Prof Anna Coutsoudis

Prof Anna Coutsoudis


Prof Anna Coutsoudis


031260 4489 



Medical School 


Senior Professor 


Anna Coutsoudis is a public health scientist who holds the post of Professor in the Department of Paediatrics & Child Health at UKZN.
She obtained her PhD from the University of Natal in 1994.  In 2007 she was elected a Fellow of UKZN.  She has engaged in extensive research on HIV and nutrition, and especially in breastfeeding and has published over 100 peer-reviewed journal articles.  Her research work has played an important role in the shaping of the WHO guidelines on HIV and Infant Feeding.  She previously served as president of the Technical Steering Committee of the WHO Child and Adolescent Health Unit.  Currently she is a member of 3 WHO Guideline Development Groups viz. vitamin A supplementation; Cotrimoxazole prophylaxis; and HIV and Infant Feeding. She is committed to improving maternal and child health in vulnerable communities through strategies that empower communities. In recognition of her contributions she was recently awarded the Science for Society Gold Medal award by the Academy of Science of South Africa.


Prof Coutsoudis established the first community based breastmilk bank in South Africa specifically to provide donor breastmilk to AIDS orphans. Over the last five years she has been collaborating with the Department of Health to scale up donor milk banking in South Africa.  She is currently the recipient of the GSK/Save the Children Health Innovation Award which will enable her to scale up community based Human Milk Banks in KZN using low cost technology for pasteurizing breastmilk developed by the University of Washington Department of Computer Science and Engineering.

List of Publications

Chapter in Book

1. Coutsoudis A, Kindra G. Breastfeeding issues in the context of HIV. In Principles of Perinatal and Pediatrics HIV/AIDS, 367-374. ed Lala MM, Merchant RH. Jaypee publishers, India, 2012.

2. In press: Hadigan C, Coutsoudis A. Paediatric HIV Infection (chapter 46). in: Nutrition in Pediatrics, 5th edition, editor L Mehta, People’s Medical Publishing House, Sheldon, CT, USA, 2015.

3. In press: Coutsoudis A, Goga A. HIV and Infant Feeding. In: Nutrition and HIV/AIDS: Evidence to public health practice. Published by CRC press, USA, 2015

Peer-reviewed Manuscripts

1. Patel D, Bland RM, Coovadia HM, Rollins N, Coutsoudis A, Newell ML. Breastfeeding, HIV status and weights in South African children: a comparison of HIV-exposed and unexposed children. AIDS 2010; 24: 437-445.

2. Spaar A, Graber C, Dabis F, Coutsoudis A, et al. Prioritising prevention strategies for patients in antiretroviral treatment programmes in resource-limited setting. AIDS Care 2010; 1: 1-9

3. Kwaan L, Kindra G, Mdutyana L, Coutsoudis A. Prevention is better than cure – the art of avoiding non-adherence to antiretroviral treatment. SA Journal of HIV Medicine; Sept 2010: 8-10.

4. Coutsoudis A, Coovadia HM, Kindra G. Time for new recommendations on cotrimoxazole prohpylaxis for HIV-exposed infants in developing countries? Bull World Health Organ 2010; 88:949-50.

5. Coutsoudis A, England K, Rollins N, Coovadia H, Newell ML, Bland R. Women’s morbidity and mortality in the first 2 years after delivery according to HIV status. AIDS 2010; 24: 2859-6.

6. Chantry CJ, Wiedeman J, Buehring G, Peerson JM, Hayfron K, K’aluoch O, Lonnerdal B, Israel-Ballard K, Coutsoudis A, Abrams B. Effect of flash-heat treatment on antimicrobial activity of breastmilk. Breastfeed Med 2011; Jun;6:111-6. Epub 2010 Nov 23 

7. Coutsoudis A, Kwaan L, Thomson M. Prevention of vertical transmission of HIV-1 in resource-limited settings. Expert Rev Anti Infect Ther 2010; 8: 1163-75.

8. Neveu D, Viljoen J, Bland RM, Nagot N, Danaviah S, Coutsoudis A, Rollins NC, Coovadia HM, Van de Perre P, Newell M-N. Cumulative exposure to cell-free HIV in breastmilk, rather than feeding pattern per se, identifies postnatally infected infants. Clinical Infectious Diseases; 2011: 52: 819-825.

