Limitations
SAID
Given our multi-component intervention and study design, we are unable to assess the lactation support sessions and unconditional cash transfer separately. The two components may contribute uniquely to perinatal women’s experiences and future research may be needed to understand the extent to which desired outcomes are impacted by each component. We also acknowledge the possibility that the control group received some benefits beyond standard of care that could have positively impacted their perinatal experiences such as reimbursement for travel expenses, positive interactions with our research coordinators on site, and seeing their infants’ weight at each research encounter.Our study was limited to pregnant and postpartum women living with HIV on ART in Kisumu County, Kenya, and therefore findings may not be generalizable to other populations. That said, the potential benefits of both intervention components would likely hold true for other perinatal women in low-resource settings. Future trials, should consider offering additional infant feeding support sessions for up to 6 months and beyond to support women during the transition from exclusive breastfeeding to complementary feeding. Extended financial support and information about budgeting or small business management might also ensure more women sustain an income post intervention.Despite these limitations, we believe our mixed-methods findings indicate that the Supporting Healthy Mothers intervention has great potential for impact and is highly acceptable to the target population.