1. While discussing HIV and infant feeding, the guidelines mention use of expressed, heat-treated breast milk as one of the alternatives to breastfeeding in infants less than six months of age. Guidelines need to mention a standardized method of heat-treatment of breast milk which should be fulfilling AFASS criteria. It should be borne in mind that it may not be possible to use a thermometer in a domestic setting to decide about the temperature to which the expressed breast milk should be heated.

2. While discussing HIV and infant feeding, the guidelines also mention introducing appropriate complementary foods after 6 months of life and continuing breast feeding for the first 12 months of life. This amounts to mixed feeding for second six months of life. In the same section, towards the end, the guidelines mention that mixed feeding should be avoided (except the short transition period of around a month when breast-feeding is being gradually stopped) as it causes a two fold increase in the risk of postnatal HIV transmission. This contradiction needs to be resolved.