Background
Breastfeeding exclusively for the first six months of an infant’s life followed by safe and adequate complementary feeding in addition to continued breastfeeding for 24 months or beyond is the recommended practice for all women [In Kenya where 890,000 women are living with HIV, the Ministry of Health has widely promoted optimal care for HIV exposed infants including the World Health Organization’s (WHO) recommendation to exclusively breastfeed for the first six months, lifelong antiretroviral therapy (ART) for women, and HIV prophylaxis medications for breastfeeding infants and children [Despite evidence that counseling from healthcare workers can increase rates of exclusive breastfeeding [To address this need, we developed 