Kudryashova-Hernandez, Larisa

Retrovirology

English

PubMed

Larisa Kudryashova-Hernandez

Springer - Publisher Connector

POSTER PRESENTATION Open Access
One body, one test, two lives.. patient centered
strategy to increase HIV testing in pregnant
women and their partners
Larisa Kudryashova-Hernandez
From 17th International Symposium on HIV and Emerging Infectious Diseases (ISHEID)
Marseille, France. 23-25 May 2012
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.
Methods
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 avail-
able to HIV Counselors; HIV results become part of OB
records upon result availability; educational DVDs are
utilized in patient areas to increase awareness/ interest.
Results
Per PDSA-improved strategy, NHSC sustained 100%
compliance with CDC recommendations over the last
three years. Rapid HIV testing and Rapid-on-Rapid posi-
tive result confirmation allow for smooth/timely transi-
tion from HIV testing to care/treatment for newly
diagnosed HIV pregnant patients/partners.
Conclusions
The collected/analyzed data suggests that coordinated,
patient-centered approach helps to: identify HIV positive
pregnant patients in the first/second trimesters; immedi-
ately connect them to prenatal/HIV care to minimize
vertical HIV transmission; provide prevention/treatment
for partners including prevention for positives.
Published: 25 May 2012
doi:10.1186/1742-4690-9-S1-P70
Cite this article as: Kudryashova-Hernandez: One body, one test, two
lives.. patient centered strategy to increase HIV testing in pregnant
women and their partners. Retrovirology 2012 9(Suppl 1):P70.
Submit your next manuscript to BioMed Central
and take full advantage of: 
• Convenient online submission
• Thorough peer review
• No space constraints or color figure charges
• Immediate publication on acceptance
• Inclusion in PubMed, CAS, Scopus and Google Scholar
• Research which is freely available for redistribution
Submit your manuscript at 
www.biomedcentral.com/submit
Correspondence: Lara0822@yahoo.com
Ancillary HIV Services at Neighborhood Health Services Corporation,
Plainfield, USA
Kudryashova-Hernandez Retrovirology 2012, 9(Suppl 1):P70
http://www.retrovirology.com/content/9/S1/P70
© 2012 Kudryashova-Hernandez; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the
Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.


One body, one test, two lives.. patient centered strategy to increase HIV testing in pregnant women and their partners

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POSTER PRESENTATION Open AccessOne body, one test, two lives.. patient centeredstrategy to increase HIV testing in pregnantwomen and their partnersLarisa Kudryashova-HernandezFrom 17th International Symposium on HIV and Emerging Infectious Diseases (ISHEID)Marseille, France. 23-25 May 2012BackgroundNHSC, an urban community-based health center inNew Jersey, USA, provides prenatal services, labor/delivery to 750 uninsured/impoverished/minoritywomen annually. Given that NJ has the third highestnumber of HIV women in USA and the highest numberof HIV children, early HIV detection/ intervention inpregnant women become paramount. NHSC historicallystruggled with sub-optimal OB HIV testing rates (60%)and needed to make radical program changes to complywith CDC recommendations to ensure HIV testing isoffered to 100% pregnant patients.MethodsPDSA (Plan-Do-Study-Act) was conducted to test a newHIV testing approach: HIV Counselors are located inOB department; HIV counseling/ Rapid testing is doneat OB registration; daily registration schedules are avail-able to HIV Counselors; HIV results become part of OBrecords upon result availability; educational DVDs areutilized in patient areas to increase awareness/ interest.ResultsPer PDSA-improved strategy, NHSC sustained 100%compliance with CDC recommendations over the lastthree years. Rapid HIV testing and Rapid-on-Rapid posi-tive result confirmation allow for smooth/timely transi-tion from HIV testing to care/treatment for newlydiagnosed HIV pregnant patients/partners.ConclusionsThe collected/analyzed data suggests that coordinated,patient-centered approach helps to: identify HIV positivepregnant patients in the first/second trimesters; immedi-ately connect them to prenatal/HIV care to minimizevertical HIV transmission; provide prevention/treatmentfor partners including prevention for positives.Published: 25 May 2012doi:10.1186/1742-4690-9-S1-P70Cite this article as: Kudryashova-Hernandez: One body, one test, twolives.. patient centered strategy to increase HIV testing in pregnantwomen and their partners. Retrovirology 2012 9(Suppl 1):P70.Submit your next manuscript to BioMed Centraland take full advantage of: • Convenient online submission• Thorough peer review• No space constraints or color figure charges• Immediate publication on acceptance• Inclusion in PubMed, CAS, Scopus and Google Scholar• Research which is freely available for redistributionSubmit your manuscript at www.biomedcentral.com/submitCorrespondence: Lara0822@yahoo.comAncillary HIV Services at Neighborhood Health Services Corporation,Plainfield, USAKudryashova-Hernandez Retrovirology 2012, 9(Suppl 1):P70http://www.retrovirology.com/content/9/S1/P70© 2012 Kudryashova-Hernandez; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of theCreative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.

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One body, one test, two lives.. patient centered strategy to increase HIV testing in pregnant women and their partners

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