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Anna Coutsoudis

Datos Biográficos

ID5493353
NOMBREAnna Coutsoudis
NOMBRESAnna
APELLIDOCoutsoudis
FIRMACOUTSOUDIS A
AFILIACIONESUniversity of KwaZulu-Natal
ORCID0000-0002-9078-5037
VERIFICADOSí
TOTAL DE OBRAS20
TOTAL DE CITAS6
TOTAL COMO AUTOR20
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN1995
AÑO MÁS RECIENTE DE PUBLICACIÓN2025
ÍNDICE H1
  • Wet Nursing and Human Milk Sharing

    Open Access•Anna Coutsoudis, Penny Reimers et al.•ARTICLE•Maternal and Child Nutrition•2025

    The 2025 call of the World Alliance for Breastfeeding Action (WABA) is to prioritise breastfeeding through creating sustainable support systems. This is based on the strong foundations of breastfeeding and the unique properties of human milk to nourish, protect and provide optimal physical, emotional and cognitive growth for the infant. Empowering women to establish and maintain lactation is critical for the short- and long-term health of mothers…

  • Getting to under 1% vertical HIV transmission

    Open Access•Brodie Daniels, Elizabeth Spooner et al.•ARTICLE•BMJ Global Health•2022

    We report here on the transmission of HIV in a cohort of breastfeeding infants enrolled in a prevention of mother to child HIV transmission (PMTCT) programme at the epicentre of the HIV pandemic. South Africa implemented option B+ for PMTCT in 2015. Between 2013 and 2018, we enrolled 1219 infants born to HIV positive women into a non-inferiority trial assessing the current cotrimoxazole prophylaxis guidelines for HIV-exposed uninfected infants. B…

  • Point-of-care CD4 testing

    Open Access•Elizabeth Spooner, Tarylee Reddy et al.•ARTICLE•Journal of Global Health•2022

    BACKGROUND: ) persists, and CD4 count testing is being overlooked since universal test-and-treat was implemented. Point-of-care CD4 testing could address this gap and assure differentiated care to these vulnerable patients with low CD4 counts. METHODS: A time randomised implementation trial was conducted, enrolling 603 HIV positive non-ART, not pregnant patients at a primary health care clinic in Durban, South Africa. Weeks were randomised to eit…

  • Maintaining human milk bank services throughout the Covid‐19 pandemic

    Open Access•Natalie Shenker, Marta Staff et al.•ARTICLE•Maternal and Child Nutrition•2021

    If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight babies, reducing the risk of complications and supporting maternal breastfeeding where used alongside optimal lactation support. The COVID-19 pandemic has presented a range of challenges to HMBs worl…

  • Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain

    Open Access•Christiane Horwood, Lyn Haskins et al.•ARTICLE•BMC Public Health•2020

    Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers

  • Point-of-care HIV testing best practice for early infant diagnosis

    Open Access•Elizabeth Spooner, Kerusha Govender et al.•ARTICLE•BMC Public Health•2019

    ISRCTN38911104 registered 9 January 2018 - retrospectively registered

  • A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers

    Open Access•Christiane Horwood, Ngcwalisa Amanda Jama et al.•ARTICLE•Maternal and Child Nutrition•2018

    Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa. HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal coho…

  • Improved rates of exclusive breastfeeding at 14 weeks of age in KwaZulu Natal, South Africa

    Open Access•Christiane Horwood, Lyn Haskins et al.•ARTICLE•BMC Public Health•2018

    Estimates of breastfeeding practices at 14 weeks in KZN are higher than previously shown. However, particular challenges that should be addressed if international targets for EBF are to be achieved include improving breastfeeding practices of HIV positive mothers and supporting all mothers, particularly working or schooling mothers to continue giving breastmilk while they are away from their children

  • A Cluster Randomised Trial to Determine the Efficacy of the “Feeding Buddies” Programme in Improving Exclusive Breastfeeding Rates Among HIV-Infected Women in Rural KwaZulu-Natal, South Africa

    Open Access•Penny Reimers, Penelope Reimers et al.•ARTICLE•AIDS and Behavior•2017

  • Association of 6 months of exclusive breastfeeding with higher fat‐free mass in infants in a low‐resource setting with high HIV prevalence in South Africa