9. Hurley E, Coutsoudis A, Giddy J, Knight S, Loots E, Esterhuizen T. Weight evolution and perceptions in HIV infected adults following initation of anti-retroviral therapy in an urban South African clinic. S Afr Med J 2011; 101: 645-50. 

10. Adhikari M, Jeena P, Bobat R, Archary M, Naidoo K, Coutsoudis A, Singh R, Nair N. HIV associated tuberculosis in the newborn and young infant. International Journal of Pediatrics, 2011. doi:10.1155/2011/354208.

11. Marston M, Becquet R, Zaba B, Moulton LH, Gray G, Coovadia H, Essex M, Ekouevi DK, Jackson D, Coutsoudis A, et al. Net survival of perinatally and postnatally HIV infected children: a pooled analysis of individual data from sub-Saharan Africa. Int J Epidemiol 2011; 40: 385-96.
12. Coutsoudis I, Petrites A, Coutsoudis A. Acceptability of donated breast milk in a resource limited South African setting. Int Breastfeed J 2011; Feb 22, 6: 3.
13. Kindra G, Coutsoudis A, Esposito F, Esterhuizen T. Breastfeeding in HIV exposed infants significantly improves child health: A prospective study. Matern Child Health J 2011; Apr 20 [epub ahead of print] DOI 10.1007/s10995-011-0795-8

14. Coutsoudis I, Adhikari M, Nair N, Coutsoudis A. Feasibility and safety of setting up a donor breastmilk bank in a neonatal prem unit in a resource limited setting: An observational, longitudinal cohort study. BMC Public Health. 2011 May 20;11(1):356. [Epub ahead of print]

15. Coutsoudis A, Kindra G, Esterhuizen T. Impact of cotrimoxazole prophylaxis on the health of breast-fed, HIV-exposed, HIV-negative infants in a resource-limited setting. AIDS 2011; 25: 1797-9.

16. Kindra G, Coutsoudis A, Esposito F. Effect of nutritional supplementation of breastfeeding HIV positive mothers on maternal and child health: findings from a randomized controlled clinical trial. BMC Public Health 2011; 11: 946

17. Becquet R, Marston M, Dabis F, Moulton LH, Gray G, Coovadia HM, Essex M, Ekouevi DK, Jackson D, Coutsoudis A, et al. Children who acquire HIV infection perinatally are at higher risk of early death than those acquiring infection through breastmilk: a meta-analysis. PLoS One 2012; 7(2):e28510. Epub 2012 Feb 23.

18. Kindra G, Coutsoudis A, Pillay L, Kindness A. Development of predictive equations for total body water using the deuterium-dilution method as the gold standard in a population of asymptomatic HIV-positive Zulu women in South Africa. S Afr J Clin Nutr 2012; 25: 186-191

19. Coutsoudis A, Goga A, Desmond C, Barron P, Black V, Coovadia H. Is Option B+ the best choice? Lancet 2013; 381: 269-71

20. Coutsoudis A, Goga A, Desmond C, Barron P, Black V, Coovadia H. Is Option B+ the best choice? SA J HIV Clin Medicine – reproduced from the Lancet.

21. Rollins NC, Ndirangu J, Bland RM, Coutsoudis A, Coovadia HM, Newell ML.
Exclusive Breastfeeding, Diarrhoeal Morbidity and All-Cause Mortality in Infants of HIV-Infected and HIV Uninfected Mothers: An Intervention Cohort Study in KwaZulu Natal, South Africa. PLoS One. 2013 Dec 2;8(12):e81307. 

22. Moon SS, Tate JE, Ray P, Dennehy PH, Archary D, Coutsoudis A, et al.
Differential profiles and inhibitory effect on rotavirus vaccines of non-antibody components in breast milk from mothers in developing and developed countries.
Pediatr Infect Dis J. 2013: 32(8):863-70.

23. Naicker M, Coutsoudis A, Israel-Ballard K, Chaudri R, Perin N, Mlisana K. Demonstrating the efficacy of the FoneAstra Pasteurization Monitor for Human Milk Pasteurization in resource-limited settings. Breastfeeding Medicine 2015; 10(2):1-6