Using the Fetal Infant Mortality Review Methodology to Identify Gaps in the Prevention of Perinatal HIV Transmission in Philadelphia PDF Download
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Author: Adrianne Bailey
Publisher:
ISBN:
Category :
Languages : en
Pages : 50
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Book Description
The Fetal and Infant Mortality Review (FIMR) program was established to examine fetal and infant mortality rates across the U.S. The FIMR methodology was created collaboratively by the National FIMR program, the Centers for Disease Control and Prevention, CityMatCH, and the American College of Obstetricians and Gynecologists to be used at the local level and improve service systems for mothers and infants. The methodology includes three steps: tracking, review, and action. Tracking involves gathering data from specific cases via chart abstraction and maternal interviews. In the review stage, a case review team (CRT) reviews the cases, identify gaps in care, and recommend actions to prevent the observed gaps. In the action stage, a community action team (CAT) is assembled to take action specific to the gaps that were presented in the cases. The FIMR/HIV project is specific toward reviewing cases that involve perinatal transmission of HIV. Philadelphia is one of the eight sites that have taken a part of the FIMR/HIV project nationally to address their current issues with perinatal exposures and transmissions of HIV. The CRT meetings found significant gaps in the areas of preconception, prenatal, labor and delivery, postpartum, and infant care. According to these gaps, the CAT assembled themselves in four subcommittees, in which they thought the areas needed the most and immediate improvement: case management, contraception counseling, HIV testing, and emergency room pregnancy protocol. These four subcommittees are diligently working to improve these prospective areas in care to help eliminate perinatal transmission of HIV in Philadelphia.
Author: Adrianne Bailey
Publisher:
ISBN:
Category :
Languages : en
Pages : 50
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Book Description
The Fetal and Infant Mortality Review (FIMR) program was established to examine fetal and infant mortality rates across the U.S. The FIMR methodology was created collaboratively by the National FIMR program, the Centers for Disease Control and Prevention, CityMatCH, and the American College of Obstetricians and Gynecologists to be used at the local level and improve service systems for mothers and infants. The methodology includes three steps: tracking, review, and action. Tracking involves gathering data from specific cases via chart abstraction and maternal interviews. In the review stage, a case review team (CRT) reviews the cases, identify gaps in care, and recommend actions to prevent the observed gaps. In the action stage, a community action team (CAT) is assembled to take action specific to the gaps that were presented in the cases. The FIMR/HIV project is specific toward reviewing cases that involve perinatal transmission of HIV. Philadelphia is one of the eight sites that have taken a part of the FIMR/HIV project nationally to address their current issues with perinatal exposures and transmissions of HIV. The CRT meetings found significant gaps in the areas of preconception, prenatal, labor and delivery, postpartum, and infant care. According to these gaps, the CAT assembled themselves in four subcommittees, in which they thought the areas needed the most and immediate improvement: case management, contraception counseling, HIV testing, and emergency room pregnancy protocol. These four subcommittees are diligently working to improve these prospective areas in care to help eliminate perinatal transmission of HIV in Philadelphia.
Author: Michelle Holliday
Publisher:
ISBN:
Category : Contraceptives
Languages : en
Pages :
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Book Description
Background: Family planning services and preconception care have been identified as essential to preventing perinatal HIV transmission. Data from the Philadelphia Fetal Infant Mortality Review/HIV (FIMR/HIV) project and the Preconception Counseling and Contraception Provider Survey suggest underutilization of contraception and infrequent discussions of preconception counseling by providers with their patients. Objectives: This project investigates the relationship between provider knowledge and the discussion of pregnancy planning and contraception and explores the impact of this relationship on perinatal HIV transmission in Philadelphia. Methods: 21 cases of perinatal exposure from the FIMR/HIV project were reviewed and 10 Ryan White Care physicians, nurse practitioners and nurses were interviewed using semi-structured interviews. Interviews were transcribed, coded using theme identification and analyzed for commonalities and differences across themes. Results: Cases indicated that 52.4% of women did not use contraception and 38.1% of pregnancies were unplanned. Providers reported both facilitating and inhibiting factors such as family planning on site and social chaos/stigma influencing access to care for women of childbearing age with HIV in Philadelphia. Aspects such as time and competing elements in the patient-provider discussion are barriers to consistent discussion. In addition, respondents reported that discussions occur annually, at varied rates and/or when initiated by the patient. Providers reported no knowledge of formal preconception counseling guidelines. Conclusion: Results illuminate the need to examine perinatal HIV prevention in the context of psychosocial factors experienced by women of childbearing age with HIV in addition to improved coordination of care, enhanced referral systems and development of rigid guidelines for preconception counseling content.
Author:
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 164
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309181437
Category : Medical
Languages : en
Pages : 150
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Book Description
Mother-to-child transmission of HIV-1 afflicts hundreds of thousands of children every year, especially in parts of the world such as sub-Saharan Africa, where HIV infection is prevalent and resources are limited. This tragic reality has spurred researchers to search for an effective, safe, and inexpensive treatment that could reduce the risk of perinatal HIV transmission. The HIVNET 012 trial was designed to provide preliminary information on the comparative safety and efficacy of two relatively simple and inexpensive short courses of oral antiretroviral treatment likely to be feasible in resource-limited settings. The resulting report identified some problems with procedures and documentation, but concluded that these issues did not compromise the results of the study. However, these issues have led to public scrutiny and continued controversy. Review of the HIVNET 012 Perinatal HIV Prevention Study critically and objectively evaluates the study's design and conduct, and assesses the impact of the initial procedural issues on the validity of the overall findings and conclusions of the trial.
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : African American children
Languages : en
Pages : 368
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Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : African American children
Languages : en
Pages : 394
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Book Description
Author: Kennen Scott Gross
Publisher:
ISBN:
Category :
Languages : en
Pages : 134
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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309166837
Category : Medical
Languages : en
Pages : 270
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Book Description
Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: National Research Council
Publisher: National Academies Press
ISBN: 9780309062862
Category : Medical
Languages : en
Pages : 426
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Book Description
Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January