    Open Access•Helen Mulol, Anna Coutsoudis•ARTICLE•Maternal and Child Nutrition•2016

    Exclusive breastfeeding for 6 months is recommended by the World Health Organisation (WHO) for optimal health and growth of infants, but it is not a common practice in South Africa. A breastfeeding counselling programme was run to inform, encourage and support mothers to exclusively breastfeed their infants for 6 months, and mother-infant pairs were invited to participate in a research project to determine breast milk intake volumes using the dos…

  • Effect of nutritional supplementation of breastfeeding HIV positive mothers on maternal and child health

    Open Access•Gurpreet Kindra, Anna Coutsoudis et al.•ARTICLE•BMC Public Health•2011

    ISRCTN68128332 (http://www.controlled-trials.com/ISRCTN68128332)

  • Feasibility and safety of setting up a donor breastmilk bank in a neonatal prem unit in a resource limited setting

    Open Access•Irene Coutsoudis, Miriam Adhikari et al.•ARTICLE•BMC Public Health•2011

    It is feasible to supply donor breastmilk to infants in an NPU in a resource limited setting, however staff needs to be sensitized to the importance of donor breastmilk to improve uptake rates. Secondly we showed that it is possible to supply donor breastmilk according to established guidelines with no adverse events therefore making it possible to prevent NEC and other side effects often associated with formula feeding of premature infants

  • Breastfeeding in HIV Exposed Infants Significantly Improves Child Health

    Open Access•Gurpreet Kindra, Anna Coutsoudis et al.•ARTICLE•Maternal and Child Health Journal•2011

  • Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings

    Anne Spaar, Claire Graber et al.•ARTICLE•AIDS Care•2010

    Expanded access to antiretroviral therapy (ART) offers opportunities to strengthen HIV prevention in resource-limited settings. We invited 27 ART programmes from urban settings in Africa, Asia and South America to participate in a survey, with the aim to examine what preventive services had been integrated in ART programmes. Twenty-two programmes participated; eight (36%) from South Africa, two from Brazil, two from Zambia and one each from Argen…

  • Mothers’ infant feeding experiences

    Open Access•Lindiwe Sibeko, Anna Coutsoudis et al.•ARTICLE•Public Health Nutrition•2009

    Objective To better understand the enabling and challenging factors impacting on infant feeding practices in communities with a high HIV prevalence. Design Qualitative study, with data collected through in-depth interviews and observations of mothers, in addition to discussions with health-service providers. Setting Urban settlement in the province of KwaZulu-Natal, South Africa. Subjects Mothers recruited from an HIV clinic and from within the c…

  • Mother-to-child transmission of HIV-1 infection during exclusive breastfeeding in the first 6 months of life

    Open Access•Hoosen M Coovadia, Hoosen Coovadia et al.•ARTICLE•The Lancet•2007

  • Free formula milk for infants of HIV-infected women

    Open Access•Anna Coutsoudis•ARTICLE•Health Policy and Planning•2002

    There is vigorous controversy around whether HIV-infected women in developing countries should choose formula or breastfeeding for their infants. Formula eliminates HIV transmission but incurs risk of increased mortality, whereas breastfeeding has multiple benefits but entails risk of HIV transmission. International guidelines are available but need to be strengthened. This commentary summarizes data on the scale and rate of mother-to-child trans…

  • Epidemiology of helminth infections

    Open Access•CC Jinabhai, Myra Taylor et al.•ARTICLE•Public Health Nutrition•2001

    Objectives: To determine the epidemiology of helminthic infections and the efficacy of parasite treatment among rural South African primary school children in the province of KwaZulu-Natal. To assess the South African government's parasite control policy. Methods: The study recruited 268 school children, aged 8 to 10, and randomly allocated them into treatment and placebo groups (treatment consisted of a single dose of albendazole (400 mg) and pr…

  • The effects of vitamin A supplementation on the morbidity of children born to HIV-infected women

    Anna Coutsoudis, R A Bobat et al.•ARTICLE•American Journal of Public Health•1995•Citada por: 6•Referencias: 27

    OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …

  • The Effects of Vitamin A Supplementation on the Morbidity of Children Born to HIV-Infected Women

    Anna Coutsoudis, Raziya A Bobat et al.•ARTICLE•Studies in Family Planning•1995

    OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …

  • The effects of vitamin A supplementation on the morbidity of children born to HIV-infected women

