Abstract
Background NHSC, an urban community-based health center in New Jersey, USA, provides prenatal services, labor/ delivery to 750 uninsured/impoverished/minority women annually. Given that NJ has the third highest number of HIV women in USA and the highest number of HIV children, early HIV detection/ intervention in pregnant women become paramount. NHSC historically struggled with sub-optimal OB HIV testing rates (60%) and needed to make radical program changes to comply with CDC recommendations to ensure HIV testing is offered to 100% pregnant patients.
Highlights
NHSC, an urban community-based health center in New Jersey, USA, provides prenatal services, labor/ delivery to 750 uninsured/impoverished/minority women annually
NHSC historically struggled with sub-optimal OB HIV testing rates (60%) and needed to make radical program changes to comply with CDC recommendations to ensure HIV testing is offered to 100% pregnant patients
PDSA (Plan-Do-Study-Act) was conducted to test a new HIV testing approach: HIV Counselors are located in OB department; HIV counseling/ Rapid testing is done at OB registration; daily registration schedules are available to HIV Counselors; HIV results become part of OB records upon result availability; educational DVDs are utilized in patient areas to increase awareness/ interest
Summary
NHSC, an urban community-based health center in New Jersey, USA, provides prenatal services, labor/ delivery to 750 uninsured/impoverished/minority women annually. Given that NJ has the third highest number of HIV women in USA and the highest number of HIV children, early HIV detection/ intervention in pregnant women become paramount. NHSC historically struggled with sub-optimal OB HIV testing rates (60%) and needed to make radical program changes to comply with CDC recommendations to ensure HIV testing is offered to 100% pregnant patients
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