I am a Paediatrician in the Neonatal Service at Mowbray Maternity Hospital (MMH) and Senior Lecturer in Department of Neonatal Medicine, University of Cape Town.
Up to 140 HIV-exposed babies are born each month at our facility. Many are preterm or low birth weight.
I have a longstanding interest in Prevention of Mother-to-Child Transmission of HIV. I have been part of the Western Cape Provincial Department of Health PMTCT advisory group since 2001 and authored the 2010 Provincial PMTCT guidelines for infants with birth weights less than 2000g. Currently my main interest is in implementing risk-based very early infant PCR testing and multi ARV infant post exposure prophylaxis, the role of point of care diagnostic devices in this setting and interventions to retain HIV exposed/infected infants in care. I am associated with CIDER, SOPH, UCTand am a co-researcher on the Closing The GAPS Project which is currently underway.
I am interested in infant feeding in HIV and have promoted feeding inpatient HIV-exposed preterm infants with heat-treated own mother’s milk using a low-tech modified flash-heating method.
I have also been actively involved with the Human Milk Banking Association of South Africa (HMBASA) and am a medical advisor to Milk Matters, the largest Cape Town based donor milk service based at MMH.