    Anna Coutsoudis, R A Bobat et al.•ARTICLE•American Journal of Public Health•1995•Citada por: 6•Referencias: 27

    OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …

  • The effects of vitamin A supplementation on the morbidity of children born to HIV-infected women

    Anna Coutsoudis, R A Bobat et al.•ARTICLE•American Journal of Public Health•1995•Citada por: 6•Referencias: 27

    OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …

  • The Effects of Vitamin A Supplementation on the Morbidity of Children Born to HIV-Infected Women

    Anna Coutsoudis, Raziya A Bobat et al.•ARTICLE•Studies in Family Planning•1995

    OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …

  • Epidemiology of helminth infections

    Open Access•CC Jinabhai, Myra Taylor et al.•ARTICLE•Public Health Nutrition•2001

    Objectives: To determine the epidemiology of helminthic infections and the efficacy of parasite treatment among rural South African primary school children in the province of KwaZulu-Natal. To assess the South African government's parasite control policy. Methods: The study recruited 268 school children, aged 8 to 10, and randomly allocated them into treatment and placebo groups (treatment consisted of a single dose of albendazole (400 mg) and pr…

  • Free formula milk for infants of HIV-infected women

    Open Access•Anna Coutsoudis•ARTICLE•Health Policy and Planning•2002

    There is vigorous controversy around whether HIV-infected women in developing countries should choose formula or breastfeeding for their infants. Formula eliminates HIV transmission but incurs risk of increased mortality, whereas breastfeeding has multiple benefits but entails risk of HIV transmission. International guidelines are available but need to be strengthened. This commentary summarizes data on the scale and rate of mother-to-child trans…

  • Mother-to-child transmission of HIV-1 infection during exclusive breastfeeding in the first 6 months of life

    Open Access•Hoosen M Coovadia, Hoosen Coovadia et al.•ARTICLE•The Lancet•2007

  • Mothers’ infant feeding experiences

    Open Access•Lindiwe Sibeko, Anna Coutsoudis et al.•ARTICLE•Public Health Nutrition•2009

    Objective To better understand the enabling and challenging factors impacting on infant feeding practices in communities with a high HIV prevalence. Design Qualitative study, with data collected through in-depth interviews and observations of mothers, in addition to discussions with health-service providers. Setting Urban settlement in the province of KwaZulu-Natal, South Africa. Subjects Mothers recruited from an HIV clinic and from within the c…

  • Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited settings

    Anne Spaar, Claire Graber et al.•ARTICLE•AIDS Care•2010

    Expanded access to antiretroviral therapy (ART) offers opportunities to strengthen HIV prevention in resource-limited settings. We invited 27 ART programmes from urban settings in Africa, Asia and South America to participate in a survey, with the aim to examine what preventive services had been integrated in ART programmes. Twenty-two programmes participated; eight (36%) from South Africa, two from Brazil, two from Zambia and one each from Argen…

  • Effect of nutritional supplementation of breastfeeding HIV positive mothers on maternal and child health

    Open Access•Gurpreet Kindra, Anna Coutsoudis et al.•ARTICLE•BMC Public Health•2011

    ISRCTN68128332 (http://www.controlled-trials.com/ISRCTN68128332)

  • Feasibility and safety of setting up a donor breastmilk bank in a neonatal prem unit in a resource limited setting

    Open Access•Irene Coutsoudis, Miriam Adhikari et al.•ARTICLE•BMC Public Health•2011

    It is feasible to supply donor breastmilk to infants in an NPU in a resource limited setting, however staff needs to be sensitized to the importance of donor breastmilk to improve uptake rates. Secondly we showed that it is possible to supply donor breastmilk according to established guidelines with no adverse events therefore making it possible to prevent NEC and other side effects often associated with formula feeding of premature infants

  • Breastfeeding in HIV Exposed Infants Significantly Improves Child Health

    Open Access•Gurpreet Kindra, Anna Coutsoudis et al.•ARTICLE•Maternal and Child Health Journal•2011

  • Association of 6 months of exclusive breastfeeding with higher fat‐free mass in infants in a low‐resource setting with high HIV prevalence in South Africa

    Open Access•Helen Mulol, Anna Coutsoudis•ARTICLE•Maternal and Child Nutrition•2016

