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Table 2 Revised CMO for motherhood/motivation to promote child survival theme

From: A realist review of infant feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa: what works for whom and in what contexts

Context

Mechanism

Outcome

Mother aware of HIV status and has received infant feeding counselling

Mother’s highest priority is to be a mother figure.

Health care provider counsels with the intention of promoting child survival

Desire for motherhood

Motivated by prospect of child survival

No fear of breastfeeding

Mother values education by HCP

Motivated to maximise child survival through appropriate feeding method

Maintains EBF, avoiding alternate or mixed feeding.