Feeding Practices and Nutritional Outcomes of HIV-Positive Infants at a Paediatric ART Clinic in Plateau State

Background: Optimal infant feeding in the context of HIV infection is critical to reducing mother-to-child transmission and improving child survival. This study examines feeding practices and nutritional outcomes of HIV-exposed and positive infants at a paediatric antiretroviral therapy clinic in Jos, Plateau State, North Central geopolitical zone. Methods: A retrospective descriptive study reviewed medical records of 200 HIV-exposed infants seen over a three-year period. Data on infant feeding options, nutritional status indicators, weight gain trajectory, and viral suppression were extracted. Results: A substantial proportion of infants were commenced on replacement feeding, with exclusive breastfeeding being less common. Stunting was prevalent among infants with suboptimal nutritional support. Infants on exclusive breastfeeding with maternal antiretroviral therapy showed better weight outcomes. Conclusion: Infant feeding counselling in the context of HIV requires a nuanced, individualised approach aligned with current WHO guidelines. Family medicine practitioners managing paediatric HIV in Plateau State should prioritise nutritional monitoring and empower caregivers with context-sensitive feeding support. Keywords: HIV, infant feeding, malnutrition, Plateau State, paediatric ART