Figure 2. 24-month HIV-free survival with individualized approach, compared to “public health approach” recommending 12 months of breastfeeding for all HIV-infected women.
In each panel, the horizontal axis includes six values of RR-RF, ranging from 1.0 to 6.0. The vertical axis shows 24-month HIV-free survival, with shaded bars representing projections for the individualized approach and solid bars representing projections for the public health approach. Panels A and B depict scenarios in which providers counsel all HIV-infected mothers, with varying access to maternal ARVs. Panels C and D depict scenarios in which the individualized approach diverts provider resources and 25% of mothers receive no counseling, leading them to breastfeed for 24 months without ARVs (Panel C) or replacement feed from birth (Panel D). The difference in HFS between the individualized and public health approaches is shown for each RR-RF value; positive values indicate greater HFS with the individualized approach. HFS: HIV-free survival; RR-RF: relative risk of mortality among replacement-fed compared to breastfed infants; ARVs: antiretroviral drugs; m: months.
