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1994-08-27
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Document 0697
DOCN M9480697
TI A state program for postpartum HIV counseling and testing.
DT 9410
AU Holman S; Sorin MD; Crossette J; LaChance-McCullough ML; New York State
Department of Health's, AIDS Institute, NY 10001.
SO Public Health Rep. 1994 Jul-Aug;109(4):521-9. Unique Identifier :
AIDSLINE MED/94316769
AB The New York State Department of Health began its Obstetrical HIV
Counseling/Testing/Care Initiative in 1989. The objective of the
initiative was to expand the availability of and access to human
immunodeficiency virus (HIV) infection counseling and voluntary testing
in the postpartum setting. Programs have been initiated in 24 hospitals
statewide. The initiative emphasizes cooperative arrangements within
participating hospitals for referring patients to medical and social
services. Participation by hospitals in the initiative is voluntary.
Initial grants to hospitals for the initiative ranged from $50,000 to
$80,000. The main obstacle in implementing the initiative has been a
lack of such resources as administrative or clinical support, phlebotomy
services, and office or clinical space. During the period from August 1,
1990, through March 31, 1992, 16,436 women at risk for HIV infection
were counseled in the postpartum setting at 24 hospitals participating
in the initiative. Of them, 6,754 (41.1 percent) consented to HIV
testing. Of the 6,754 tested, 3,000 women (44.5 percent) returned to
receive test results and posttest counseling. Counseling and testing
activities supported through the initiative identified 196 of 1,227 (16
percent) of the HIV-positive women who gave birth at participating
hospitals and 196 of 892 (22 percent) seropositive women not previously
identified. Combining testing data from the initiative with other data
on seropositivity, the authors estimated that 43.3 percent of
HIV-positive women delivering infants at participating hospitals were
identified by voluntary testing.(ABSTRACT TRUNCATED AT 250 WORDS)
DE Adolescence Adult Child *Counseling Female Hospitals Human HIV
Infections/*DIAGNOSIS/ETHNOLOGY Middle Age New York *Postnatal Care
Program Development Program Evaluation *Public Health Administration
Risk Factors JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).