An End to Perinatal HIV: Success in the US Requires Ongoing and Innovative Efforts That Should Expand Globally

The dramatic reduction of perinatally transmitted HIV in the United States has been a striking success story in the HIV epidemic. Routine HIV screening during pregnancy followed by appropriate therapy has been extremely effective. This paper puts forth three strategies needed to maintain these gains...

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Bibliographic Details
Published in:Journal of public health policy 2007-07, Vol.28 (2), p.249-260
Main Authors: Carolyn K. Burr, Margaret A. Lampe, Sharron Corle, Frances S. Margolin, Chad Abresh, Clark, Jill
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
AIDS serodiagnosis
Childbirth & labor
Children
Cost control
Disease control
Disease prevention
Disease transmission
Epidemiology
Equality and Human Rights
Female
Global Health
Health care
Health care policy
Health Policy
HIV
HIV infections
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Human immunodeficiency virus - Prevention
Humans
Infections
Infectious Disease Transmission, Vertical - prevention & control
Leadership
Mass Screening
Maternal & child health
Medical Sociology
Medical tests
Pediatrics
Perinatal Care
Perinatal factors
Pregnancy
Prenatal care
Prevention
Preventive medicine
Primary Prevention
Public Health
Public health - United States
Reproductive health - United States
Screening
Social Justice
Social Policy
Social Sciences
Sociology
Success
United States - epidemiology
USA
Women's Health Services
Womens health
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Description
Summary:The dramatic reduction of perinatally transmitted HIV in the United States has been a striking success story in the HIV epidemic. Routine HIV screening during pregnancy followed by appropriate therapy has been extremely effective. This paper puts forth three strategies needed to maintain these gains and reach the goal of eliminating perinatal HIV: standardize medical interventions and policy changes that support perinatal HIV reduction; institute HIV screening in routine preconception care to identify HIV infection in women before pregnancy; and critically focus attention and resources on primary prevention of HIV infection in women. Healthcare providers should incorporate HIV prevention education and routine screening into women's primary health care. Public health leaders should support and fund prevention strategies directed at young women. Successful approaches that have nearly eliminated perinatal HIV transmission in the United States offer valuable lessons that should be applied to primary HIV prevention for women in the United States and globally.
ISSN:0197-5897
1745-655X
DOI:10.1057/palgrave.jphp.3200126