource\u2010constrained settings. This approach could be adapted to other topics and, with further evaluation, implemented at scale using existing resources.<\/jats:p>","DOI":"10.1111\/mcn.12922","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T08:32:22Z","timestamp":1576571542000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An educational intervention to update health workers about HIV and infant feeding"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4395-1423","authenticated-orcid":false,"given":"Christiane","family":"Horwood","sequence":"first","affiliation":[{"name":"Centre for Rural Health University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3636-5370","authenticated-orcid":false,"given":"Lyn","family":"Haskins","sequence":"additional","affiliation":[{"name":"Centre for Rural Health University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ameena","family":"Goga","sequence":"additional","affiliation":[{"name":"Health Systems Research Unit South African Medical Research Council  Cape Town South Africa"},{"name":"Department of Paediatrics University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1592-0080","authenticated-orcid":false,"given":"Tanya","family":"Doherty","sequence":"additional","affiliation":[{"name":"Health Systems Research Unit South African Medical Research Council  Cape Town South Africa"},{"name":"School of Public Health University of the Western Cape  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaughn","family":"John","sequence":"additional","affiliation":[{"name":"School of Education University of KwaZulu\u2010Natal  Pietermaritzburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5852-3611","authenticated-orcid":false,"given":"Ingunn M.S.","family":"Engebretsen","sequence":"additional","affiliation":[{"name":"Centre for International Health University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ute","family":"Feucht","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Pretoria  Pretoria South Africa"},{"name":"Research Centre for Maternal, Fetal, Newborn and Child Health Care Strategies University of Pretoria  Pretoria South Africa"},{"name":"Maternal and Infant Health Care Strategies Research Unit South African Medical Research Council  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Rollins","sequence":"additional","affiliation":[{"name":"Department of Maternal, Newborn, Child and Adolescent Health World Health Organization  Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Kroon","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Faculty of Health Sciences University of Cape Town and Mowbray Maternity Hospital  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Sanders","sequence":"additional","affiliation":[{"name":"School of Public Health University of the Western Cape  Cape Town South Africa"},{"name":"Department of Paediatrics and Child Health University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4801-4324","authenticated-orcid":false,"given":"Thorkild","family":"Tylleskar","sequence":"additional","affiliation":[{"name":"Centre for International Health University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2007.00912.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-44"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-11-51"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30104-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-700"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0000000000000277"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12877"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czx004"},{"volume-title":"Creating significant learning experiences: An integrated approach to designing college courses","year":"2013","author":"Fink L. 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