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Mother and Infant Care Program: Project Mongu  

The primary focus of the Mother and Infant Care Program: Project Mongu is HIV positive women and their infants in the city of Mongu , the capital of Western Province in the African nation of Zambia . Currently, twenty percent of the population of Mongu is infected with HIV/AIDS. HIV positive pregnant women transmit HIV to their unborn children, through pregnancy, during childbirth or breastfeeding, at a rate of 20%.  With a population of 44,000 in Mongu, approximately 100 children per month are infected with HIV/AIDS.

In Mongu, like in other areas of the world, breastfeeding has been the only model for infant nutrition, therefore, the introduction of formula feeding via bottle or cup is counter-cultural. Additionally, due to the fact that HIV/AIDS is sexually transmitted, a stigma is attached to those living with HIV/AIDS, in that they are to blame for their infection. Thus women, subjected to even more scrutiny and prejudice, can also be blamed for infecting their children.

The majority of non-sexually transmitted HIV infections occur through mother to child transmission. “An estimated 30,000 infants in Zambia are infected each year either during pregnancy, at the time of birth or while breastfeeding” (www.avert.org/aids).

Inequality for these women generates vulnerability for them and their roles as a wife and mother, creating difficult boundaries to overcome. Issues such as traditional cultural beliefs, sex workers and abuse of children prevent women and children from protecting themselves from acquiring, or preventing the spread of HIV/AIDS. The projected life expectancy of an adult in Zambia has been reduced from 60 years of age, (before HIV/AIDS) to 37 years of age.