    Exclusive breastfeeding for 6 months is recommended by the World Health Organisation (WHO) for optimal health and growth of infants, but it is not a common practice in South Africa. A breastfeeding counselling programme was run to inform, encourage and support mothers to exclusively breastfeed their infants for 6 months, and mother-infant pairs were invited to participate in a research project to determine breast milk intake volumes using the dos…

  • A Cluster Randomised Trial to Determine the Efficacy of the “Feeding Buddies” Programme in Improving Exclusive Breastfeeding Rates Among HIV-Infected Women in Rural KwaZulu-Natal, South Africa

    Open Access•Penny Reimers, Penelope Reimers et al.•ARTICLE•AIDS and Behavior•2017

  • A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers

    Open Access•Christiane Horwood, Ngcwalisa Amanda Jama et al.•ARTICLE•Maternal and Child Nutrition•2018

    Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa. HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal coho…

  • Improved rates of exclusive breastfeeding at 14 weeks of age in KwaZulu Natal, South Africa

    Open Access•Christiane Horwood, Lyn Haskins et al.•ARTICLE•BMC Public Health•2018

    Estimates of breastfeeding practices at 14 weeks in KZN are higher than previously shown. However, particular challenges that should be addressed if international targets for EBF are to be achieved include improving breastfeeding practices of HIV positive mothers and supporting all mothers, particularly working or schooling mothers to continue giving breastmilk while they are away from their children

  • Point-of-care HIV testing best practice for early infant diagnosis

    Open Access•Elizabeth Spooner, Kerusha Govender et al.•ARTICLE•BMC Public Health•2019

    ISRCTN38911104 registered 9 January 2018 - retrospectively registered

  • Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain

    Open Access•Christiane Horwood, Lyn Haskins et al.•ARTICLE•BMC Public Health•2020

    Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers

  • Maintaining human milk bank services throughout the Covid‐19 pandemic

    Open Access•Natalie Shenker, Marta Staff et al.•ARTICLE•Maternal and Child Nutrition•2021

    If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight babies, reducing the risk of complications and supporting maternal breastfeeding where used alongside optimal lactation support. The COVID-19 pandemic has presented a range of challenges to HMBs worl…

  • Getting to under 1% vertical HIV transmission

    Open Access•Brodie Daniels, Elizabeth Spooner et al.•ARTICLE•BMJ Global Health•2022

    We report here on the transmission of HIV in a cohort of breastfeeding infants enrolled in a prevention of mother to child HIV transmission (PMTCT) programme at the epicentre of the HIV pandemic. South Africa implemented option B+ for PMTCT in 2015. Between 2013 and 2018, we enrolled 1219 infants born to HIV positive women into a non-inferiority trial assessing the current cotrimoxazole prophylaxis guidelines for HIV-exposed uninfected infants. B…

  • Point-of-care CD4 testing

    Open Access•Elizabeth Spooner, Tarylee Reddy et al.•ARTICLE•Journal of Global Health•2022

    BACKGROUND: ) persists, and CD4 count testing is being overlooked since universal test-and-treat was implemented. Point-of-care CD4 testing could address this gap and assure differentiated care to these vulnerable patients with low CD4 counts. METHODS: A time randomised implementation trial was conducted, enrolling 603 HIV positive non-ART, not pregnant patients at a primary health care clinic in Durban, South Africa. Weeks were randomised to eit…

  • Wet Nursing and Human Milk Sharing

    Open Access•Anna Coutsoudis, Penny Reimers et al.•ARTICLE•Maternal and Child Nutrition•2025

    The 2025 call of the World Alliance for Breastfeeding Action (WABA) is to prioritise breastfeeding through creating sustainable support systems. This is based on the strong foundations of breastfeeding and the unique properties of human milk to nourish, protect and provide optimal physical, emotional and cognitive growth for the infant. Empowering women to establish and maintain lactation is critical for the short- and long-term health of mothers…

Medicine (19 obras) · Pediatrics (15 obras) · Breastfeeding (13 obras) · Breastfeeding Practices and Influences (13 obras) · Family medicine (10 obras) · Breast feeding (9 obras) · Environmental health (9 obras) · HIV/AIDS Research and Interventions (9 obras) · Internal Medicine (8 obras) · Nursing (8 obras)

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