Abstract:
The HIV epidemic coupled with the assumed benefits of infant formula for the children of all HIV-infected mothers
have in complex ways changed public ideas about infant feeding and represents a threat to well established
breastfeeding practices. In the wake of the confusion that postnatal prevention of mother to child transmission of
HIV (PMTCT) interventions have created among HIV-infected mothers, infant feeding counsellors and the public at
large, it is time to reinstate the principles of the Innocenti Declaration to protect, promote and support breastfeeding
in the context of HIV. The challenge that lies ahead is a search for ways to restore the trust in breastfeeding as
the normal and safest way to feed an infant. This requires continued research as well as concerted advocacy and
action.
