Increasing Use of Rapid HIV Testing in Labor and Delivery Among Women with No Prenatal Care: A Local Initiative
| Autor: | Jessica A. Davila, Lena T. Williams, Jenny McFarlane, Judy Levison, Anna Moore |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Epidemiology HIV Infections Prenatal care Hiv testing HIV Antibodies Pregnancy Intervention (counseling) Medical Staff Hospital medicine Humans Mass Screening Labor Obstetric Task force business.industry Public health Behavior change Infant Newborn Public Health Environmental and Occupational Health AIDS Serodiagnosis Obstetrics and Gynecology Prenatal Care Delivery Obstetric medicine.disease Texas Infectious Disease Transmission Vertical Test (assessment) Family medicine Pediatrics Perinatology and Child Health Female Pregnant Women Medical emergency Hiv status business |
| Zdroj: | Maternal and Child Health Journal. 15:822-826 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-010-0636-1 |
| Popis: | Pregnant women who do not receive prenatal care and may not be aware of their HIV status are at greatest risk of transmitting HIV to their newborn. A multi-component intervention was designed and implemented to increase the use of rapid HIV testing among pregnant women with no prenatal care at labor and delivery in two county hospitals in Houston/Harris County, Texas. The intervention involved establishing a local task force including representatives from each hospital, assessing each hospital’s readiness to implement rapid testing, providing educational presentations and materials, and offering individualized follow-up. Outcomes data were obtained and included the number of patients presenting with no prenatal care who received rapid HIV testing on admission. Before the intervention, both hospitals had rapid test kits available but were not using them consistently. Following the intervention, we observed a significant increase in the use of rapid HIV testing at both institutions (P < 0.001). In the 3 months immediately following the intervention, use of rapid testing at Hospital 1 increased from 7.4 to 35.3% and at Hospital 2 from 27.4 to 41.5%. At 1 year, almost 100% of women with no prenatal care at both hospitals received rapid testing. Educating staff and clinicians and implementing system-wide changes may facilitate behavior change regarding prenatal HIV testing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink