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Preventing Mother-To-Child Transmission

Preventing Mother-To-Child Transmission. HIV/AIDS in the District of Columbia Josephine Karianjahi. Hepburn Intern The Executive Difference. Tasks Conducted - Weekly meetings - DoH multilevel interactions Expository Reading of Cases and Responses Off-site interviews and meetings

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Preventing Mother-To-Child Transmission

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  1. Preventing Mother-To-Child Transmission HIV/AIDS in the District of Columbia Josephine Karianjahi

  2. Hepburn Intern The Executive Difference • Tasks Conducted • - Weekly meetings • - DoH multilevel interactions • Expository Reading of Cases and Responses • Off-site interviews and meetings • Collection of best practices • Presentation of findings jkarianjah@brynmawr.edu

  3. 25 Years Of HIV/AIDS 1982 - GRID becomes known as AIDS 1983 - FEMALEpartners added to the risk groups.  1984 - HIV -Virus Isolated in the Laboratory 1985 - Hollywood star Rock Hudson is revealed to have Aids. jkarianjah@brynmawr.edu

  4. 1995  - HAART approved for use in US 1998 -  Vaccine trials begin 2001 - . ARV Generic Drugs Approved 2005 -  Universal ARV Access commitment by G8 leaders. 2008 -  PEPFAR Authorizes 35 Billion for AIDS               around the world jkarianjah@brynmawr.edu

  5. Hepburn Internship Literature Review on DoH HAA Policies jkarianjah@brynmawr.edu

  6. DC HIV/AIDS Snapshot Late testing, faster progression of the disease and missed opportunities for prevention and treatment. Women are a growing proportion of the District's epidemic. Black community hardest hit by the disease. Heterosexual contact leads new transmissions. More children are being born with HIV or AIDS when medical treatment can completely prevent mother to child transmission Source: 2006 DC Epi Report jkarianjah@brynmawr.edu

  7. HIV/AIDS Risk Factors Indicators: • They measure risk when (other) direct measures are not available. For example: • +++ STDs jkarianjah@brynmawr.edu

  8. Women and HIV/AIDS • 120,000 - 160,000 women in USA have HIV/AIDS  • One in 4 does not know it yet. •  Women can pass HIV/AIDS  to their babies. • MTCT is most common way that children become infected with HIV/AIDS. • This transmission is wholly preventable. jkarianjah@brynmawr.edu

  9. Mother-Child TransmissionPrevention 1 in 4 of pregnant women with HIV transmit. ARV can reduce risk from 25% to 2% Can be prevented through: Regular testing of pregnant women through the pregnancy Provide ARV before birth and after birth jkarianjah@brynmawr.edu

  10. DC Mother-Child Transmission The District accounts for 6% of all MCT in US in last 5 years between 2001-2006, DC had 56 children aged 13 or younger diagnosed with HIV or AIDS. Many states had no new reported cases during this same time period. Not all women who have HIV will give it to their children. jkarianjah@brynmawr.edu

  11. Hepburn Internship Policy Investigation Section jkarianjah@brynmawr.edu

  12. Strategic Prevention of Mother to Child Transmission MCH Providers HIV/AIDS Care Providers Community Based Outreach to Women Hospitals jkarianjah@brynmawr.edu

  13. MATERNAL AND CHILD HEALTH CARE PROVIDERS Collaborate with : - Clinicians - Midwives - Social Workers Increase access to prenatal care contraceptive services  HIV testing messages jkarianjah@brynmawr.edu

  14. Hospitals Rapid testing in labor and delivery units Offer HIV testing in hospital-based prenatal care clinics jkarianjah@brynmawr.edu

  15. Surveillance Conducted to monitor the spread of the epidemic and to provide a basis for the planning and evaluation of prevention and care services Core Surveillance:  Incidence Surveillance:  Behavioral Surveillance:  jkarianjah@brynmawr.edu

  16. Hepburn Internship Research Section jkarianjah@brynmawr.edu

  17. Surveillance : Hepburn Research National Health and Behavioral Survey indicates limited questions on condom use and testing history Subset who filtered through and were eligible to answer questions very small. Suggestions -Add more questions to target women -DC can get more concrete handle on the numbers with additional questions. jkarianjah@brynmawr.edu

  18. Labor and Delivery Ward Care Pre_interviews Considerations Outpatient care Inpatient care Rapid Testing ARV Treatment for Poz Mothers and Infants Steps Forward  Presentation of best practices and needs for the hospitals is necessary jkarianjah@brynmawr.edu

  19. Labor and Delivery Wards Hepburn Research A Rapid Testing Protocols, Discharge Booklet Co-operation between caring goals of doctors, pharmacists, and nurses Ongoing training jkarianjah@brynmawr.edu

  20. A CBO-Based Prevention Approach Hepburn Research Background -HIV/AIDS diagnosis is life changing,and overwhelming for many. -The more steps to care, the slower the transition to effective care Accompaniment means case managers who do more Organizations using this model - La ClinicaDel Pueblo - TheWomen's Collective jkarianjah@brynmawr.edu

  21. Questions? jkarianjah@brynmawr.edu

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