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It is estimated that 630,000 children worldwide became infected with HIV/AIDS in 2003. More than 90% of these infections are through mother-to child-transmission (MTCT) (UNAIDS 1998). The risk of HIV transmission through mother's milk has rendered infant feeding choice a most critical issue and so far it has created considerable uncertainty and fear among the HIV-infected childbearing women. The study aimed at exploring the decision-support needs of HIV-positive mothers who attend the Prevention of Mother to Child Transmission of HIV (PMTCT) clinic at the Academic Model Providing Access to Health care (AMPATH), Moi Teaching and Referral Hospital (MTRH) facility in Western Kenya regarding infant feeding.